Artery xrays of pelvis 75736 26 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.

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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.

$143.01 with Community Health Choice MCD vs $19,028.23 with BCBS — 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
Community Health Choice MCD CHIPPerinatal $143.01
Community Health Choice MCD CHIP $143.01
Community Health Choice MCD STAR+PLUS $143.01
Community Health Choice MCD STAR $143.01
Texas Childrens Healthplans MEDICAID $143.68
Texas Childrens Healthplans CHIP $143.68
United MGMCD $145.87
Aetna Better Health MGMCD $154.45
Molina Healthcare CHIP $158.05
Molina Healthcare STARPLUS $158.05
Molina Healthcare STARKIDS $158.05
Molina Healthcare STAR $158.05
Humana MCD $179.60
Cigna CSN $330.37
Cigna OpenAccessPlus $357.53
Cigna PPO $425.01
Aetna QHPExchange $529.30
Aetna NBHMO $703.49
Aetna NBPOS $703.49
Aetna NBPPO $703.49
Aetna COMMHMO $748.35
Aetna COMMPPO $748.35
Aetna COMMPOS $748.35
Superior Health Plan STAR $855.69
Superior Health Plan STARKids $855.69
Superior Health Plan STARPLUS $855.69
Superior Health Plan CHIP $855.69
Superior Health Plan CHPFC $855.69
Aetna OONPOS $879.93
Aetna OONPPO $879.93
Aetna OONHMO $879.93
Aetna ASAHMO $950.95
Aetna ASAPOS $950.95
Aetna ASAPPO $950.95
Humana PPO $1,837.24
Humana HMO $1,837.24
United OptionsPPO $2,395.94
Healthcare Highways NarrowNetwork $3,636.70
Evry Health BroadNetwork $3,893.40
BCBS Traditional $4,991.54
Coventry National First Health COMM $5,191.20
Curative Administrators COMM $5,704.62
Christus (USFHP) TRICARE $5,704.62
United GlobalAppendix $6,417.70
BCBS MyBlueHealth $8,089.29
United NarrowNetworkIndivExchange $9,063.70
BCBS BAV $10,249.50
United SmallGroup $10,733.33
United AllPayerAppendix $10,733.33
BCBS HMO $15,627.05
BCBS EPOSOA $17,327.64
BCBS PPO $19,028.23

Visitor-reported prices

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Artery xrays of pelvis 75736 26 at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $5,244.40 $143.01 – $14,984.00
HCA HOUSTON WEST HOUSTON $20,094.00 $140.81 – $8,089.29
St. Luke's Health - The Vintage Hospital Houston $5,244.40 $140.00 – $14,984.00
HCA HOUSTON MEDICAL CENTER Houston not published $143.01 – $8,089.29
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $3,993.41 $143.68 – $13,613.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $5,219.35 $1,074.32 – $13,613.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $4,917.40 $143.68 – $13,613.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $3,993.41 $143.68 – $13,613.39

All Texas hospitals for this procedure →