Tc-99m tilmanocept diag at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$2,340.10
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.
$2,340.10
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.
$140.41 with Superior Health Plan vs $5,480.11 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 →
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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 | STARKids | $140.41 | ↓ -94% |
| Superior Health Plan | STARPLUS | $140.41 | ↓ -94% |
| Superior Health Plan | CHIP | $140.41 | ↓ -94% |
| Superior Health Plan | CHPFC | $140.41 | ↓ -94% |
| Superior Health Plan | STAR | $140.41 | ↓ -94% |
| Aetna | MCR | $155.15 | ↓ -93% |
| Texas Athletic Network | Premier | $300.00 | ↓ -87% |
| Community Health Choice MCD | STAR | $304.21 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $304.21 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $304.21 | ↓ -87% |
| Community Health Choice MCD | CHIP | $304.21 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $327.61 | ↓ -86% |
| Amerigroup | MGMCD | $327.61 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $388.46 | ↓ -83% |
| United | OptionsPPO | $393.14 | ↓ -83% |
| Superior | HMO | $409.52 | ↓ -82% |
| Superior | EPO | $409.52 | ↓ -82% |
| Oscar | HIX | $456.32 | ↓ -80% |
| Superior | ValueHMO | $463.34 | ↓ -80% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -79% |
| Texas Childrens Health Plans | STAR | $554.60 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $554.60 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $596.73 | ↓ -74% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -74% |
| Molina Healthcare | HIX | $631.83 | ↓ -73% |
| Evry Health | BroadNetwork | $638.85 | ↓ -73% |
| CHC Harris Health | Indigent | $702.03 | ↓ -70% |
| Aetna | NBHMO | $751.17 | ↓ -68% |
| Aetna | NBPPO | $751.17 | ↓ -68% |
| Aetna | NBPOS | $751.17 | ↓ -68% |
| Aetna | COMMPOS | $800.31 | ↓ -66% |
| Aetna | COMMPPO | $800.31 | ↓ -66% |
| Aetna | COMMHMO | $800.31 | ↓ -66% |
| Kelsey Care (Boon-Chapman) | COMM | $819.03 | ↓ -65% |
| Imagine Health | PPO | $819.03 | ↓ -65% |
| BCBS | Traditional | $819.03 | ↓ -65% |
| BCBS | MyBlueHealth | $917.12 | ↓ -61% |
| Curative Administrators | COMM | $936.04 | ↓ -60% |
| Christus (USFHP) | TRICARE | $936.04 | ↓ -60% |
| Aetna | OONHMO | $938.38 | ↓ -60% |
| Aetna | OONPOS | $938.38 | ↓ -60% |
| Aetna | OONPPO | $938.38 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $1,006.24 | ↓ -57% |
| Aetna | ASAHMO | $1,013.26 | ↓ -57% |
| Aetna | ASAPOS | $1,013.26 | ↓ -57% |
| Aetna | ASAPPO | $1,013.26 | ↓ -57% |
| Averde Health | Commercial | $1,053.05 | ↓ -55% |
| United | GlobalAppendix | $1,053.05 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $1,053.05 | ↓ -55% |
| Coventry National First Health | COMM | $1,247.27 | ↓ -47% |
| BCBS | EPOSOA | $1,263.38 | ↓ -46% |
| BCBS | PPO | $1,263.38 | ↓ -46% |
| BCBS | HMO | $1,263.38 | ↓ -46% |
| Physicians Cooperative of Texas | WC | $1,287.06 | ↓ -45% |
| Rockport Workers Comp | COMM | $1,287.06 | ↓ -45% |
| SouthWest Medical | WORKERSCOMP | $1,404.06 | ↓ -40% |
| National Healthcare Solutions | COMM | $1,404.06 | ↓ -40% |
| Independent Medical System | COMM | $1,404.06 | ↓ -40% |
| Coastal Comp | COMM | $1,521.07 | ↓ -35% |
| BCBS | BAV | $1,576.89 | ↓ -33% |
| Cigna | CSN | $1,633.04 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $1,755.08 | ↓ -25% |
| Cigna | OpenAccessPlus | $1,768.00 | ↓ -24% |
| TriWest Healthcare Alliance | Veterans | $1,872.08 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,918.88 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,989.09 | ↓ -15% |
| Physicians, INC | COMM | $1,989.09 | ↓ -15% |
| USA Managed Care | COMM | $1,989.09 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,989.09 | ↓ -15% |
| Cigna | PPO | $2,105.41 | ↓ -10% |
| Affiliated PPO | COMM | $2,106.09 | ↓ -10% |
| Humana | HMO | $5,480.11 | ↑ +134% |
| Humana | PPO | $5,480.11 | ↑ +134% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | $4,513.82 | $917.12 – $5,480.11 |
| St. Luke's Health - Patients Medical Center | Pasadena | $932.09 | $100.00 – $1,997.33 |
| Baylor St Luke's Medical Center | Houston | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $978.71 | $419.45 – $1,398.15 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,279.60 | $100.00 – $3,656.00 |