Dextran 40 infusion 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

$283.04

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.

$283.04

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.

$16.98 with Superior Health Plan vs $628.63 with United — 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 STARKids $16.98 ↓ -94%
Superior Health Plan STARPLUS $16.98 ↓ -94%
Superior Health Plan CHIP $16.98 ↓ -94%
Superior Health Plan CHPFC $16.98 ↓ -94%
Superior Health Plan STAR $16.98 ↓ -94%
Community Health Choice MCD STAR+PLUS $36.80 ↓ -87%
Community Health Choice MCD CHIP $36.80 ↓ -87%
Community Health Choice MCD CHIPPerinatal $36.80 ↓ -87%
Community Health Choice MCD STAR $36.80 ↓ -87%
Amerigroup MGMCD $39.63 ↓ -86%
Amerigroup MCDCHIPBH $39.63 ↓ -86%
Texas Childrens Health Plans CHIP $49.82 ↓ -82%
BCBS MyBlueHealth $52.00 ↓ -82%
United OptionsPPO $57.17 ↓ -80%
BCBS BAV $57.30 ↓ -80%
Texas Childrens Health Plans STARKIDS $67.08 ↓ -76%
Texas Childrens Health Plans STAR $67.08 ↓ -76%
Texas Workforce Commission WCOMP $67.93 ↓ -76%
BCBS HMO $71.63 ↓ -75%
BCBS EPOSOA $71.63 ↓ -75%
BCBS PPO $71.63 ↓ -75%
Molina Healthcare HIX $76.42 ↓ -73%
CHC Harris Health Indigent $84.91 ↓ -70%
BCBS Traditional $99.06 ↓ -65%
Christus (USFHP) TRICARE $113.22 ↓ -60%
HealthSmart Preferred Care ACCEL $121.71 ↓ -57%
United GlobalAppendix $127.37 ↓ -55%
Coventry National First Health COMM $150.86 ↓ -47%
Rockport Workers Comp COMM $155.67 ↓ -45%
Physicians Cooperative of Texas WC $155.67 ↓ -45%
Cigna CSN $164.29 ↓ -42%
Beech Street WCOMP $169.82 ↓ -40%
Independent Medical System COMM $169.82 ↓ -40%
SouthWest Medical WORKERSCOMP $169.82 ↓ -40%
National Healthcare Solutions COMM $169.82 ↓ -40%
Prime Health Services WORKERSCOMP $169.82 ↓ -40%
Cigna OpenAccessPlus $177.87 ↓ -37%
Coastal Comp COMM $183.98 ↓ -35%
Cigna PPO $211.82 ↓ -25%
Fiesta Mart, Inc COMM $212.28 ↓ -25%
Humana PPO $226.07 ↓ -20%
Humana HMO $226.07 ↓ -20%
Cigna Behavioral Health COMMBH $226.43 ↓ -20%
Beech Street COMMPPO $226.43 ↓ -20%
HealthSmart Preferred Care PPO $232.09 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $240.58 ↓ -15%
Physicians, INC COMM $240.58 ↓ -15%
Affiliated PPO COMM $254.74 ↓ -10%
Multiplan COMPLEMENTARYPPO $254.74 ↓ -10%
United NarrowNetworkIndivExchange $628.63 ↑ +122%
United SmallGroup $628.63 ↑ +122%
United AllPayerAppendix $628.63 ↑ +122%

Visitor-reported prices

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Dextran 40 infusion at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $861.36 $52.00 – $628.63
Covenant Children's Hospital Lubbock $75.41 $99.22 – $178.03
HCA HOUSTON KINGWOOD HUMBLE $317.15 $52.00 – $628.63
HCA HOUSTON NORTHWEST SPRING $465.11 $52.00 – $628.63
Baylor St Luke's Medical Center Houston $49.56 $23.88 – $120.62
St. Luke's Health Memorial Lufkin Lufkin $80.28 $45.00 – $301.16
St. Luke's Health - Springwoods Village Hospital Spring $49.56 $26.54 – $120.62
St. Luke's Health - Sugar Land Hospital Sugar Land $49.56 $26.54 – $120.62

All Texas hospitals for this procedure →