Tl-201 thallium diag per mci 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.
$28.73 with Superior Health Plan vs $409.86 with BCBS — 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 | STARKids | $28.73 | — |
| Superior Health Plan | STARPLUS | $28.73 | — |
| Superior Health Plan | CHIP | $28.73 | — |
| Superior Health Plan | CHPFC | $28.73 | — |
| Superior Health Plan | STAR | $28.73 | — |
| Aetna | MCR | $31.75 | — |
| Community Health Choice MCD | CHIPPerinatal | $62.26 | — |
| Community Health Choice MCD | CHIP | $62.26 | — |
| Community Health Choice MCD | STAR+PLUS | $62.26 | — |
| Community Health Choice MCD | STAR | $62.26 | — |
| United | SmallGroup | $78.80 | — |
| United | AllPayerAppendix | $78.80 | — |
| United | NarrowNetworkIndivExchange | $78.80 | — |
| United | OptionsPPO | $80.45 | — |
| Cigna | CSN | $80.61 | — |
| Cigna | OpenAccessPlus | $87.27 | — |
| Oscar | HIX | $93.38 | — |
| Cigna | PPO | $103.93 | — |
| Healthcare Highways | NarrowNetwork | $122.12 | — |
| Molina Healthcare | HIX | $129.30 | — |
| Evry Health | BroadNetwork | $130.74 | — |
| Aetna | NBHMO | $130.74 | — |
| Aetna | NBPOS | $130.74 | — |
| Aetna | NBPPO | $130.74 | — |
| Aetna | COMMPPO | $138.40 | — |
| Aetna | COMMPOS | $138.40 | — |
| Aetna | COMMHMO | $138.40 | — |
| CHC Harris Health | Indigent | $143.67 | — |
| Aetna | OONHMO | $163.30 | — |
| Aetna | OONPPO | $163.30 | — |
| Aetna | OONPOS | $163.30 | — |
| BCBS | Traditional | $167.61 | — |
| Coventry National First Health | COMM | $174.32 | — |
| Aetna | ASAHMO | $176.23 | — |
| Aetna | ASAPPO | $176.23 | — |
| Aetna | ASAPOS | $176.23 | — |
| Christus (USFHP) | TRICARE | $191.56 | — |
| Curative Administrators | COMM | $191.56 | — |
| United | GlobalAppendix | $215.50 | — |
| BCBS | MyBlueHealth | $297.53 | — |
| BCBS | BAV | $327.89 | — |
| Humana | PPO | $340.71 | — |
| Humana | HMO | $340.71 | — |
| BCBS | EPOSOA | $409.86 | — |
| BCBS | HMO | $409.86 | — |
| BCBS | PPO | $409.86 | — |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $28.35 | $21.87 – $538.00 |
| HCA HOUSTON WEST | HOUSTON | $175.00 | $78.80 – $340.71 |
| St. Luke's Health - The Vintage Hospital | Houston | $28.35 | $21.06 – $538.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $78.80 – $340.71 |
| St. Luke's Health - Patients Medical Center | Pasadena | $27.09 | $20.13 – $538.00 |
| St. Joseph Health Madison Hospital | Madisonville | $33.78 | $24.59 – $193.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $171.90 | $38.72 – $954.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $28.35 | $21.06 – $538.00 |