Tc-99m medronate 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.
$25.38 with BCBS vs $1,217.70 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $25.38 | — |
| BCBS | BAV | $27.97 | — |
| Cigna | CSN | $32.09 | — |
| Cigna | OpenAccessPlus | $34.74 | — |
| BCBS | HMO | $34.97 | — |
| BCBS | EPOSOA | $34.97 | — |
| BCBS | PPO | $34.97 | — |
| Cigna | PPO | $41.37 | — |
| Superior Health Plan | CHPFC | $81.18 | — |
| Superior Health Plan | CHIP | $81.18 | — |
| Superior Health Plan | STARPLUS | $81.18 | — |
| Superior Health Plan | STARKids | $81.18 | — |
| Superior Health Plan | STAR | $81.18 | — |
| Aetna | MCR | $89.70 | — |
| United | NarrowNetworkIndivExchange | $106.36 | — |
| United | AllPayerAppendix | $106.36 | — |
| United | SmallGroup | $106.36 | — |
| Humana | PPO | $151.94 | — |
| Humana | HMO | $151.94 | — |
| Community Health Choice MCD | STAR | $175.89 | — |
| Community Health Choice MCD | CHIP | $175.89 | — |
| Community Health Choice MCD | CHIPPerinatal | $175.89 | — |
| Community Health Choice MCD | STAR+PLUS | $175.89 | — |
| Amerigroup | MGMCD | $189.42 | — |
| Amerigroup | MCDCHIPBH | $189.42 | — |
| Texas Childrens Health Plans | CHIP | $224.60 | — |
| United | OptionsPPO | $227.30 | — |
| Superior | EPO | $236.78 | — |
| Superior | HMO | $236.78 | — |
| Oscar | HIX | $263.83 | — |
| Superior | ValueHMO | $267.89 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Childrens Health Plans | STAR | $320.66 | — |
| Texas Childrens Health Plans | STARKIDS | $320.66 | — |
| Texas Workforce Commission | WCOMP | $324.72 | — |
| Healthcare Highways | NarrowNetwork | $345.01 | — |
| Molina Healthcare | HIX | $365.31 | — |
| Evry Health | BroadNetwork | $369.37 | — |
| CHC Harris Health | Indigent | $405.90 | — |
| Aetna | NBPOS | $434.31 | — |
| Aetna | NBHMO | $434.31 | — |
| Aetna | NBPPO | $434.31 | — |
| Aetna | COMMHMO | $462.73 | — |
| Aetna | COMMPOS | $462.73 | — |
| Aetna | COMMPPO | $462.73 | — |
| Imagine Health | PPO | $473.55 | — |
| BCBS | Traditional | $473.55 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Christus (USFHP) | TRICARE | $541.20 | — |
| Curative Administrators | COMM | $541.20 | — |
| Aetna | OONHMO | $542.55 | — |
| Aetna | OONPOS | $542.55 | — |
| Aetna | OONPPO | $542.55 | — |
| HealthSmart Preferred Care | ACCEL | $581.79 | — |
| Aetna | ASAPOS | $585.85 | — |
| Aetna | ASAHMO | $585.85 | — |
| Aetna | ASAPPO | $585.85 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Averde Health | Commercial | $608.85 | — |
| United | GlobalAppendix | $608.85 | — |
| Fidelis SecureCare of TX | MGMCR | $608.85 | — |
| Coventry National First Health | COMM | $721.15 | — |
| Physicians Cooperative of Texas | WC | $744.15 | — |
| Rockport Workers Comp | COMM | $744.15 | — |
| Triumph | COMM | $811.80 | — |
| National Healthcare Solutions | COMM | $811.80 | — |
| SouthWest Medical | WORKERSCOMP | $811.80 | — |
| Independent Medical System | COMM | $811.80 | — |
| Coastal Comp | COMM | $879.45 | — |
| Multiplan | PHCSPrimaryNetwork | $1,014.75 | — |
| Cigna Behavioral Health | COMMBH | $1,082.40 | — |
| HealthSmart Preferred Care | PPO | $1,109.46 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,150.05 | — |
| Multiplan | ComplementaryNetwork | $1,150.05 | — |
| Physicians, INC | COMM | $1,150.05 | — |
| Affiliated PPO | COMM | $1,217.70 | — |
Visitor-reported prices
Comments
Tc-99m medronate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $1,099.56 | $25.38 – $151.94 |
| Baylor St Luke's Medical Center | Houston | $61.25 | $11.66 – $175.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $61.25 | $14.12 – $175.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $25.38 – $151.94 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,048.89 | $25.38 – $151.94 |
| St. Luke's Health - Patients Medical Center | Pasadena | $384.78 | $14.12 – $824.52 |
| St. Joseph Health Madison Hospital | Madisonville | $82.78 | $17.87 – $425.70 |
| St. Luke's Health Memorial Lufkin | Lufkin | $132.45 | $27.71 – $794.70 |