99394 periodic comp preventive med 12 to 17 years est at HCA HOUSTON SOUTHEAST

6002 FAIRMONT PKWY, PASADENA, TX · HCA Houston Healthcare · · NPI 1174576698

Source: hospital's published price file ↗ · Published Mar 1, 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.

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The hospital's undiscounted list price — almost no one pays this.

$27.08 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 STAR $27.08
Superior Health Plan CHPFC $27.08
Superior Health Plan CHIP $27.08
Superior Health Plan STARPLUS $27.08
Superior Health Plan STARKids $27.08
Community Health Choice MCD STAR+PLUS $58.67
Community Health Choice MCD CHIP $58.67
Community Health Choice MCD CHIPPerinatal $58.67
Community Health Choice MCD STAR $58.67
Amerigroup MCDCHIPBH $63.18
Amerigroup MGMCD $63.18
Christus (USFHP) TRICARE $69.75
Texas Childrens Health Plans CHIP $79.43
United OptionsPPO $91.17
Texas Childrens Health Plans STARKIDS $106.96
Texas Childrens Health Plans STAR $106.96
Texas Workforce Commission WCOMP $108.32
Healthcare Highways NarrowNetwork $115.09
Molina Healthcare HIX $121.86
Evry Health BroadNetwork $123.21
CHC Harris Health Indigent $135.40
Aetna NBPPO $144.87
Aetna NBPOS $144.87
Aetna NBHMO $144.87
Aetna COMMHMO $154.35
Aetna COMMPPO $154.35
Aetna COMMPOS $154.35
Imagine Health PPO $157.96
BCBS Traditional $157.96
Curative Administrators COMM $180.53
Aetna OONHMO $180.98
Aetna OONPOS $180.98
Aetna OONPPO $180.98
HealthSmart Preferred Care ACCEL $194.07
Aetna ASAPPO $195.42
Aetna ASAPOS $195.42
Aetna ASAHMO $195.42
United GlobalAppendix $203.09
Fidelis SecureCare of TX MGMCR $203.09
Averde Health Commercial $203.09
BCBS MyBlueHealth $207.46
Multiplan SAVILITYNETWORK $225.66
BCBS BAV $228.74
Coventry National First Health COMM $240.55
Physicians Cooperative of Texas WC $248.23
Rockport Workers Comp COMM $248.23
Humana PPO $269.70
Humana HMO $269.70
SouthWest Medical WORKERSCOMP $270.79
Beech Street WCOMP $270.79
Independent Medical System COMM $270.79
National Healthcare Solutions COMM $270.79
Prime Health Services WORKERSCOMP $270.79
BCBS HMO $286.37
Coastal Comp COMM $293.36
BCBS EPOSOA $296.12
Texas Athletic Network Premier $300.00
BCBS PPO $305.88
Fiesta Mart, Inc COMM $338.49
Beech Street COMMPPO $361.06
Cigna Behavioral Health COMMBH $361.06
HealthSmart Preferred Care PPO $370.08
Physicians, INC COMM $383.62
HealthSmart Preferred Care ACCOUNTABLEPPO $383.62
Multiplan COMPLEMENTARYPPO $406.19
Affiliated PPO COMM $406.19
Texas Athletic Network PremierPlus $500.00
Texas Athletic Network TexasCustomUC $600.00

Visitor-reported prices

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99394 periodic comp preventive med 12 to 17 years est at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas not published $341.34 – $341.34
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $69.75 – $269.70
HCA HOUSTON MEDICAL CENTER Houston not published $69.75 – $269.70
HCA HOUSTON CONROE CONROE not published $61.05 – $269.70
HCA HOUSTON KINGWOOD HUMBLE not published $63.37 – $269.70
HCA HOUSTON NORTHWEST SPRING not published $69.75 – $269.70
HCA HOUSTON PEARLAND Pearland not published $68.11 – $269.70
HCA HOUSTON WEST HOUSTON not published $63.37 – $269.70

All Texas hospitals for this procedure →