Tc-99m pentetate dtpa aerosol 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.

Full explanation →

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.

$31.14 with Superior Health Plan vs $236.00 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 STARPLUS $31.14
Superior Health Plan CHIP $31.14
Superior Health Plan CHPFC $31.14
Superior Health Plan STAR $31.14
Superior Health Plan STARKids $31.14
Aetna MCR $34.40
United SmallGroup $34.72
United NarrowNetworkIndivExchange $34.72
United AllPayerAppendix $34.72
Cigna CSN $41.91
Cigna OpenAccessPlus $45.38
Cigna PPO $54.04
Community Health Choice MCD STAR+PLUS $67.46
Community Health Choice MCD CHIPPerinatal $67.46
Community Health Choice MCD CHIP $67.46
Community Health Choice MCD STAR $67.46
BCBS MyBlueHealth $84.58
United OptionsPPO $87.18
BCBS BAV $93.41
Oscar HIX $101.19
BCBS HMO $116.76
BCBS EPOSOA $119.35
BCBS PPO $121.43
Healthcare Highways NarrowNetwork $132.32
Molina Healthcare HIX $140.11
Evry Health BroadNetwork $141.67
Aetna NBPPO $141.67
Aetna NBPOS $141.67
Aetna NBHMO $141.67
Aetna COMMHMO $149.97
Aetna COMMPPO $149.97
Aetna COMMPOS $149.97
CHC Harris Health Indigent $155.68
Aetna OONPPO $176.95
Aetna OONPOS $176.95
Aetna OONHMO $176.95
BCBS Traditional $181.62
Coventry National First Health COMM $188.89
Aetna ASAPOS $190.96
Aetna ASAHMO $190.96
Aetna ASAPPO $190.96
Christus (USFHP) TRICARE $207.57
Curative Administrators COMM $207.57
United GlobalAppendix $233.51
Humana PPO $236.00
Humana HMO $236.00

Visitor-reported prices

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Tc-99m pentetate dtpa aerosol at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $634.90 $35.67 – $1,814.00
St. Luke's Health - The Vintage Hospital Houston $634.90 $29.10 – $1,814.00
HCA HOUSTON MEDICAL CENTER Houston not published $34.72 – $236.00
HCA HOUSTON WEST HOUSTON not published $34.72 – $236.00
St. Luke's Health - Patients Medical Center Pasadena $46.62 $29.10 – $99.90
St. Luke's Health - Springwoods Village Hospital Spring $634.90 $29.10 – $1,814.00
St. Luke's Health - Sugar Land Hospital Sugar Land $634.90 $29.10 – $1,814.00
St. Luke's Health - Lakeside Hospital The Woodlands $634.90 $29.10 – $1,814.00

All Texas hospitals for this procedure →