Cta upper extremity w &/or without contrast left 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.

Full explanation →

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

$171.56 with Texas Health Network vs $13,161.80 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
Texas Health Network MCD $171.56
Amerigroup MGMCD $175.06
Amerigroup MCDCHIPBH $175.06
Texas Childrens Health Plans STAR $175.06
Texas Childrens Health Plans STARKIDS $175.06
Community Health Choice MCD STAR $180.34
Community Health Choice MCD STAR+PLUS $180.34
Community Health Choice MCD CHIP $180.34
Community Health Choice MCD CHIPPerinatal $180.34
United MGMCD $183.95
Molina Healthcare STARKIDS $192.57
Molina Healthcare STAR $192.57
Molina Healthcare STARPLUS $192.57
Molina Healthcare CHIP $192.57
Aetna Better Health MGMCD $194.77
Humana MCD $218.82
United NarrowNetworkIndivExchange $339.25
BCBS MyBlueHealth $391.77
United SmallGroup $401.74
United AllPayerAppendix $401.74
BCBS BAV $451.91
BCBS HMO $686.97
Aetna QHPExchange $725.00
BCBS EPOSOA $727.06
BCBS PPO $765.32
Superior Health Plan CHIP $877.45
Superior Health Plan CHPFC $877.45
Superior Health Plan STAR $877.45
Superior Health Plan STARKids $877.45
Superior Health Plan STARPLUS $877.45
Aetna NBHMO $963.00
Aetna NBPPO $963.00
Aetna NBPOS $963.00
Aetna COMMPPO $1,024.00
Aetna COMMPOS $1,024.00
Aetna COMMHMO $1,024.00
Aetna OONHMO $1,203.00
Aetna OONPOS $1,203.00
Aetna OONPPO $1,203.00
Aetna ASAHMO $1,301.00
Aetna ASAPPO $1,301.00
Aetna ASAPOS $1,301.00
Cigna CSN $1,635.00
Cigna OpenAccessPlus $1,771.00
Cigna PPO $2,106.00
Texas Childrens Health Plans CHIP $2,573.86
United OptionsPPO $2,954.09
Texas Workforce Commission WCOMP $3,509.81
Humana PPO $4,179.56
Humana HMO $4,179.56
BCBS Traditional $5,118.48
Christus (USFHP) TRICARE $5,849.69
HealthSmart Preferred Care ACCEL $6,288.41
Fidelis SecureCare of TX MGMCR $6,580.90
United GlobalAppendix $6,580.90
Coventry National First Health COMM $7,794.71
Physicians Cooperative of Texas WC $8,043.32
Rockport Workers Comp COMM $8,043.32
Beech Street WCOMP $8,774.53
Prime Health Services WORKERSCOMP $8,774.53
National Healthcare Solutions COMM $8,774.53
SouthWest Medical WORKERSCOMP $8,774.53
Independent Medical System COMM $8,774.53
Coastal Comp COMM $9,505.74
Fiesta Mart, Inc COMM $10,968.17
Cigna Behavioral Health COMMBH $11,699.38
Beech Street COMMPPO $11,699.38
HealthSmart Preferred Care PPO $11,991.86
Physicians, INC COMM $12,430.59
HealthSmart Preferred Care ACCOUNTABLEPPO $12,430.59
Multiplan COMPLEMENTARYPPO $13,161.80
Affiliated PPO COMM $13,161.80

Visitor-reported prices

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Cta upper extremity w &/or without contrast left at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $3,546.82 $166.31 – $7,600.32
Adventhealth Rollins Brook Lampasas $5,118.42 $849.15 – $849.15
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $3,389.24 $167.39 – $4,236.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $2,859.32 $236.02 – $4,288.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,213.55 $167.39 – $2,766.94
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $3,389.24 $167.39 – $4,236.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $2,859.32 $167.39 – $4,288.98
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $2,859.32 $175.06 – $4,288.98

All Texas hospitals for this procedure →