Dextrose 5 % in water (d5w) intravenous solution (non-pvc) 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.

$0.97 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.

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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 STARPLUS $0.97
Superior Health Plan CHIP $0.97
Superior Health Plan CHPFC $0.97
Superior Health Plan STAR $0.97
Superior Health Plan STARKids $0.97
Christus (USFHP) TRICARE $1.82
Community Health Choice MCD STAR+PLUS $2.11
Community Health Choice MCD CHIP $2.11
Community Health Choice MCD CHIPPerinatal $2.11
Community Health Choice MCD STAR $2.11
Amerigroup MCDCHIPBH $2.27
Amerigroup MGMCD $2.27
Texas Childrens Health Plans CHIP $2.86
United AllPayerAppendix $2.89
United NarrowNetworkIndivExchange $2.89
United SmallGroup $2.89
United OptionsPPO $3.28
Texas Childrens Health Plans STARKIDS $3.85
Texas Childrens Health Plans STAR $3.85
Texas Workforce Commission WCOMP $3.90
Molina Healthcare HIX $4.38
CHC Harris Health Indigent $4.87
Cigna CSN $4.91
Cigna OpenAccessPlus $5.32
BCBS Traditional $5.68
Cigna PPO $6.33
HealthSmart Preferred Care ACCEL $6.98
United GlobalAppendix $7.30
Coventry National First Health COMM $8.65
Physicians Cooperative of Texas WC $8.93
Rockport Workers Comp COMM $8.93
Beech Street WCOMP $9.74
National Healthcare Solutions COMM $9.74
Prime Health Services WORKERSCOMP $9.74
Independent Medical System COMM $9.74
SouthWest Medical WORKERSCOMP $9.74
Coastal Comp COMM $10.55
Fiesta Mart, Inc COMM $12.17
Cigna Behavioral Health COMMBH $12.98
Beech Street COMMPPO $12.98
HealthSmart Preferred Care PPO $13.31
HealthSmart Preferred Care ACCOUNTABLEPPO $13.80
Physicians, INC COMM $13.80
Affiliated PPO COMM $14.61
Multiplan COMPLEMENTARYPPO $14.61
BCBS MyBlueHealth $14.86
BCBS BAV $16.37
BCBS EPOSOA $20.47
BCBS HMO $20.47
BCBS PPO $20.47
Humana PPO $24.64
Humana HMO $24.64
Oscar HIX $48.15
Healthcare Highways NarrowNetwork $62.96
Aetna QHPExchange $65.43
Evry Health BroadNetwork $67.41
Aetna NBHMO $79.26
Aetna NBPPO $79.26
Aetna NBPOS $79.26
Aetna COMMPOS $84.45
Aetna COMMPPO $84.45
Aetna COMMHMO $84.45
Imagine Health PPO $86.42
Curative Administrators COMM $98.77
Aetna OONHMO $99.01
Aetna OONPPO $99.01
Aetna OONPOS $99.01
Aetna ASAHMO $106.92
Aetna ASAPPO $106.92
Aetna ASAPOS $106.92
Averde Health Commercial $111.11
Fidelis SecureCare of TX MGMCR $111.11
Multiplan SAVILITYNETWORK $123.46
Texas Athletic Network Premier $300.00
Texas Athletic Network PremierPlus $500.00
Texas Athletic Network TexasCustomUC $600.00

Visitor-reported prices

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Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $8.09 $2.57 – $17.33
Adventhealth Rollins Brook Lampasas $39.88 $29.18 – $29.18
Covenant Children's Hospital Lubbock $51.89 $7.09 – $30.26
Baylor St Luke's Medical Center Houston $22.03 $0.41 – $1.86
St. Luke's Health Memorial Lufkin Lufkin $47.66 $2.06 – $285.96
St. Luke's Health - Springwoods Village Hospital Spring $22.03 $0.41 – $1.86
St. Luke's Health - Sugar Land Hospital Sugar Land $22.03 $0.41 – $1.86
St. Luke's Health - Lakeside Hospital The Woodlands $22.03 $0.41 – $1.86

All Texas hospitals for this procedure →