Barrier film 28ml spray no stng cavilon 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

$87.50

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.

$87.50

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.

$3.39 with Oscar vs $39.38 with United — 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
Oscar MGMCR $3.39 ↓ -96%
Cigna HealthSpring MCRPPO $3.46 ↓ -96%
Cigna HealthSpring MCRHMO $3.46 ↓ -96%
Cigna HealthSpring PFFS $3.46 ↓ -96%
BCBS MedicareAdvantageHMO $3.46 ↓ -96%
BCBS MCRPPO $3.46 ↓ -96%
TriWest Health Alliance TRCR $3.46 ↓ -96%
Cigna HealthSpring MMP $3.46 ↓ -96%
Cigna HealthSpring MCRSNP $3.46 ↓ -96%
Humana MedicareAdvantagePPOPFFS $3.46 ↓ -96%
CHC Harris Health Indigent $3.46 ↓ -96%
Devoted Health MGMCR $3.46 ↓ -96%
TriWest Healthcare Alliance Veterans $3.46 ↓ -96%
Christus (USFHP) TRICARE $3.46 ↓ -96%
Humana MedicareAdvantageHMO $3.46 ↓ -96%
WellMed MGMCR $3.48 ↓ -96%
Van Lang IPA MCR $3.49 ↓ -96%
Aetna MCR $3.49 ↓ -96%
BCBS MyBlueHealth $3.50 ↓ -96%
United MCR $3.53 ↓ -96%
WellCare PPO $3.56 ↓ -96%
WellCare SNP $3.56 ↓ -96%
WellCare POS $3.56 ↓ -96%
WellCare MCRHMO $3.56 ↓ -96%
WellCare PFFS $3.56 ↓ -96%
Integranet Amerigroup IPA MCR $3.56 ↓ -96%
Superior Health Plan MCRHMO $3.63 ↓ -96%
Superior Health Plan PFFS $3.63 ↓ -96%
Superior Health Plan MCRSNP $3.63 ↓ -96%
Superior Health Plan MCRPPO $3.63 ↓ -96%
Superior Health Plan MCRPOS $3.63 ↓ -96%
Shared Health MGMCR $3.63 ↓ -96%
Superior Health Plan DualEligible $3.63 ↓ -96%
ProCare Advantage MGMCR $3.63 ↓ -96%
American Health Plan MGMCR $3.63 ↓ -96%
Provider Partners Health Plan of Texas PPO $3.67 ↓ -96%
Provider Partners Health Plan of Texas PFFS $3.67 ↓ -96%
Provider Partners Health Plan of Texas MCRHMO $3.67 ↓ -96%
Provider Partners Health Plan of Texas POS $3.67 ↓ -96%
Provider Partners Health Plan of Texas SNP $3.67 ↓ -96%
Molina MGMCR $3.77 ↓ -96%
BCBS BAV $3.86 ↓ -96%
Verda Health Plan MCR $4.50 ↓ -95%
BCBS HMO $4.82 ↓ -94%
Superior ValueHMO $5.02 ↓ -94%
Community Health Choice HIX $5.02 ↓ -94%
BCBS EPOSOA $5.10 ↓ -94%
Superior Health Plan STARPLUS $5.25 ↓ -94%
Superior Health Plan STARKids $5.25 ↓ -94%
Superior Health Plan STAR $5.25 ↓ -94%
Superior Health Plan CHPFC $5.25 ↓ -94%
Superior Health Plan CHIP $5.25 ↓ -94%
Superior EPO $5.36 ↓ -94%
Superior HMO $5.36 ↓ -94%
BCBS PPO $5.39 ↓ -94%
Molina Healthcare HIX $7.44 ↓ -91%
Community Health Choice MCD STAR+PLUS $11.38 ↓ -87%
Community Health Choice MCD CHIP $11.38 ↓ -87%
Community Health Choice MCD CHIPPerinatal $11.38 ↓ -87%
Community Health Choice MCD STAR $11.38 ↓ -87%
Cigna CSN $12.95 ↓ -85%
Cigna OpenAccessPlus $14.00 ↓ -84%
United OptionsPPO $14.70 ↓ -83%
Cigna PPO $16.63 ↓ -81%
Humana PPO $26.59 ↓ -70%
Humana HMO $26.59 ↓ -70%
BCBS Traditional $30.63 ↓ -65%
Coventry National First Health COMM $31.85 ↓ -64%
United GlobalAppendix $39.38 ↓ -55%

Visitor-reported prices

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Barrier film 28ml spray no stng cavilon at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $3.39 – $7.44
HCA HOUSTON WEST HOUSTON not published $3.39 – $7.44
HCA HOUSTON SOUTHEAST PASADENA $61.50 $3.39 – $7.44
Ascension Providence Waco $21.33 $3.16 – $3.52
Ascension Seton Medical Center Austin (Ascension Seton) Austin $13.68 $2.79 – $3.38
Ascension Seton Northwest (Ascension Seton) Austin $13.68 $2.79 – $3.38
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $3.39 – $7.44
Covenant Children's Hospital Lubbock not published $3.24 – $3.24

All Texas hospitals for this procedure →