Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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.

$1.04 with Superior Health Plan vs $33.21 with Humana — 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 $1.04
Superior Health Plan CHIP $1.04
Superior Health Plan CHPFC $1.04
Superior Health Plan STARPLUS $1.04
Superior Health Plan STAR $1.04
Community Health Choice MCD CHIPPerinatal $2.25
Community Health Choice MCD CHIP $2.25
Community Health Choice MCD STAR+PLUS $2.25
Community Health Choice MCD STAR $2.25
Amerigroup MGMCD $2.42
Amerigroup MCDCHIPBH $2.42
Texas Childrens Health Plans CHIP $3.05
United OptionsPPO $3.50
Christus (USFHP) TRICARE $3.51
Texas Childrens Health Plans STAR $4.10
Texas Childrens Health Plans STARKIDS $4.10
Texas Workforce Commission WCOMP $4.15
Molina Healthcare HIX $4.67
BCBS MyBlueHealth $5.04
CHC Harris Health Indigent $5.19
BCBS BAV $5.55
BCBS Traditional $6.06
United SmallGroup $6.34
United NarrowNetworkIndivExchange $6.34
United AllPayerAppendix $6.34
BCBS HMO $6.94
BCBS PPO $6.94
BCBS EPOSOA $6.94
HealthSmart Preferred Care ACCEL $7.44
United GlobalAppendix $7.79
Coventry National First Health COMM $9.23
Rockport Workers Comp COMM $9.52
Physicians Cooperative of Texas WC $9.52
Cigna CSN $9.56
Cigna OpenAccessPlus $10.35
Prime Health Services WORKERSCOMP $10.39
Independent Medical System COMM $10.39
Beech Street WCOMP $10.39
National Healthcare Solutions COMM $10.39
SouthWest Medical WORKERSCOMP $10.39
Coastal Comp COMM $11.25
Cigna PPO $12.32
Fiesta Mart, Inc COMM $12.98
Beech Street COMMPPO $13.85
Cigna Behavioral Health COMMBH $13.85
HealthSmart Preferred Care PPO $14.19
Physicians, INC COMM $14.71
HealthSmart Preferred Care ACCOUNTABLEPPO $14.71
Affiliated PPO COMM $15.58
Multiplan COMPLEMENTARYPPO $15.58
Humana PPO $33.21
Humana HMO $33.21

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $202.68 $9.89 – $9.89
HCA HOUSTON MEDICAL CENTER Houston $42.83 $3.51 – $33.21
Covenant Children's Hospital Lubbock $527.91 $9.61 – $16.99
HCA HOUSTON KINGWOOD HUMBLE $104.89 $3.84 – $33.21
HCA HOUSTON NORTHWEST SPRING $40.63 $3.51 – $33.21
Baylor St Luke's Medical Center Houston $113.50 $2.31 – $56.62
St. Luke's Health Memorial Lufkin Lufkin $297.73 $5.50 – $135.36
HCA HOUSTON PEARLAND Pearland $718.16 $3.51 – $33.21

All Texas hospitals for this procedure →