Tc-99m mebrofenin 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

not published by hospital

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.

not published by hospital

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.

$63.84 with Superior Health Plan vs $957.60 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
Superior Health Plan CHIP $63.84
Superior Health Plan STARPLUS $63.84
Superior Health Plan STARKids $63.84
Superior Health Plan STAR $63.84
Superior Health Plan CHPFC $63.84
Aetna MCR $70.54
BCBS MyBlueHealth $108.00
BCBS BAV $119.02
Cigna CSN $136.54
Community Health Choice MCD CHIP $138.32
Community Health Choice MCD CHIPPerinatal $138.32
Community Health Choice MCD STAR+PLUS $138.32
Community Health Choice MCD STAR $138.32
Cigna OpenAccessPlus $147.82
BCBS PPO $148.77
BCBS EPOSOA $148.77
BCBS HMO $148.77
Amerigroup MCDCHIPBH $148.96
Amerigroup MGMCD $148.96
Cigna PPO $176.03
Texas Childrens Health Plans CHIP $176.62
United OptionsPPO $178.75
Superior HMO $186.20
Superior EPO $186.20
United AllPayerAppendix $187.21
United SmallGroup $187.21
United NarrowNetworkIndivExchange $187.21
Oscar HIX $207.48
Superior ValueHMO $210.67
Texas Childrens Health Plans STARKIDS $252.17
Texas Childrens Health Plans STAR $252.17
Texas Workforce Commission WCOMP $255.36
Healthcare Highways NarrowNetwork $271.32
Molina Healthcare HIX $287.28
Evry Health BroadNetwork $290.47
Texas Athletic Network Premier $300.00
CHC Harris Health Indigent $319.20
Aetna NBPOS $341.54
Aetna NBHMO $341.54
Aetna NBPPO $341.54
Aetna COMMHMO $363.89
Aetna COMMPPO $363.89
Aetna COMMPOS $363.89
Imagine Health PPO $372.40
BCBS Traditional $372.40
Christus (USFHP) TRICARE $425.60
Curative Administrators COMM $425.60
Aetna OONHMO $426.66
Aetna OONPOS $426.66
Aetna OONPPO $426.66
HealthSmart Preferred Care ACCEL $457.52
Aetna ASAPPO $460.71
Aetna ASAPOS $460.71
Aetna ASAHMO $460.71
United GlobalAppendix $478.80
Averde Health Commercial $478.80
Fidelis SecureCare of TX MGMCR $478.80
Texas Athletic Network PremierPlus $500.00
Coventry National First Health COMM $567.11
Physicians Cooperative of Texas WC $585.20
Rockport Workers Comp COMM $585.20
Texas Athletic Network TexasCustomUC $600.00
Triumph COMM $638.40
National Healthcare Solutions COMM $638.40
SouthWest Medical WORKERSCOMP $638.40
Independent Medical System COMM $638.40
Humana HMO $646.54
Humana PPO $646.54
Coastal Comp COMM $691.60
Multiplan PHCSPrimaryNetwork $798.00
Cigna Behavioral Health COMMBH $851.20
HealthSmart Preferred Care PPO $872.48
HealthSmart Preferred Care ACCOUNTABLEPPO $904.40
Multiplan ComplementaryNetwork $904.40
Physicians, INC COMM $904.40
Affiliated PPO COMM $957.60

Visitor-reported prices

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Tc-99m mebrofenin at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $103.60 $49.59 – $296.00
St. Luke's Health - The Vintage Hospital Houston $103.60 $60.06 – $296.00
HCA HOUSTON MEDICAL CENTER Houston not published $108.00 – $646.54
HCA HOUSTON TOMBALL HOUSTON not published $108.00 – $646.54
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $893.78 $108.00 – $646.54
HCA HOUSTON KINGWOOD HUMBLE $1,280.09 $108.00 – $646.54
HCA HOUSTON NORTHWEST SPRING $1,328.96 $108.00 – $646.54
St. Luke's Health - Patients Medical Center Pasadena $239.40 $60.06 – $498.13

All Texas hospitals for this procedure →