Diphenhydramine 50 mg/ml injection (wrapper) 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

$104.77

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.

$104.77

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.

$0.66 with Christus (USFHP) vs $94.29 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 $0.66 ↓ -99%
United AllPayerAppendix $1.17 ↓ -99%
United SmallGroup $1.17 ↓ -99%
United NarrowNetworkIndivExchange $1.17 ↓ -99%
BCBS MyBlueHealth $1.35 ↓ -99%
BCBS BAV $1.49 ↓ -99%
BCBS EPOSOA $1.86 ↓ -98%
BCBS PPO $1.86 ↓ -98%
BCBS HMO $1.86 ↓ -98%
Cigna CSN $2.18 ↓ -98%
Cigna OpenAccessPlus $2.36 ↓ -98%
Cigna PPO $2.81 ↓ -97%
Humana HMO $5.84 ↓ -94%
Humana PPO $5.84 ↓ -94%
Superior Health Plan STARKids $6.29 ↓ -94%
Superior Health Plan STARPLUS $6.29 ↓ -94%
Superior Health Plan CHIP $6.29 ↓ -94%
Superior Health Plan CHPFC $6.29 ↓ -94%
Superior Health Plan STAR $6.29 ↓ -94%
Community Health Choice MCD STAR $13.62 ↓ -87%
Community Health Choice MCD CHIPPerinatal $13.62 ↓ -87%
Community Health Choice MCD CHIP $13.62 ↓ -87%
Community Health Choice MCD STAR+PLUS $13.62 ↓ -87%
Amerigroup MCDCHIPBH $14.67 ↓ -86%
Amerigroup MGMCD $14.67 ↓ -86%
Texas Childrens Health Plans CHIP $18.44 ↓ -82%
United OptionsPPO $21.16 ↓ -80%
Texas Childrens Health Plans STAR $24.83 ↓ -76%
Texas Childrens Health Plans STARKIDS $24.83 ↓ -76%
Texas Workforce Commission WCOMP $25.14 ↓ -76%
Molina Healthcare HIX $28.29 ↓ -73%
CHC Harris Health Indigent $31.43 ↓ -70%
BCBS Traditional $36.67 ↓ -65%
HealthSmart Preferred Care ACCEL $45.05 ↓ -57%
United GlobalAppendix $47.15 ↓ -55%
Coventry National First Health COMM $55.84 ↓ -47%
Physicians Cooperative of Texas WC $57.62 ↓ -45%
Rockport Workers Comp COMM $57.62 ↓ -45%
Independent Medical System COMM $62.86 ↓ -40%
SouthWest Medical WORKERSCOMP $62.86 ↓ -40%
Beech Street WCOMP $62.86 ↓ -40%
Prime Health Services WORKERSCOMP $62.86 ↓ -40%
National Healthcare Solutions COMM $62.86 ↓ -40%
Coastal Comp COMM $68.10 ↓ -35%
Fiesta Mart, Inc COMM $78.58 ↓ -25%
Cigna Behavioral Health COMMBH $83.82 ↓ -20%
Beech Street COMMPPO $83.82 ↓ -20%
HealthSmart Preferred Care PPO $85.91 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $89.05 ↓ -15%
Physicians, INC COMM $89.05 ↓ -15%
Multiplan COMPLEMENTARYPPO $94.29 ↓ -10%
Affiliated PPO COMM $94.29 ↓ -10%

Visitor-reported prices

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Diphenhydramine 50 mg/ml injection (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $2.21 $0.75 – $6.30
Adventhealth Rollins Brook Lampasas $31.58 $2.66 – $2.66
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $158.76 $0.66 – $5.84
HCA HOUSTON MEDICAL CENTER Houston $51.16 $0.66 – $5.84
Covenant Children's Hospital Lubbock $56.70 $2.58 – $3.16
HCA HOUSTON KINGWOOD HUMBLE $49.40 $0.71 – $5.84
HCA HOUSTON NORTHWEST SPRING $44.83 $0.66 – $5.84
Baylor St Luke's Medical Center Houston $20.55 $0.62 – $54.04

All Texas hospitals for this procedure →