Inj, pedmark, 100 mg at HCA HOUSTON SOUTHEAST
6002 FAIRMONT PKWY, PASADENA, TX · HCA Houston Healthcare · · NPI 1174576698
not published by hospital
Cash price 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 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.
$1.95 with Superior Health Plan vs $290.66 with Cigna — 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 →
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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 ?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 ?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 | CHIP | $1.95 | — |
| Superior Health Plan | STARPLUS | $1.95 | — |
| Superior Health Plan | STARKids | $1.95 | — |
| Superior Health Plan | STAR | $1.95 | — |
| Superior Health Plan | CHPFC | $1.95 | — |
| Community Health Choice MCD | CHIP | $4.23 | — |
| Community Health Choice MCD | STAR+PLUS | $4.23 | — |
| Community Health Choice MCD | STAR | $4.23 | — |
| Community Health Choice MCD | CHIPPerinatal | $4.23 | — |
| Amerigroup | MCDCHIPBH | $4.55 | — |
| Amerigroup | MGMCD | $4.55 | — |
| Texas Childrens Health Plans | CHIP | $5.73 | — |
| United | OptionsPPO | $6.57 | — |
| Texas Childrens Health Plans | STAR | $7.71 | — |
| Texas Childrens Health Plans | STARKIDS | $7.71 | — |
| Texas Workforce Commission | WCOMP | $7.81 | — |
| Humana | PPO | $10.38 | — |
| Humana | HMO | $10.38 | — |
| BCBS | Traditional | $11.39 | — |
| Christus (USFHP) | TRICARE | $13.01 | — |
| HealthSmart Preferred Care | ACCEL | $13.99 | — |
| United | GlobalAppendix | $14.64 | — |
| Coventry National First Health | COMM | $17.34 | — |
| Physicians Cooperative of Texas | WC | $17.89 | — |
| Rockport Workers Comp | COMM | $17.89 | — |
| Beech Street | WCOMP | $19.52 | — |
| Independent Medical System | COMM | $19.52 | — |
| Prime Health Services | WORKERSCOMP | $19.52 | — |
| National Healthcare Solutions | COMM | $19.52 | — |
| SouthWest Medical | WORKERSCOMP | $19.52 | — |
| Coastal Comp | COMM | $21.14 | — |
| Fiesta Mart, Inc | COMM | $24.40 | — |
| Beech Street | COMMPPO | $26.02 | — |
| Cigna Behavioral Health | COMMBH | $26.02 | — |
| HealthSmart Preferred Care | PPO | $26.67 | — |
| Physicians, INC | COMM | $27.65 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $27.65 | — |
| Affiliated PPO | COMM | $29.28 | — |
| Multiplan | COMPLEMENTARYPPO | $29.28 | — |
| United | NarrowNetworkIndivExchange | $158.52 | — |
| United | AllPayerAppendix | $158.52 | — |
| United | SmallGroup | $158.52 | — |
| BCBS | MyBlueHealth | $178.30 | — |
| BCBS | BAV | $196.50 | — |
| Cigna | CSN | $225.45 | — |
| Cigna | OpenAccessPlus | $244.08 | — |
| BCBS | HMO | $245.62 | — |
| BCBS | PPO | $245.62 | — |
| BCBS | EPOSOA | $245.62 | — |
| Cigna | PPO | $290.66 | — |
Visitor-reported prices
Comments
Inj, pedmark, 100 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $14.18 | $10.32 – $81.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $6.19 | $9.74 – $38.95 |
| St. Joseph Health College Station Hospital | College Station | $14.18 | $39.69 – $81.00 |
| St. Joseph Health Grimes Hospital | Navasota | $14.18 | $29.38 – $89.91 |
| St. Luke's Health Memorial Livingston | Livingston | $6.19 | $8.57 – $38.95 |
| St. Luke's Health Memorial San Augustine | San Augustine | $6.19 | $7.02 – $40.51 |
| St. Joseph Health Burleson Hospital | Caldwell | $14.18 | $17.82 – $81.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $350.23 – $350.23 |