Ammonia at HCA HOUSTON TOMBALL

5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$12.24 with Texas Childrens Healthplans vs $194.65 with Humana — 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 →

Payer
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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
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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
Texas Childrens Healthplans CHIP $12.24
Texas Childrens Healthplans MEDICAID $12.24
Community Health Choice MCD CHIP $12.24
Community Health Choice MCD CHIPPerinatal $12.24
Community Health Choice MCD STAR+PLUS $12.24
Community Health Choice MCD STAR $12.24
United MGMCD $12.48
Aetna Better Health MGMCD $13.22
Molina Healthcare STARPLUS $13.46
Molina Healthcare STARKIDS $13.46
Molina Healthcare STAR $13.46
Molina Healthcare CHIP $13.46
Oscar MGMCR $14.28
BCBS MedicareAdvantageHMO $14.57
Cigna HealthSpring MCRSNP $14.57
Devoted Health MGMCR $14.57
Cigna HealthSpring MMP $14.57
BCBS MCRPPO $14.57
TriWest Healthcare Alliance Veterans $14.57
Cigna HealthSpring PFFS $14.57
Humana MedicareAdvantageHMO $14.57
Humana MedicareAdvantagePPOPFFS $14.57
Cigna HealthSpring MCRHMO $14.57
Cigna HealthSpring MCRPPO $14.57
United SmallGroup $14.57
United NarrowNetworkIndivExchange $14.57
United AllPayerAppendix $14.57
CHC Harris Health Indigent $14.57
WellMed MGMCR $14.64
Aetna MCR $14.69
Van Lang IPA MCR $14.72
United MCR $14.86
WellCare POS $15.01
WellCare SNP $15.01
WellCare MCRHMO $15.01
Integranet Amerigroup IPA MCR $15.01
WellCare PPO $15.01
WellCare PFFS $15.01
Superior Health Plan MCRPOS $15.30
Humana MCD $15.30
American Health Plan MGMCR $15.30
Shared Health MGMCR $15.30
Superior Health Plan DualEligible $15.30
Superior Health Plan MCRHMO $15.30
Superior Health Plan MCRPPO $15.30
Superior Health Plan MCRSNP $15.30
Superior Health Plan PFFS $15.30
ProCare Advantage MGMCR $15.30
Provider Partners Health Plan of Texas PPO $15.44
Provider Partners Health Plan of Texas SNP $15.44
Provider Partners Health Plan of Texas POS $15.44
Provider Partners Health Plan of Texas MCRHMO $15.44
Provider Partners Health Plan of Texas PFFS $15.44
Christus (USFHP) TRICARE $15.77
TriWest Health Alliance TRCR $15.77
Molina MGMCR $15.88
Verda Health Plan MCR $18.94
Superior Health Plan STARPLUS $20.83
Superior Health Plan CHIP $20.83
Superior Health Plan CHPFC $20.83
Superior Health Plan STAR $20.83
Superior Health Plan STARKids $20.83
Community Health Choice HIX $21.13
Superior ValueHMO $21.13
Superior EPO $22.58
Superior HMO $22.58
BCBS MyBlueHealth $29.43
Molina Healthcare HIX $31.33
BCBS BAV $32.49
BCBS HMO $40.65
Oscar HIX $42.11
BCBS EPOSOA $43.56
Healthcare Highways NarrowNetwork $43.72
BCBS PPO $46.48
Aetna QHPExchange $53.36
United OptionsPPO $58.33
Cigna CSN $59.93
Cigna OpenAccessPlus $64.91
Aetna NBPOS $70.96
Aetna NBHMO $70.96
Aetna NBPPO $70.96
Aetna COMMPOS $75.39
Aetna COMMPPO $75.39
Aetna COMMHMO $75.39
Cigna PPO $77.23
Aetna OONHMO $88.56
Aetna OONPPO $88.56
Aetna OONPOS $88.56
Evry Health BroadNetwork $94.79
Aetna ASAPPO $95.76
Aetna ASAPOS $95.76
Aetna ASAHMO $95.76
BCBS Traditional $121.53
Coventry National First Health COMM $126.39
United GlobalAppendix $156.25
Humana PPO $194.65
Humana HMO $194.65
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Ammonia at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $129.50 $10.49 – $370.00
HCA HOUSTON WEST HOUSTON $955.00 $12.00 – $59.93
St. Luke's Health - The Vintage Hospital Houston $129.50 $10.49 – $370.00
HCA HOUSTON MEDICAL CENTER Houston not published $12.24 – $59.93
Adventhealth Rollins Brook Lampasas $232.94 $13.11 – $56.09
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $145.94 $10.00 – $182.42
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $142.06 $12.00 – $213.08
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $145.94 $12.00 – $182.42

All Texas hospitals for this procedure →