Hydroxyzine pamoate 25 mg capsule 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.

$0.08 with BCBS vs $3.30 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
BCBS MyBlueHealth $0.08
BCBS BAV $0.09
BCBS PPO $0.11
BCBS EPOSOA $0.11
BCBS HMO $0.11
Cigna CSN $0.24
Cigna OpenAccessPlus $0.26
Cigna PPO $0.31
Superior Health Plan CHPFC $0.43
Superior Health Plan CHIP $0.43
Superior Health Plan STARPLUS $0.43
Superior Health Plan STARKids $0.43
Superior Health Plan STAR $0.43
Aetna MCR $0.47
Community Health Choice MCD CHIPPerinatal $0.93
Community Health Choice MCD CHIP $0.93
Community Health Choice MCD STAR $0.93
Community Health Choice MCD STAR+PLUS $0.93
United OptionsPPO $1.20
Oscar HIX $1.39
Aetna QHPExchange $1.60
Healthcare Highways NarrowNetwork $1.82
Molina Healthcare HIX $1.93
Aetna NBPOS $1.95
Evry Health BroadNetwork $1.95
Aetna NBHMO $1.95
Aetna NBPPO $1.95
Aetna COMMPOS $2.06
Aetna COMMHMO $2.06
Aetna COMMPPO $2.06
CHC Harris Health Indigent $2.14
Aetna OONHMO $2.43
Aetna OONPOS $2.43
Aetna OONPPO $2.43
BCBS Traditional $2.50
Coventry National First Health COMM $2.60
Aetna ASAPOS $2.62
Aetna ASAPPO $2.62
Aetna ASAHMO $2.62
Humana HMO $2.82
Humana PPO $2.82
Curative Administrators COMM $2.85
Christus (USFHP) TRICARE $2.85
United GlobalAppendix $3.21
United NarrowNetworkIndivExchange $3.30
United AllPayerAppendix $3.30
United SmallGroup $3.30

Visitor-reported prices

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Hydroxyzine pamoate 25 mg capsule at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $36.88 $0.08 – $3.30
HCA HOUSTON WEST HOUSTON not published $0.08 – $3.30
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $34.02 $0.08 – $3.30
Covenant Children's Hospital Lubbock $4.62 $0.15 – $7.45
HCA HOUSTON KINGWOOD HUMBLE $35.67 $0.08 – $3.30
HCA HOUSTON NORTHWEST SPRING $33.62 $0.08 – $3.30
St. Luke's Health - Patients Medical Center Pasadena $36.02 $0.04 – $5.25
HCA HOUSTON SOUTHEAST PASADENA $6.80 $0.08 – $3.30

All Texas hospitals for this procedure →