In-111 autol wbc diag per dose 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.

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The hospital's undiscounted list price — almost no one pays this.

$680.35 with Superior Health Plan vs $41,799.21 with Humana — 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.

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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
Superior Health Plan CHIP $680.35
Superior Health Plan CHPFC $680.35
Superior Health Plan STAR $680.35
Superior Health Plan STARKids $680.35
Superior Health Plan STARPLUS $680.35
Community Health Choice MCD CHIP $1,474.09
Community Health Choice MCD STAR+PLUS $1,474.09
Community Health Choice MCD STAR $1,474.09
Community Health Choice MCD CHIPPerinatal $1,474.09
United AllPayerAppendix $1,820.26
United SmallGroup $1,820.26
United NarrowNetworkIndivExchange $1,820.26
United OptionsPPO $1,904.97
Oscar HIX $2,211.13
Healthcare Highways NarrowNetwork $2,891.48
Evry Health BroadNetwork $3,095.58
Aetna NBHMO $3,095.58
Aetna NBPOS $3,095.58
Aetna NBPPO $3,095.58
Aetna COMMHMO $3,277.01
Aetna COMMPPO $3,277.01
Aetna COMMPOS $3,277.01
Aetna OONPOS $3,866.64
Aetna OONHMO $3,866.64
Aetna OONPPO $3,866.64
BCBS Traditional $3,968.69
Coventry National First Health COMM $4,127.44
Aetna ASAHMO $4,172.80
Aetna ASAPPO $4,172.80
Aetna ASAPOS $4,172.80
Christus (USFHP) TRICARE $4,535.65
Curative Administrators COMM $4,535.65
United GlobalAppendix $5,102.60
BCBS MyBlueHealth $6,981.42
BCBS BAV $7,693.81
BCBS PPO $9,617.26
BCBS EPOSOA $9,617.26
BCBS HMO $9,617.26
Cigna CSN $10,391.87
Cigna OpenAccessPlus $11,250.70
Cigna PPO $13,397.78
Humana HMO $41,799.21
Humana PPO $41,799.21

Visitor-reported prices

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In-111 autol wbc diag per dose at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $3,927.00 $100.00 – $11,220.00
HCA HOUSTON WEST HOUSTON $23,543.00 $1,820.26 – $41,799.21
St. Luke's Health - The Vintage Hospital Houston $3,927.00 $100.00 – $11,220.00
HCA HOUSTON MEDICAL CENTER Houston not published $1,820.26 – $41,799.21
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $7,229.04 $1,820.26 – $41,799.21
HCA HOUSTON NORTHWEST SPRING $9,165.90 $1,820.26 – $41,799.21
St. Luke's Health - Patients Medical Center Pasadena $3,927.05 $100.00 – $8,415.11
HCA HOUSTON PEARLAND Pearland $6,228.06 $1,820.26 – $41,799.21

All Texas hospitals for this procedure →