Tc-99m pyroph diag per dose up to 25 mci at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$39.69 with Superior Health Plan vs $529.24 with TriWest Healthcare Alliance — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Superior Health Plan | CHIP | $39.69 | — |
| Superior Health Plan | STARPLUS | $39.69 | — |
| Superior Health Plan | STARKids | $39.69 | — |
| Superior Health Plan | STAR | $39.69 | — |
| Superior Health Plan | CHPFC | $39.69 | — |
| United | SmallGroup | $65.59 | — |
| United | AllPayerAppendix | $65.59 | — |
| United | NarrowNetworkIndivExchange | $65.59 | — |
| Community Health Choice MCD | CHIP | $86.00 | — |
| Community Health Choice MCD | STAR+PLUS | $86.00 | — |
| Community Health Choice MCD | STAR | $86.00 | — |
| Community Health Choice MCD | CHIPPerinatal | $86.00 | — |
| BCBS | MyBlueHealth | $97.61 | — |
| BCBS | BAV | $107.57 | — |
| United | OptionsPPO | $111.14 | — |
| Oscar | HIX | $129.00 | — |
| BCBS | EPOSOA | $134.46 | — |
| BCBS | PPO | $134.46 | — |
| BCBS | HMO | $134.46 | — |
| Cigna | CSN | $158.10 | — |
| Healthcare Highways | NarrowNetwork | $168.70 | — |
| Cigna | OpenAccessPlus | $171.16 | — |
| Molina Healthcare | HIX | $178.62 | — |
| Evry Health | BroadNetwork | $180.60 | — |
| Cigna | PPO | $203.83 | — |
| Aetna | NBHMO | $212.36 | — |
| Aetna | NBPOS | $212.36 | — |
| Aetna | NBPPO | $212.36 | — |
| Aetna | COMMHMO | $226.25 | — |
| Aetna | COMMPPO | $226.25 | — |
| Aetna | COMMPOS | $226.25 | — |
| BCBS | Traditional | $231.54 | — |
| Christus (USFHP) | TRICARE | $264.62 | — |
| Curative Administrators | COMM | $264.62 | — |
| Aetna | OONPOS | $265.28 | — |
| Aetna | OONPPO | $265.28 | — |
| Aetna | OONHMO | $265.28 | — |
| Aetna | ASAPOS | $286.45 | — |
| Aetna | ASAHMO | $286.45 | — |
| Aetna | ASAPPO | $286.45 | — |
| United | GlobalAppendix | $297.70 | — |
| Coventry National First Health | COMM | $352.61 | — |
| Humana | PPO | $467.52 | — |
| Humana | HMO | $467.52 | — |
| TriWest Healthcare Alliance | FED | $529.24 | — |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $109.90 | $44.82 – $314.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $109.90 | $54.28 – $314.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,129.55 | $65.59 – $467.52 |
| HCA HOUSTON WEST | HOUSTON | not published | $65.59 – $467.52 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $300.05 | $65.59 – $467.52 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,280.09 | $65.59 – $467.52 |
| St. Joseph Health Madison Hospital | Madisonville | $54.95 | $38.49 – $282.60 |
| St. Luke's Health Memorial Lufkin | Lufkin | $87.37 | $34.64 – $513.90 |