Xe133 xenon 10mci 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

$1,186.31

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.

$1,186.31

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.

$71.18 with Superior Health Plan vs $811.82 with Cigna — 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 $71.18 ↓ -94%
Superior Health Plan STARKids $71.18 ↓ -94%
Superior Health Plan STARPLUS $71.18 ↓ -94%
Superior Health Plan CHIP $71.18 ↓ -94%
Superior Health Plan STAR $71.18 ↓ -94%
Aetna MCR $78.65 ↓ -93%
Community Health Choice MCD CHIP $154.22 ↓ -87%
Community Health Choice MCD STAR $154.22 ↓ -87%
Community Health Choice MCD CHIPPerinatal $154.22 ↓ -87%
Community Health Choice MCD STAR+PLUS $154.22 ↓ -87%
United OptionsPPO $199.30 ↓ -83%
Oscar HIX $231.33 ↓ -81%
Healthcare Highways NarrowNetwork $302.51 ↓ -74%
Molina Healthcare HIX $320.30 ↓ -73%
Evry Health BroadNetwork $323.86 ↓ -73%
Aetna NBHMO $323.86 ↓ -73%
Aetna NBPOS $323.86 ↓ -73%
Aetna NBPPO $323.86 ↓ -73%
Aetna COMMPPO $342.84 ↓ -71%
Aetna COMMHMO $342.84 ↓ -71%
Aetna COMMPOS $342.84 ↓ -71%
CHC Harris Health Indigent $355.89 ↓ -70%
Aetna OONPPO $404.53 ↓ -66%
Aetna OONPOS $404.53 ↓ -66%
Aetna OONHMO $404.53 ↓ -66%
Humana PPO $405.18 ↓ -66%
Humana HMO $405.18 ↓ -66%
BCBS MyBlueHealth $409.39 ↓ -65%
BCBS Traditional $415.21 ↓ -65%
Coventry National First Health COMM $431.82 ↓ -64%
Aetna ASAPPO $436.56 ↓ -63%
Aetna ASAHMO $436.56 ↓ -63%
Aetna ASAPOS $436.56 ↓ -63%
BCBS BAV $451.16 ↓ -62%
Curative Administrators COMM $474.52 ↓ -60%
Christus (USFHP) TRICARE $474.52 ↓ -60%
United SmallGroup $505.38 ↓ -57%
United NarrowNetworkIndivExchange $505.38 ↓ -57%
United AllPayerAppendix $505.38 ↓ -57%
United GlobalAppendix $533.84 ↓ -55%
BCBS HMO $563.95 ↓ -52%
BCBS PPO $563.95 ↓ -52%
BCBS EPOSOA $563.95 ↓ -52%
Cigna CSN $629.68 ↓ -47%
Cigna OpenAccessPlus $681.72 ↓ -43%
Cigna PPO $811.82 ↓ -32%

Visitor-reported prices

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Xe133 xenon 10mci at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $336.00 $100.00 – $960.00
HCA HOUSTON WEST HOUSTON $2,444.00 $405.18 – $629.68
St. Luke's Health - The Vintage Hospital Houston $336.00 $100.00 – $960.00
HCA HOUSTON MEDICAL CENTER Houston not published $405.18 – $629.68
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $565.76 $405.18 – $629.68
HCA HOUSTON KINGWOOD HUMBLE $1,280.09 $405.18 – $629.68
HCA HOUSTON NORTHWEST SPRING $1,328.96 $405.18 – $629.68
St. Luke's Health - Patients Medical Center Pasadena $290.43 $100.00 – $622.35

All Texas hospitals for this procedure →