Ethylene glycol -sendout 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

$445.25

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.

$445.25

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.

$12.52 with Texas Childrens Healthplans vs $200.36 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
Texas Childrens Healthplans CHIP $12.52 ↓ -97%
Community Health Choice MCD CHIP $12.52 ↓ -97%
Community Health Choice MCD STAR $12.52 ↓ -97%
Community Health Choice MCD STAR+PLUS $12.52 ↓ -97%
Texas Childrens Healthplans MEDICAID $12.52 ↓ -97%
Community Health Choice MCD CHIPPerinatal $12.52 ↓ -97%
United MGMCD $12.77 ↓ -97%
Aetna Better Health MGMCD $13.52 ↓ -97%
Molina Healthcare STARKIDS $13.77 ↓ -97%
Molina Healthcare STAR $13.77 ↓ -97%
Molina Healthcare CHIP $13.77 ↓ -97%
Molina Healthcare STARPLUS $13.77 ↓ -97%
Oscar MGMCR $14.60 ↓ -97%
Devoted Health MGMCR $14.90 ↓ -97%
United SmallGroup $14.90 ↓ -97%
United NarrowNetworkIndivExchange $14.90 ↓ -97%
United AllPayerAppendix $14.90 ↓ -97%
Humana MedicareAdvantageHMO $14.90 ↓ -97%
Humana MedicareAdvantagePPOPFFS $14.90 ↓ -97%
TriWest Healthcare Alliance Veterans $14.90 ↓ -97%
CHC Harris Health Indigent $14.90 ↓ -97%
BCBS MedicareAdvantageHMO $14.90 ↓ -97%
BCBS MCRPPO $14.90 ↓ -97%
Cigna HealthSpring MMP $14.90 ↓ -97%
Cigna HealthSpring PFFS $14.90 ↓ -97%
Cigna HealthSpring MCRSNP $14.90 ↓ -97%
Cigna HealthSpring MCRPPO $14.90 ↓ -97%
Cigna HealthSpring MCRHMO $14.90 ↓ -97%
WellMed MGMCR $14.97 ↓ -97%
Aetna MCR $15.03 ↓ -97%
Van Lang IPA MCR $15.05 ↓ -97%
United MCR $15.20 ↓ -97%
WellCare POS $15.35 ↓ -97%
WellCare PPO $15.35 ↓ -97%
WellCare MCRHMO $15.35 ↓ -97%
Integranet Amerigroup IPA MCR $15.35 ↓ -97%
WellCare PFFS $15.35 ↓ -97%
WellCare SNP $15.35 ↓ -97%
Superior Health Plan MCRPOS $15.65 ↓ -96%
Humana MCD $15.65 ↓ -96%
American Health Plan MGMCR $15.65 ↓ -96%
Superior Health Plan DualEligible $15.65 ↓ -96%
Superior Health Plan MCRHMO $15.65 ↓ -96%
Superior Health Plan MCRPPO $15.65 ↓ -96%
Superior Health Plan MCRSNP $15.65 ↓ -96%
Superior Health Plan PFFS $15.65 ↓ -96%
ProCare Advantage MGMCR $15.65 ↓ -96%
Shared Health MGMCR $15.65 ↓ -96%
Provider Partners Health Plan of Texas PPO $15.79 ↓ -96%
Provider Partners Health Plan of Texas PFFS $15.79 ↓ -96%
Provider Partners Health Plan of Texas MCRHMO $15.79 ↓ -96%
Provider Partners Health Plan of Texas POS $15.79 ↓ -96%
Provider Partners Health Plan of Texas SNP $15.79 ↓ -96%
Christus (USFHP) TRICARE $16.13 ↓ -96%
TriWest Health Alliance TRCR $16.13 ↓ -96%
Molina MGMCR $16.24 ↓ -96%
Verda Health Plan MCR $19.37 ↓ -96%
Community Health Choice HIX $21.61 ↓ -95%
Superior ValueHMO $21.61 ↓ -95%
Superior HMO $23.10 ↓ -95%
Superior EPO $23.10 ↓ -95%
Superior Health Plan STARKids $26.71 ↓ -94%
Superior Health Plan STARPLUS $26.71 ↓ -94%
Superior Health Plan STAR $26.71 ↓ -94%
Superior Health Plan CHPFC $26.71 ↓ -94%
Superior Health Plan CHIP $26.71 ↓ -94%
BCBS MyBlueHealth $30.10 ↓ -93%
Molina Healthcare HIX $32.03 ↓ -93%
BCBS BAV $33.23 ↓ -93%
BCBS HMO $41.57 ↓ -91%
Oscar HIX $43.06 ↓ -90%
BCBS EPOSOA $44.55 ↓ -90%
Healthcare Highways NarrowNetwork $44.72 ↓ -90%
BCBS PPO $47.53 ↓ -89%
Aetna QHPExchange $54.56 ↓ -88%
Cigna CSN $61.31 ↓ -86%
Cigna OpenAccessPlus $66.41 ↓ -85%
Aetna NBHMO $72.56 ↓ -84%
Aetna NBPPO $72.56 ↓ -84%
Aetna NBPOS $72.56 ↓ -84%
United OptionsPPO $74.80 ↓ -83%
Aetna COMMPPO $77.09 ↓ -83%
Aetna COMMHMO $77.09 ↓ -83%
Aetna COMMPOS $77.09 ↓ -83%
Cigna PPO $79.01 ↓ -82%
Aetna OONPPO $90.56 ↓ -80%
Aetna OONHMO $90.56 ↓ -80%
Aetna OONPOS $90.56 ↓ -80%
Aetna ASAPPO $97.92 ↓ -78%
Aetna ASAPOS $97.92 ↓ -78%
Aetna ASAHMO $97.92 ↓ -78%
Evry Health BroadNetwork $121.55 ↓ -73%
BCBS Traditional $155.84 ↓ -65%
Coventry National First Health COMM $162.07 ↓ -64%
Humana HMO $199.09 ↓ -55%
Humana PPO $199.09 ↓ -55%
United GlobalAppendix $200.36 ↓ -55%
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Ethylene glycol -sendout at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $658.08 $12.52 – $61.31
HCA HOUSTON WEST HOUSTON $103.00 $12.27 – $61.31
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $138.70 $10.00 – $173.37
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $170.07 $12.00 – $255.10
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $165.11 $12.00 – $206.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $138.70 $10.00 – $173.37
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $170.07 $12.00 – $255.10
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $170.07 $8.00 – $255.10

All Texas hospitals for this procedure →