Levothyroxine 100 mcg intravenous powder for solution 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

$17.31

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.

$17.31

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 $28.73 with BCBS — 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 CHIP $1.04 ↓ -94%
Superior Health Plan STARPLUS $1.04 ↓ -94%
Superior Health Plan STARKids $1.04 ↓ -94%
Superior Health Plan STAR $1.04 ↓ -94%
Superior Health Plan CHPFC $1.04 ↓ -94%
Community Health Choice MCD CHIP $2.25 ↓ -87%
Community Health Choice MCD STAR+PLUS $2.25 ↓ -87%
Community Health Choice MCD STAR $2.25 ↓ -87%
Community Health Choice MCD CHIPPerinatal $2.25 ↓ -87%
Amerigroup MGMCD $2.42 ↓ -86%
Amerigroup MCDCHIPBH $2.42 ↓ -86%
Texas Childrens Health Plans CHIP $3.05 ↓ -82%
United OptionsPPO $3.50 ↓ -80%
Texas Childrens Health Plans STAR $4.10 ↓ -76%
Texas Childrens Health Plans STARKIDS $4.10 ↓ -76%
Texas Workforce Commission WCOMP $4.15 ↓ -76%
Molina Healthcare HIX $4.67 ↓ -73%
CHC Harris Health Indigent $5.19 ↓ -70%
Humana PPO $5.52 ↓ -68%
Humana HMO $5.52 ↓ -68%
BCBS Traditional $6.06 ↓ -65%
Christus (USFHP) TRICARE $7.26 ↓ -58%
HealthSmart Preferred Care ACCEL $7.44 ↓ -57%
United GlobalAppendix $7.79 ↓ -55%
Coventry National First Health COMM $9.23 ↓ -47%
Physicians Cooperative of Texas WC $9.52 ↓ -45%
Rockport Workers Comp COMM $9.52 ↓ -45%
United SmallGroup $9.87 ↓ -43%
United AllPayerAppendix $9.87 ↓ -43%
United NarrowNetworkIndivExchange $9.87 ↓ -43%
Beech Street WCOMP $10.39 ↓ -40%
Independent Medical System COMM $10.39 ↓ -40%
Prime Health Services WORKERSCOMP $10.39 ↓ -40%
National Healthcare Solutions COMM $10.39 ↓ -40%
SouthWest Medical WORKERSCOMP $10.39 ↓ -40%
Coastal Comp COMM $11.25 ↓ -35%
Fiesta Mart, Inc COMM $12.98 ↓ -25%
Cigna Behavioral Health COMMBH $13.85 ↓ -20%
Beech Street COMMPPO $13.85 ↓ -20%
HealthSmart Preferred Care PPO $14.19 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $14.71 ↓ -15%
Physicians, INC COMM $14.71 ↓ -15%
Multiplan COMPLEMENTARYPPO $15.58 ↓ -10%
Affiliated PPO COMM $15.58 ↓ -10%
Cigna CSN $18.63 ↑ +8%
Cigna OpenAccessPlus $20.17 ↑ +17%
BCBS MyBlueHealth $20.85 ↑ +20%
BCBS BAV $22.98 ↑ +33%
Cigna PPO $24.02 ↑ +39%
BCBS HMO $28.73 ↑ +66%
BCBS EPOSOA $28.73 ↑ +66%
BCBS PPO $28.73 ↑ +66%

Visitor-reported prices

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Levothyroxine 100 mcg intravenous powder for solution at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $1,196.39 $26.94 – $26.94
HCA HOUSTON KINGWOOD HUMBLE $546.36 $5.98 – $20.85
Baylor St Luke's Medical Center Houston $187.29 $26.25 – $119.28
St. Joseph Health Madison Hospital Madisonville $52.78 $38.43 – $301.58
St. Luke's Health - Springwoods Village Hospital Spring $187.29 $26.25 – $119.28
St. Luke's Health - Sugar Land Hospital Sugar Land $187.29 $26.25 – $119.28
St. Joseph Health College Station Hospital College Station $52.78 $51.27 – $301.58
St. Luke's Health - Lakeside Hospital The Woodlands $187.29 $26.25 – $119.28

All Texas hospitals for this procedure →