Tc-99m mebrofenin at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
not published by hospital
Cash price 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 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.
$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 →
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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 ?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 ?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
Comments
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 |