Adenosine 3 mg/250 ml bag for osm 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.

Full explanation →

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.

Full explanation →

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

$0.39 with Christus (USFHP) vs $15.43 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
Christus (USFHP) TRICARE $0.39
United SmallGroup $0.87
United AllPayerAppendix $0.87
United NarrowNetworkIndivExchange $0.87
Superior Health Plan STARKids $1.03
Superior Health Plan STARPLUS $1.03
Superior Health Plan CHIP $1.03
Superior Health Plan CHPFC $1.03
Superior Health Plan STAR $1.03
Cigna CSN $1.11
Cigna OpenAccessPlus $1.21
Cigna PPO $1.44
Community Health Choice MCD STAR+PLUS $2.23
Community Health Choice MCD STAR $2.23
Community Health Choice MCD CHIPPerinatal $2.23
Community Health Choice MCD CHIP $2.23
Amerigroup MGMCD $2.40
Amerigroup MCDCHIPBH $2.40
BCBS MyBlueHealth $2.47
BCBS BAV $2.72
Texas Childrens Health Plans CHIP $3.02
BCBS PPO $3.40
BCBS EPOSOA $3.40
BCBS HMO $3.40
United OptionsPPO $3.46
Texas Childrens Health Plans STARKIDS $4.06
Texas Childrens Health Plans STAR $4.06
Texas Workforce Commission WCOMP $4.11
Molina Healthcare HIX $4.63
CHC Harris Health Indigent $5.14
BCBS Traditional $6.00
HealthSmart Preferred Care ACCEL $7.37
United GlobalAppendix $7.71
Humana HMO $8.08
Humana PPO $8.08
Coventry National First Health COMM $9.14
Rockport Workers Comp COMM $9.43
Physicians Cooperative of Texas WC $9.43
Beech Street WCOMP $10.28
Prime Health Services WORKERSCOMP $10.28
SouthWest Medical WORKERSCOMP $10.28
National Healthcare Solutions COMM $10.28
Independent Medical System COMM $10.28
Coastal Comp COMM $11.14
Fiesta Mart, Inc COMM $12.86
Beech Street COMMPPO $13.71
Cigna Behavioral Health COMMBH $13.71
HealthSmart Preferred Care PPO $14.05
HealthSmart Preferred Care ACCOUNTABLEPPO $14.57
Physicians, INC COMM $14.57
Multiplan COMPLEMENTARYPPO $15.43
Affiliated PPO COMM $15.43

Visitor-reported prices

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Adenosine 3 mg/250 ml bag for osm at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $413.70 $0.46 – $885.75
Adventhealth Rollins Brook Lampasas $762.46 $4.85 – $4.85
Baylor St Luke's Medical Center Houston $672.25 $0.56 – $55.97
St. Luke's Health Memorial Lufkin Lufkin $234.26 $0.45 – $35.06
St. Luke's Health - Springwoods Village Hospital Spring $672.25 $0.46 – $55.97
St. Luke's Health - Sugar Land Hospital Sugar Land $672.25 $0.46 – $55.97
St. Luke's Health - Lakeside Hospital The Woodlands $672.25 $0.46 – $55.97
St. Luke's Health - Brazosport Hospital Lake Jackson $32.64 $0.46 – $60.62

All Texas hospitals for this procedure →