Barrier film 28ml spray no stng cavilon 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

$61.50

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.

$61.50

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.

$3.39 with Oscar vs $55.35 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
Oscar MGMCR $3.39 ↓ -94%
Cigna HealthSpring MCRHMO $3.46 ↓ -94%
Cigna HealthSpring MCRPPO $3.46 ↓ -94%
Cigna HealthSpring MCRSNP $3.46 ↓ -94%
Cigna HealthSpring PFFS $3.46 ↓ -94%
Humana MedicareAdvantageHMO $3.46 ↓ -94%
Humana MedicareAdvantagePPOPFFS $3.46 ↓ -94%
Cigna HealthSpring MMP $3.46 ↓ -94%
TriWest Healthcare Alliance Veterans $3.46 ↓ -94%
Devoted Health MGMCR $3.46 ↓ -94%
Amerigroup DualEligible $3.46 ↓ -94%
CHC Harris Health Indigent $3.46 ↓ -94%
Christus (USFHP) TRICARE $3.46 ↓ -94%
Renaissance IPA Radiology COMM $3.46 ↓ -94%
Renaissance IPA Radiology MCR $3.46 ↓ -94%
BCBS MCRPPO $3.46 ↓ -94%
BCBS MedicareAdvantageHMO $3.46 ↓ -94%
Kelsey Seybold MGMCR $3.46 ↓ -94%
WellMed MGMCR $3.48 ↓ -94%
Van Lang IPA MCR $3.49 ↓ -94%
BCBS MyBlueHealth $3.50 ↓ -94%
United MCR $3.53 ↓ -94%
Integranet Amerigroup IPA MCR $3.56 ↓ -94%
WellCare POS $3.56 ↓ -94%
WellCare PPO $3.56 ↓ -94%
WellCare PFFS $3.56 ↓ -94%
WellCare SNP $3.56 ↓ -94%
WellCare MCRHMO $3.56 ↓ -94%
Superior Health Plan MCRPPO $3.63 ↓ -94%
Superior Health Plan MCRSNP $3.63 ↓ -94%
Superior Health Plan PFFS $3.63 ↓ -94%
Superior Health Plan MCRPOS $3.63 ↓ -94%
Superior Health Plan MCRHMO $3.63 ↓ -94%
Superior Health Plan DualEligible $3.63 ↓ -94%
Shared Health MGMCR $3.63 ↓ -94%
ProCare Advantage MGMCR $3.63 ↓ -94%
American Health Plan MGMCR $3.63 ↓ -94%
Provider Partners Health Plan of Texas MCRHMO $3.67 ↓ -94%
Provider Partners Health Plan of Texas SNP $3.67 ↓ -94%
Provider Partners Health Plan of Texas PPO $3.67 ↓ -94%
Provider Partners Health Plan of Texas PFFS $3.67 ↓ -94%
Provider Partners Health Plan of Texas POS $3.67 ↓ -94%
Superior Health Plan CHIP $3.69 ↓ -94%
Superior Health Plan CHPFC $3.69 ↓ -94%
Superior Health Plan STAR $3.69 ↓ -94%
Superior Health Plan STARKids $3.69 ↓ -94%
Superior Health Plan STARPLUS $3.69 ↓ -94%
Molina MGMCR $3.77 ↓ -94%
BCBS BAV $3.86 ↓ -94%
Kindred Hospital MGMCR $3.98 ↓ -94%
Universal Healthcare Group MCR $4.15 ↓ -93%
Verda Health Plan MCRSkilledNursing $4.50 ↓ -93%
BCBS HMO $4.82 ↓ -92%
Superior ValueHMO $5.02 ↓ -92%
Community Health Choice HIX $5.02 ↓ -92%
BCBS EPOSOA $5.10 ↓ -92%
Superior EPO $5.36 ↓ -91%
Superior HMO $5.36 ↓ -91%
BCBS PPO $5.39 ↓ -91%
Corvel Corporation WORKERSCOMP $6.85 ↓ -89%
OMNI Healthcare WORKERSCOMP $7.27 ↓ -88%
Molina Healthcare HIX $7.44 ↓ -88%
Community Health Choice MCD STAR+PLUS $8.00 ↓ -87%
Community Health Choice MCD STAR $8.00 ↓ -87%
Community Health Choice MCD CHIP $8.00 ↓ -87%
Community Health Choice MCD CHIPPerinatal $8.00 ↓ -87%
Amerigroup MGMCD $8.61 ↓ -86%
Amerigroup MCDCHIPBH $8.61 ↓ -86%
Cigna CSN $9.10 ↓ -85%
Cigna OpenAccessPlus $9.84 ↓ -84%
Texas Childrens Health Plans CHIP $10.82 ↓ -82%
Cigna PPO $11.69 ↓ -81%
United OptionsPPO $12.42 ↓ -80%
Texas Childrens Health Plans STARKIDS $14.58 ↓ -76%
Texas Childrens Health Plans STAR $14.58 ↓ -76%
Texas Workforce Commission WCOMP $14.76 ↓ -76%
BCBS Traditional $21.52 ↓ -65%
HealthSmart Preferred Care ACCEL $26.45 ↓ -57%
Humana HMO $26.59 ↓ -57%
Humana PPO $26.59 ↓ -57%
United GlobalAppendix $27.68 ↓ -55%
Coventry National First Health COMM $32.78 ↓ -47%
Physicians Cooperative of Texas WC $33.83 ↓ -45%
Rockport Workers Comp COMM $33.83 ↓ -45%
Independent Medical System COMM $36.90 ↓ -40%
National Healthcare Solutions COMM $36.90 ↓ -40%
Beech Street WCOMP $36.90 ↓ -40%
Prime Health Services WORKERSCOMP $36.90 ↓ -40%
SouthWest Medical WORKERSCOMP $36.90 ↓ -40%
Fiesta Mart, Inc COMM $46.13 ↓ -25%
Cigna Behavioral Health COMMBH $49.20 ↓ -20%
Beech Street COMMPPO $49.20 ↓ -20%
HealthSmart Preferred Care PPO $50.43 ↓ -18%
Physicians, INC COMM $52.27 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $52.27 ↓ -15%
Multiplan COMPLEMENTARYPPO $55.35 ↓ -10%
Affiliated PPO COMM $55.35 ↓ -10%

Visitor-reported prices

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Barrier film 28ml spray no stng cavilon at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON TOMBALL HOUSTON $87.50 $3.39 – $7.44
Ascension Providence Waco $21.33 $3.16 – $3.52
Ascension Seton Medical Center Austin (Ascension Seton) Austin $13.68 $2.79 – $3.38
Ascension Seton Northwest (Ascension Seton) Austin $13.68 $2.79 – $3.38
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $3.39 – $7.44
HCA HOUSTON MEDICAL CENTER Houston not published $3.39 – $7.44
Covenant Children's Hospital Lubbock not published $3.24 – $3.24
HCA HOUSTON CONROE CONROE not published $3.39 – $7.44

All Texas hospitals for this procedure →