Leucovorin calcium 100 mg solution for injection (1 mg rounding) at HCA HOUSTON KINGWOOD

5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

$104.89

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.

$104.89

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.

$3.84 with TriWest Health Alliance vs $94.40 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
TriWest Health Alliance TRCR $3.84 ↓ -96%
Christus (USFHP) TRICARE $3.84 ↓ -96%
BCBS MyBlueHealth $5.04 ↓ -95%
Superior Health Plan CHPFC $5.52 ↓ -95%
Superior Health Plan STARKids $5.52 ↓ -95%
Superior Health Plan STAR $5.52 ↓ -95%
Superior Health Plan STARPLUS $5.52 ↓ -95%
Superior Health Plan CHIP $5.52 ↓ -95%
United NarrowNetworkIndivExchange $6.34 ↓ -94%
United AllPayerAppendix $6.34 ↓ -94%
United SmallGroup $6.34 ↓ -94%
BCBS HMO $6.94 ↓ -93%
BCBS EPOSOA $6.94 ↓ -93%
BCBS PPO $6.94 ↓ -93%
Aetna MCR $6.95 ↓ -93%
BCBS BAV $8.66 ↓ -92%
Cigna CSN $9.56 ↓ -91%
Cigna OpenAccessPlus $10.35 ↓ -90%
Community Health Choice MCD STAR+PLUS $11.95 ↓ -89%
Community Health Choice MCD CHIP $11.95 ↓ -89%
Community Health Choice MCD CHIPPerinatal $11.95 ↓ -89%
Community Health Choice MCD STAR $11.95 ↓ -89%
Cigna PPO $12.32 ↓ -88%
Amerigroup MGMCD $14.68 ↓ -86%
Amerigroup MCDCHIPBH $14.68 ↓ -86%
Texas Childrens Health Plans CHIP $17.41 ↓ -83%
United OptionsPPO $17.62 ↓ -83%
Superior HMO $18.36 ↓ -82%
Superior EPO $18.36 ↓ -82%
Superior ValueHMO $20.77 ↓ -80%
Molina Healthcare HIX $24.82 ↓ -76%
Texas Childrens Health Plans STARKIDS $24.86 ↓ -76%
Texas Childrens Health Plans STAR $24.86 ↓ -76%
CHC Harris Health Indigent $27.58 ↓ -74%
BCBS Traditional $32.17 ↓ -69%
Humana PPO $33.21 ↓ -68%
Humana HMO $33.21 ↓ -68%
United GlobalAppendix $41.36 ↓ -61%
HealthSmart Preferred Care ACCEL $45.10 ↓ -57%
Coventry National First Health COMM $48.99 ↓ -53%
Physicians Cooperative of Texas WC $57.69 ↓ -45%
Rockport Workers Comp COMM $57.69 ↓ -45%
Independent Medical System COMM $62.93 ↓ -40%
SouthWest Medical WORKERSCOMP $62.93 ↓ -40%
National Healthcare Solutions COMM $62.93 ↓ -40%
Coastal Comp COMM $68.18 ↓ -35%
Multiplan PHCSPrimaryNetwork $68.94 ↓ -34%
TriWest Healthcare Alliance Veterans $73.54 ↓ -30%
Multiplan ComplementaryNetwork $78.13 ↓ -26%
HealthSmart Preferred Care PPO $86.01 ↓ -18%
Physicians, INC COMM $89.16 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $89.16 ↓ -15%
USA Managed Care COMM $89.16 ↓ -15%
Affiliated PPO COMM $94.40 ↓ -10%

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $202.68 $9.89 – $9.89
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $229.50 $3.95 – $44.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $229.50 $3.95 – $47.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $229.50 $3.95 – $39.60
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $229.50 $3.95 – $44.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $229.50 $3.95 – $47.52
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $229.50 $3.95 – $47.52
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $229.50 $3.95 – $47.52

All Texas hospitals for this procedure →