Tc-99m sestamibi p study dose at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$5,135.81
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.
$5,135.81
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.
$240.23 with Cigna vs $4,108.65 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 |
|---|---|---|---|
| Cigna | CSN | $240.23 | ↓ -95% |
| Cigna | OpenAccessPlus | $260.09 | ↓ -95% |
| BCBS | MyBlueHealth | $266.81 | ↓ -95% |
| BCBS | BAV | $294.04 | ↓ -94% |
| Superior Health Plan | CHPFC | $308.15 | ↓ -94% |
| Superior Health Plan | STARPLUS | $308.15 | ↓ -94% |
| Superior Health Plan | STARKids | $308.15 | ↓ -94% |
| Superior Health Plan | STAR | $308.15 | ↓ -94% |
| Superior Health Plan | CHIP | $308.15 | ↓ -94% |
| Cigna | PPO | $309.72 | ↓ -94% |
| BCBS | PPO | $367.55 | ↓ -93% |
| BCBS | HMO | $367.55 | ↓ -93% |
| BCBS | EPOSOA | $367.55 | ↓ -93% |
| Community Health Choice MCD | STAR | $667.66 | ↓ -87% |
| Community Health Choice MCD | CHIP | $667.66 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $667.66 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $667.66 | ↓ -87% |
| United | SmallGroup | $743.46 | ↓ -86% |
| United | AllPayerAppendix | $743.46 | ↓ -86% |
| United | NarrowNetworkIndivExchange | $743.46 | ↓ -86% |
| United | OptionsPPO | $862.82 | ↓ -83% |
| Oscar | HIX | $1,001.48 | ↓ -81% |
| Humana | PPO | $1,247.69 | ↓ -76% |
| Humana | HMO | $1,247.69 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,309.63 | ↓ -75% |
| Molina Healthcare | HIX | $1,386.67 | ↓ -73% |
| Evry Health | BroadNetwork | $1,402.08 | ↓ -73% |
| Aetna | NBHMO | $1,648.60 | ↓ -68% |
| Aetna | NBPPO | $1,648.60 | ↓ -68% |
| Aetna | NBPOS | $1,648.60 | ↓ -68% |
| Aetna | COMMPOS | $1,756.45 | ↓ -66% |
| Aetna | COMMPPO | $1,756.45 | ↓ -66% |
| Aetna | COMMHMO | $1,756.45 | ↓ -66% |
| BCBS | Traditional | $1,797.53 | ↓ -65% |
| Curative Administrators | COMM | $2,054.32 | ↓ -60% |
| Christus (USFHP) | TRICARE | $2,054.32 | ↓ -60% |
| Aetna | OONHMO | $2,059.46 | ↓ -60% |
| Aetna | OONPOS | $2,059.46 | ↓ -60% |
| Aetna | OONPPO | $2,059.46 | ↓ -60% |
| Aetna | ASAPPO | $2,223.81 | ↓ -57% |
| Aetna | ASAHMO | $2,223.81 | ↓ -57% |
| Aetna | ASAPOS | $2,223.81 | ↓ -57% |
| United | GlobalAppendix | $2,311.11 | ↓ -55% |
| Coventry National First Health | COMM | $2,737.39 | ↓ -47% |
| TriWest Healthcare Alliance | FED | $4,108.65 | ↓ -20% |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $199.85 | $100.00 – $571.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $199.85 | $100.00 – $571.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $240.23 – $1,247.69 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $240.23 – $1,247.69 |
| Houston Methodist Willowbrook Hospital | Houston | not published | $530.91 – $2,665.18 |
| Houston Methodist Hospital | Houston | not published | $530.91 – $2,414.30 |
| Houston Methodist West Hospital | Houston | not published | $530.91 – $2,665.18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $109.62 | $31.06 – $155.29 |