Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection 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

$105.00

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.

$105.00

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.

$2.52 with TriWest Health Alliance vs $101.10 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 →

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
TriWest Health Alliance TRCR $2.52 ↓ -98%
Christus (USFHP) TRICARE $2.52 ↓ -98%
United AllPayerAppendix $4.16 ↓ -96%
United SmallGroup $4.16 ↓ -96%
United NarrowNetworkIndivExchange $4.16 ↓ -96%
Cigna CSN $6.10 ↓ -94%
Superior Health Plan STARKids $6.30 ↓ -94%
Superior Health Plan CHIP $6.30 ↓ -94%
Superior Health Plan CHPFC $6.30 ↓ -94%
Superior Health Plan STAR $6.30 ↓ -94%
Superior Health Plan STARPLUS $6.30 ↓ -94%
Cigna OpenAccessPlus $6.60 ↓ -94%
Aetna MCR $6.96 ↓ -93%
Cigna PPO $7.86 ↓ -93%
Community Health Choice MCD CHIPPerinatal $13.65 ↓ -87%
Community Health Choice MCD CHIP $13.65 ↓ -87%
Community Health Choice MCD STAR $13.65 ↓ -87%
Community Health Choice MCD STAR+PLUS $13.65 ↓ -87%
Amerigroup MGMCD $14.70 ↓ -86%
Amerigroup MCDCHIPBH $14.70 ↓ -86%
Texas Childrens Health Plans CHIP $17.43 ↓ -83%
United OptionsPPO $17.64 ↓ -83%
Superior EPO $18.38 ↓ -82%
Superior HMO $18.38 ↓ -82%
Superior ValueHMO $20.79 ↓ -80%
BCBS MyBlueHealth $24.38 ↓ -77%
Texas Childrens Health Plans STAR $24.89 ↓ -76%
Texas Childrens Health Plans STARKIDS $24.89 ↓ -76%
Texas Workforce Commission WCOMP $25.20 ↓ -76%
BCBS BAV $26.87 ↓ -74%
Molina Healthcare HIX $28.35 ↓ -73%
CHC Harris Health Indigent $31.50 ↓ -70%
BCBS HMO $33.59 ↓ -68%
BCBS EPOSOA $33.59 ↓ -68%
BCBS PPO $33.59 ↓ -68%
BCBS Traditional $36.75 ↓ -65%
HealthSmart Preferred Care ACCEL $45.15 ↓ -57%
United GlobalAppendix $47.25 ↓ -55%
Coventry National First Health COMM $55.97 ↓ -47%
Rockport Workers Comp COMM $57.75 ↓ -45%
Physicians Cooperative of Texas WC $57.75 ↓ -45%
Triumph COMM $63.00 ↓ -40%
Independent Medical System COMM $63.00 ↓ -40%
National Healthcare Solutions COMM $63.00 ↓ -40%
SouthWest Medical WORKERSCOMP $63.00 ↓ -40%
Coastal Comp COMM $68.25 ↓ -35%
Multiplan PHCSPrimaryNetwork $78.75 ↓ -25%
Cigna Behavioral Health COMMBH $84.00 ↓ -20%
HealthSmart Preferred Care PPO $86.10 ↓ -18%
Multiplan ComplementaryNetwork $89.25 ↓ -15%
Physicians, INC COMM $89.25 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $89.25 ↓ -15%
Affiliated PPO COMM $94.50 ↓ -10%
Humana PPO $101.10 ↓ -4%
Humana HMO $101.10 ↓ -4%

Visitor-reported prices

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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $372.38 $2.92 – $101.10
Baylor St Luke's Medical Center Houston $46.39 $5.16 – $58.92
St. Luke's Health - The Vintage Hospital Houston $46.39 $4.21 – $58.92
HCA HOUSTON TOMBALL HOUSTON $352.29 $2.92 – $101.10
Adventhealth Rollins Brook Lampasas $64.26 $47.89 – $47.89
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $22.86 $3.67 – $19.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $22.86 $2.78 – $20.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $22.86 $2.70 – $16.88

All Texas hospitals for this procedure →