Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im 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.
$34.89 with Superior Health Plan vs $1,049.49 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 | CHIP | $34.89 | — |
| Superior Health Plan | STARPLUS | $34.89 | — |
| Superior Health Plan | STARKids | $34.89 | — |
| Superior Health Plan | STAR | $34.89 | — |
| Superior Health Plan | CHPFC | $34.89 | — |
| Community Health Choice MCD | STAR | $75.61 | — |
| Community Health Choice MCD | CHIPPerinatal | $75.61 | — |
| Community Health Choice MCD | CHIP | $75.61 | — |
| Community Health Choice MCD | STAR+PLUS | $75.61 | — |
| United | OptionsPPO | $97.71 | — |
| TriWest Health Alliance | TRCR | $133.47 | — |
| Christus (USFHP) | TRICARE | $133.47 | — |
| BCBS | Traditional | $203.55 | — |
| Coventry National First Health | COMM | $211.70 | — |
| United | AllPayerAppendix | $220.23 | — |
| United | SmallGroup | $220.23 | — |
| United | NarrowNetworkIndivExchange | $220.23 | — |
| BCBS | MyBlueHealth | $229.75 | — |
| BCBS | BAV | $253.20 | — |
| United | GlobalAppendix | $261.71 | — |
| BCBS | EPOSOA | $316.49 | — |
| BCBS | HMO | $316.49 | — |
| BCBS | PPO | $316.49 | — |
| Cigna | CSN | $317.33 | — |
| Cigna | OpenAccessPlus | $343.56 | — |
| Cigna | PPO | $409.13 | — |
| Humana | PPO | $1,049.49 | — |
| Humana | HMO | $1,049.49 | — |
| Superior | HMO | not published by hospital | — |
| Superior | ValueHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| BCBS | MedicareAdvantageHMO | not published by hospital | — |
| CHC Harris Health | Indigent | not published by hospital | — |
| Community Health Choice | HIX | not published by hospital | — |
| Integranet Amerigroup IPA | MCR | not published by hospital | — |
| Provider Partners Health Plan of Texas | PPO | not published by hospital | — |
| Provider Partners Health Plan of Texas | SNP | not published by hospital | — |
| Provider Partners Health Plan of Texas | POS | not published by hospital | — |
| Provider Partners Health Plan of Texas | MCRHMO | not published by hospital | — |
| Provider Partners Health Plan of Texas | PFFS | not published by hospital | — |
| Shared Health | MGMCR | not published by hospital | — |
| TriWest Healthcare Alliance | Veterans | not published by hospital | — |
| Van Lang IPA | MCR | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| Verda Health Plan | MCR | not published by hospital | — |
| Molina Healthcare | HIX | not published by hospital | — |
| Humana | MedicareAdvantageHMO | not published by hospital | — |
| Humana | MedicareAdvantagePPOPFFS | not published by hospital | — |
| American Health Plan | MGMCR | not published by hospital | — |
| Oscar | MGMCR | not published by hospital | — |
| WellCare | PPO | not published by hospital | — |
| WellCare | SNP | not published by hospital | — |
| WellCare | POS | not published by hospital | — |
| WellCare | MCRHMO | not published by hospital | — |
| WellCare | PFFS | not published by hospital | — |
| Aetna | MCR | not published by hospital | — |
| Superior Health Plan | DualEligible | not published by hospital | — |
| Superior Health Plan | MCRHMO | not published by hospital | — |
| Superior Health Plan | MCRPOS | not published by hospital | — |
| Superior Health Plan | MCRPPO | not published by hospital | — |
| Superior Health Plan | MCRSNP | not published by hospital | — |
| Superior Health Plan | PFFS | not published by hospital | — |
| Molina | MGMCR | not published by hospital | — |
| United | MCR | not published by hospital | — |
| WellMed | MGMCR | not published by hospital | — |
| ProCare Advantage | MGMCR | not published by hospital | — |
| Cigna HealthSpring | MCRHMO | not published by hospital | — |
| Cigna HealthSpring | MCRPPO | not published by hospital | — |
| Cigna HealthSpring | MCRSNP | not published by hospital | — |
| Cigna HealthSpring | PFFS | not published by hospital | — |
| Cigna HealthSpring | MMP | not published by hospital | — |
| Superior | EPO | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $161.19 | $11.13 – $96.56 |
| HCA HOUSTON WEST | HOUSTON | $1,182.00 | $133.47 – $1,049.49 |
| St. Luke's Health - The Vintage Hospital | Houston | $161.19 | $6.26 – $96.56 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $133.47 – $1,049.49 |
| Adventhealth Rollins Brook | Lampasas | $620.18 | $451.30 – $451.30 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $804.01 | $133.47 – $1,049.49 |
| Covenant Children's Hospital | Lubbock | $858.60 | $438.40 – $507.19 |
| HCA HOUSTON CONROE | CONROE | $443.52 | $133.47 – $1,049.49 |