Tc-99m exame 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.

Full explanation →

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

$72.58 with Superior Health Plan vs $17,017.34 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 CHPFC $72.58
Superior Health Plan STARKids $72.58
Superior Health Plan STARPLUS $72.58
Superior Health Plan CHIP $72.58
Superior Health Plan STAR $72.58
Community Health Choice MCD STAR $157.25
Community Health Choice MCD CHIPPerinatal $157.25
Community Health Choice MCD CHIP $157.25
Community Health Choice MCD STAR+PLUS $157.25
United OptionsPPO $203.21
Oscar HIX $235.87
Healthcare Highways NarrowNetwork $308.45
Evry Health BroadNetwork $330.22
Aetna NBHMO $330.22
Aetna NBPOS $330.22
Aetna NBPPO $330.22
Aetna COMMPPO $349.58
Aetna COMMHMO $349.58
Aetna COMMPOS $349.58
Aetna OONPOS $412.48
Aetna OONHMO $412.48
Aetna OONPPO $412.48
BCBS Traditional $423.36
Coventry National First Health COMM $440.30
Aetna ASAPOS $445.14
Aetna ASAPPO $445.14
Aetna ASAHMO $445.14
Christus (USFHP) TRICARE $483.84
Curative Administrators COMM $483.84
United GlobalAppendix $544.32
United SmallGroup $1,541.31
United NarrowNetworkIndivExchange $1,541.31
United AllPayerAppendix $1,541.31
BCBS MyBlueHealth $2,842.27
BCBS BAV $3,132.30
BCBS PPO $3,915.38
BCBS HMO $3,915.38
BCBS EPOSOA $3,915.38
Cigna CSN $4,230.77
Cigna OpenAccessPlus $4,580.41
Cigna PPO $5,454.54
Humana HMO $17,017.34
Humana PPO $17,017.34

Visitor-reported prices

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Tc-99m exame autol wbc diag per dose at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $1,081.41 $1,541.31 – $17,017.34
Baylor St Luke's Medical Center Houston $3,177.30 $100.00 – $9,078.00
St. Luke's Health - The Vintage Hospital Houston $3,177.30 $100.00 – $9,078.00
HCA HOUSTON WEST HOUSTON not published $1,541.31 – $17,017.34
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $137.31 $1,541.31 – $17,017.34
HCA HOUSTON KINGWOOD HUMBLE $1,257.66 $1,541.31 – $17,017.34
HCA HOUSTON NORTHWEST SPRING $1,305.67 $1,541.31 – $17,017.34
St. Luke's Health - Springwoods Village Hospital Spring $3,177.30 $100.00 – $9,078.00

All Texas hospitals for this procedure →