Leucovorin calcium 100 mg solution for injection (1 mg rounding) at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
not published by hospital
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.
not published by hospital
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.
$2.65 with Superior Health Plan vs $33.21 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.
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 |
|---|---|---|---|
| Superior Health Plan | STAR | $2.65 | — |
| Superior Health Plan | STARKids | $2.65 | — |
| Superior Health Plan | STARPLUS | $2.65 | — |
| Superior Health Plan | CHIP | $2.65 | — |
| Superior Health Plan | CHPFC | $2.65 | — |
| Aetna | MCR | $2.93 | — |
| Christus (USFHP) | TRICARE | $3.51 | — |
| TriWest Health Alliance | TRCR | $3.51 | — |
| BCBS | MyBlueHealth | $5.04 | — |
| BCBS | BAV | $5.55 | — |
| Community Health Choice MCD | CHIPPerinatal | $5.75 | — |
| Community Health Choice MCD | STAR+PLUS | $5.75 | — |
| Community Health Choice MCD | STAR | $5.75 | — |
| Community Health Choice MCD | CHIP | $5.75 | — |
| United | NarrowNetworkIndivExchange | $6.34 | — |
| United | SmallGroup | $6.34 | — |
| United | AllPayerAppendix | $6.34 | — |
| BCBS | PPO | $6.94 | — |
| BCBS | EPOSOA | $6.94 | — |
| BCBS | HMO | $6.94 | — |
| United | OptionsPPO | $7.43 | — |
| Cigna | CSN | $9.56 | — |
| Cigna | OpenAccessPlus | $10.35 | — |
| Molina Healthcare | HIX | $11.94 | — |
| Cigna | PPO | $12.32 | — |
| CHC Harris Health | Indigent | $13.27 | — |
| BCBS | Traditional | $15.48 | — |
| Coventry National First Health | COMM | $16.10 | — |
| United | GlobalAppendix | $19.90 | — |
| Humana | PPO | $33.21 | — |
| Humana | HMO | $33.21 | — |
Visitor-reported prices
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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $42.83 | $3.51 – $33.21 |
| Baylor St Luke's Medical Center | Houston | $113.50 | $2.31 – $56.62 |
| St. Luke's Health - The Vintage Hospital | Houston | $113.50 | $2.80 – $56.62 |
| HCA HOUSTON WEST | HOUSTON | not published | $3.84 – $33.21 |
| Adventhealth Rollins Brook | Lampasas | $202.68 | $9.89 – $9.89 |
| Covenant Children's Hospital | Lubbock | $527.91 | $9.61 – $16.99 |
| HCA HOUSTON KINGWOOD | HUMBLE | $104.89 | $3.84 – $33.21 |
| HCA HOUSTON NORTHWEST | SPRING | $40.63 | $3.51 – $33.21 |