Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr 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

$544.00

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.

Full explanation →

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

$544.00

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.

Full explanation →

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

$4.67 with Cigna vs $489.60 with Affiliated PPO — 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
Cigna CSN $4.67 ↓ -99%
Cigna OpenAccessPlus $5.06 ↓ -99%
Cigna PPO $6.02 ↓ -99%
BCBS MyBlueHealth $9.00 ↓ -98%
BCBS BAV $9.91 ↓ -98%
BCBS EPOSOA $12.39 ↓ -98%
BCBS PPO $12.39 ↓ -98%
BCBS HMO $12.39 ↓ -98%
United SmallGroup $14.34 ↓ -97%
United NarrowNetworkIndivExchange $14.34 ↓ -97%
United AllPayerAppendix $14.34 ↓ -97%
Superior Health Plan STARPLUS $32.64 ↓ -94%
Superior Health Plan CHPFC $32.64 ↓ -94%
Superior Health Plan STAR $32.64 ↓ -94%
Superior Health Plan STARKids $32.64 ↓ -94%
Superior Health Plan CHIP $32.64 ↓ -94%
Aetna MCR $36.07 ↓ -93%
Community Health Choice MCD CHIP $70.72 ↓ -87%
Community Health Choice MCD CHIPPerinatal $70.72 ↓ -87%
Community Health Choice MCD STAR $70.72 ↓ -87%
Community Health Choice MCD STAR+PLUS $70.72 ↓ -87%
Amerigroup MGMCD $76.16 ↓ -86%
Amerigroup MCDCHIPBH $76.16 ↓ -86%
Texas Childrens Health Plans CHIP $90.30 ↓ -83%
United OptionsPPO $91.39 ↓ -83%
Superior HMO $95.20 ↓ -83%
Superior EPO $95.20 ↓ -83%
Superior ValueHMO $107.71 ↓ -80%
Texas Childrens Health Plans STARKIDS $128.93 ↓ -76%
Texas Childrens Health Plans STAR $128.93 ↓ -76%
Texas Workforce Commission WCOMP $130.56 ↓ -76%
Molina Healthcare HIX $146.88 ↓ -73%
CHC Harris Health Indigent $163.20 ↓ -70%
Humana HMO $173.59 ↓ -68%
Humana PPO $173.59 ↓ -68%
BCBS Traditional $190.40 ↓ -65%
Christus (USFHP) TRICARE $217.60 ↓ -60%
HealthSmart Preferred Care ACCEL $233.92 ↓ -57%
United GlobalAppendix $244.80 ↓ -55%
Coventry National First Health COMM $289.95 ↓ -47%
Rockport Workers Comp COMM $299.20 ↓ -45%
Physicians Cooperative of Texas WC $299.20 ↓ -45%
Triumph COMM $326.40 ↓ -40%
Independent Medical System COMM $326.40 ↓ -40%
National Healthcare Solutions COMM $326.40 ↓ -40%
SouthWest Medical WORKERSCOMP $326.40 ↓ -40%
Coastal Comp COMM $353.60 ↓ -35%
Multiplan PHCSPrimaryNetwork $408.00 ↓ -25%
Cigna Behavioral Health COMMBH $435.20 ↓ -20%
HealthSmart Preferred Care PPO $446.08 ↓ -18%
Multiplan ComplementaryNetwork $462.40 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $462.40 ↓ -15%
Physicians, INC COMM $462.40 ↓ -15%
Affiliated PPO COMM $489.60 ↓ -10%

Visitor-reported prices

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Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $26.50 $12.09 – $54.95
St. Luke's Health - The Vintage Hospital Houston $26.50 $12.09 – $54.95
HCA HOUSTON TOMBALL HOUSTON $17.63 $4.67 – $14.34
HCA HOUSTON MEDICAL CENTER Houston not published $4.67 – $14.34
Adventhealth Rollins Brook Lampasas $113.50 $17.67 – $17.67
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $18.27 $5.18 – $25.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $18.27 $3.76 – $27.41
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $18.27 $3.65 – $22.84

All Texas hospitals for this procedure →