In-111 pentetate dtpa / 0.5 mci 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.

Full explanation →

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

$641.83 with Superior Health Plan vs $4,829.38 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.

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
Superior Health Plan STAR $641.83
Superior Health Plan STARPLUS $641.83
Superior Health Plan STARKids $641.83
Superior Health Plan CHIP $641.83
Superior Health Plan CHPFC $641.83
BCBS MyBlueHealth $806.62
BCBS BAV $888.93
BCBS EPOSOA $1,111.16
BCBS HMO $1,111.16
BCBS PPO $1,111.16
United NarrowNetworkIndivExchange $1,230.27
United SmallGroup $1,230.27
United AllPayerAppendix $1,230.27
Community Health Choice MCD STAR+PLUS $1,390.64
Community Health Choice MCD STAR $1,390.64
Community Health Choice MCD CHIPPerinatal $1,390.64
Community Health Choice MCD CHIP $1,390.64
United OptionsPPO $1,797.13
Oscar HIX $2,085.95
Cigna CSN $2,185.77
Cigna OpenAccessPlus $2,366.41
Healthcare Highways NarrowNetwork $2,727.79
Cigna PPO $2,818.02
Aetna NBHMO $2,920.34
Aetna NBPPO $2,920.34
Aetna NBPOS $2,920.34
Evry Health BroadNetwork $2,920.34
Aetna COMMPPO $3,091.49
Aetna COMMPOS $3,091.49
Aetna COMMHMO $3,091.49
Aetna OONHMO $3,647.75
Aetna OONPPO $3,647.75
Aetna OONPOS $3,647.75
BCBS Traditional $3,744.02
Coventry National First Health COMM $3,893.78
Aetna ASAPOS $3,936.57
Aetna ASAPPO $3,936.57
Aetna ASAHMO $3,936.57
Christus (USFHP) TRICARE $4,278.88
Curative Administrators COMM $4,278.88
United GlobalAppendix $4,813.74
Humana HMO $4,829.38
Humana PPO $4,829.38

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $3,122.79 $806.62 – $4,829.38
Baylor St Luke's Medical Center Houston $1,541.75 $100.00 – $4,405.00
St. Luke's Health - The Vintage Hospital Houston $1,541.75 $100.00 – $4,405.00
HCA HOUSTON WEST HOUSTON not published $806.62 – $4,829.38
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $13,574.48 $806.62 – $4,829.38
HCA HOUSTON KINGWOOD HUMBLE $3,333.49 $806.62 – $4,829.38
HCA HOUSTON NORTHWEST SPRING $1,376.99 $806.62 – $4,829.38
St. Luke's Health - Patients Medical Center Pasadena $1,541.61 $100.00 – $3,303.45

All Texas hospitals for this procedure →