Dextrose 5 % IV bolus at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$353.31
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.
$353.31
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.
$3.64 with TriWest Health Alliance vs $158.99 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 →
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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 |
|---|---|---|---|
| TriWest Health Alliance | TRCR | $3.64 | ↓ -99% |
| Christus (USFHP) | TRICARE | $3.64 | ↓ -99% |
| United | SmallGroup | $4.85 | ↓ -99% |
| United | AllPayerAppendix | $4.85 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $4.85 | ↓ -99% |
| Cigna | CSN | $7.36 | ↓ -98% |
| Cigna | OpenAccessPlus | $7.96 | ↓ -98% |
| Cigna | PPO | $9.48 | ↓ -97% |
| Superior Health Plan | STARPLUS | $21.20 | ↓ -94% |
| Superior Health Plan | CHIP | $21.20 | ↓ -94% |
| Superior Health Plan | STAR | $21.20 | ↓ -94% |
| Superior Health Plan | STARKids | $21.20 | ↓ -94% |
| Superior Health Plan | CHPFC | $21.20 | ↓ -94% |
| Aetna | MCR | $23.42 | ↓ -93% |
| BCBS | MyBlueHealth | $29.71 | ↓ -92% |
| BCBS | BAV | $32.75 | ↓ -91% |
| BCBS | HMO | $40.93 | ↓ -88% |
| BCBS | EPOSOA | $40.93 | ↓ -88% |
| BCBS | PPO | $40.93 | ↓ -88% |
| Community Health Choice MCD | CHIP | $45.93 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $45.93 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $45.93 | ↓ -87% |
| Community Health Choice MCD | STAR | $45.93 | ↓ -87% |
| Humana | HMO | $48.12 | ↓ -86% |
| Humana | PPO | $48.12 | ↓ -86% |
| United | OptionsPPO | $59.36 | ↓ -83% |
| Molina Healthcare | HIX | $95.39 | ↓ -73% |
| CHC Harris Health | Indigent | $105.99 | ↓ -70% |
| BCBS | Traditional | $123.66 | ↓ -65% |
| Coventry National First Health | COMM | $128.60 | ↓ -64% |
| United | GlobalAppendix | $158.99 | ↓ -55% |
Visitor-reported prices
Comments
Dextrose 5 % IV bolus at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $404.30 | $3.64 – $48.12 |
| Baylor St Luke's Medical Center | Houston | $10.75 | $1.28 – $5.79 |
| HCA HOUSTON WEST | HOUSTON | $503.00 | $2.94 – $48.12 |
| St. Luke's Health - The Vintage Hospital | Houston | $10.75 | $1.28 – $5.79 |
| Adventhealth Rollins Brook | Lampasas | $137.39 | $58.37 – $58.37 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $508.55 | $3.64 – $48.12 |
| Covenant Children's Hospital | Lubbock | $47.69 | $10.64 – $60.53 |
| HCA HOUSTON NORTHWEST | SPRING | $354.45 | $3.64 – $48.12 |