Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

$108.00

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.

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What you pay up front if you don't use insurance.

$108.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$6.48 with Superior Health Plan vs $144.44 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.

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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.

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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 CHIP $6.48 ↓ -94%
Superior Health Plan STARKids $6.48 ↓ -94%
Superior Health Plan STAR $6.48 ↓ -94%
Superior Health Plan CHPFC $6.48 ↓ -94%
Superior Health Plan STARPLUS $6.48 ↓ -94%
Aetna MCR $7.16 ↓ -93%
Community Health Choice MCD CHIP $14.04 ↓ -87%
Community Health Choice MCD STAR+PLUS $14.04 ↓ -87%
Community Health Choice MCD STAR $14.04 ↓ -87%
Community Health Choice MCD CHIPPerinatal $14.04 ↓ -87%
Christus (USFHP) TRICARE $14.75 ↓ -86%
TriWest Health Alliance TRCR $14.75 ↓ -86%
Amerigroup MGMCD $15.12 ↓ -86%
Amerigroup MCDCHIPBH $15.12 ↓ -86%
Texas Childrens Health Plans CHIP $17.93 ↓ -83%
United OptionsPPO $18.14 ↓ -83%
Superior EPO $18.90 ↓ -83%
Superior HMO $18.90 ↓ -83%
Superior ValueHMO $21.38 ↓ -80%
United AllPayerAppendix $24.34 ↓ -77%
United SmallGroup $24.34 ↓ -77%
United NarrowNetworkIndivExchange $24.34 ↓ -77%
Texas Childrens Health Plans STAR $25.60 ↓ -76%
Texas Childrens Health Plans STARKIDS $25.60 ↓ -76%
Texas Workforce Commission WCOMP $25.92 ↓ -76%
Molina Healthcare HIX $29.16 ↓ -73%
BCBS MyBlueHealth $32.24 ↓ -70%
CHC Harris Health Indigent $32.40 ↓ -70%
BCBS BAV $35.53 ↓ -67%
Cigna CSN $35.57 ↓ -67%
BCBS Traditional $37.80 ↓ -65%
Cigna OpenAccessPlus $38.51 ↓ -64%
BCBS PPO $44.41 ↓ -59%
BCBS HMO $44.41 ↓ -59%
BCBS EPOSOA $44.41 ↓ -59%
Cigna PPO $45.86 ↓ -58%
HealthSmart Preferred Care ACCEL $46.44 ↓ -57%
United GlobalAppendix $48.60 ↓ -55%
Coventry National First Health COMM $57.56 ↓ -47%
Rockport Workers Comp COMM $59.40 ↓ -45%
Physicians Cooperative of Texas WC $59.40 ↓ -45%
Triumph COMM $64.80 ↓ -40%
Independent Medical System COMM $64.80 ↓ -40%
National Healthcare Solutions COMM $64.80 ↓ -40%
SouthWest Medical WORKERSCOMP $64.80 ↓ -40%
Coastal Comp COMM $70.20 ↓ -35%
Multiplan PHCSPrimaryNetwork $81.00 ↓ -25%
Cigna Behavioral Health COMMBH $86.40 ↓ -20%
HealthSmart Preferred Care PPO $88.56 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $91.80 ↓ -15%
Physicians, INC COMM $91.80 ↓ -15%
Multiplan ComplementaryNetwork $91.80 ↓ -15%
Affiliated PPO COMM $97.20 ↓ -10%
Humana HMO $144.44 ↑ +34%
Humana PPO $144.44 ↑ +34%

Visitor-reported prices

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Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $1,139.76 $14.71 – $144.44
Baylor St Luke's Medical Center Houston $210.50 $14.81 – $90.00
St. Luke's Health - The Vintage Hospital Houston $210.50 $17.93 – $90.00
HCA HOUSTON TOMBALL HOUSTON $794.80 $14.71 – $144.44
Adventhealth Rollins Brook Lampasas $705.38 $63.33 – $63.33
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $60.10 $14.71 – $144.44
Covenant Children's Hospital Lubbock $165.44 $51.46 – $65.68
HCA HOUSTON KINGWOOD HUMBLE $1,435.15 $14.75 – $144.44

All Texas hospitals for this procedure →