Tc-99m mertiatide 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.
$76.42 with Superior Health Plan vs $9,055.57 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 | CHPFC | $76.42 | — |
| Superior Health Plan | STARKids | $76.42 | — |
| Superior Health Plan | STARPLUS | $76.42 | — |
| Superior Health Plan | CHIP | $76.42 | — |
| Superior Health Plan | STAR | $76.42 | — |
| Aetna | MCR | $84.44 | — |
| Community Health Choice MCD | CHIP | $165.57 | — |
| Community Health Choice MCD | STAR | $165.57 | — |
| Community Health Choice MCD | CHIPPerinatal | $165.57 | — |
| Community Health Choice MCD | STAR+PLUS | $165.57 | — |
| United | OptionsPPO | $213.97 | — |
| Oscar | HIX | $248.36 | — |
| Healthcare Highways | NarrowNetwork | $324.78 | — |
| Molina Healthcare | HIX | $343.88 | — |
| Evry Health | BroadNetwork | $347.70 | — |
| Aetna | NBHMO | $347.70 | — |
| Aetna | NBPOS | $347.70 | — |
| Aetna | NBPPO | $347.70 | — |
| Aetna | COMMHMO | $368.08 | — |
| Aetna | COMMPOS | $368.08 | — |
| Aetna | COMMPPO | $368.08 | — |
| CHC Harris Health | Indigent | $382.09 | — |
| Aetna | OONPOS | $434.31 | — |
| Aetna | OONHMO | $434.31 | — |
| Aetna | OONPPO | $434.31 | — |
| BCBS | Traditional | $445.77 | — |
| Coventry National First Health | COMM | $463.60 | — |
| Aetna | ASAPPO | $468.70 | — |
| Aetna | ASAPOS | $468.70 | — |
| Aetna | ASAHMO | $468.70 | — |
| Curative Administrators | COMM | $509.46 | — |
| Christus (USFHP) | TRICARE | $509.46 | — |
| United | GlobalAppendix | $573.14 | — |
| United | AllPayerAppendix | $1,308.90 | — |
| United | NarrowNetworkIndivExchange | $1,308.90 | — |
| United | SmallGroup | $1,308.90 | — |
| BCBS | MyBlueHealth | $1,512.49 | — |
| BCBS | BAV | $1,666.83 | — |
| BCBS | HMO | $2,083.54 | — |
| BCBS | PPO | $2,083.54 | — |
| BCBS | EPOSOA | $2,083.54 | — |
| Humana | HMO | $9,055.57 | — |
| Humana | PPO | $9,055.57 | — |
| Cigna | OpenAccessPlus | not published by hospital | — |
| Cigna | CSN | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mertiatide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $944.65 | $100.00 – $2,699.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $944.65 | $100.00 – $2,699.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,308.90 – $9,055.57 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,308.90 – $9,055.57 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $3,133.94 | $1,308.90 – $9,055.57 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,515.31 | $1,308.90 – $9,055.57 |
| HCA HOUSTON NORTHWEST | SPRING | $2,611.33 | $1,308.90 – $9,055.57 |
| St. Luke's Health - Patients Medical Center | Pasadena | $893.40 | $100.00 – $1,914.42 |