Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr 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 $15.58 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.

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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 CHIP $1.04
Superior Health Plan STARPLUS $1.04
Superior Health Plan STARKids $1.04
Superior Health Plan STAR $1.04
Superior Health Plan CHPFC $1.04
Christus (USFHP) TRICARE $1.13
United SmallGroup $1.78
United NarrowNetworkIndivExchange $1.78
United AllPayerAppendix $1.78
Community Health Choice MCD STAR $2.25
Community Health Choice MCD CHIP $2.25
Community Health Choice MCD CHIPPerinatal $2.25
Community Health Choice MCD STAR+PLUS $2.25
Amerigroup MCDCHIPBH $2.42
Cigna CSN $2.42
Amerigroup MGMCD $2.42
Cigna OpenAccessPlus $2.62
BCBS MyBlueHealth $2.98
Texas Childrens Health Plans CHIP $3.05
Cigna PPO $3.12
BCBS BAV $3.28
United OptionsPPO $3.50
Texas Childrens Health Plans STAR $4.10
Texas Childrens Health Plans STARKIDS $4.10
BCBS PPO $4.10
BCBS HMO $4.10
BCBS EPOSOA $4.10
Texas Workforce Commission WCOMP $4.15
Molina Healthcare HIX $4.67
CHC Harris Health Indigent $5.19
BCBS Traditional $6.06
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
SouthWest Medical WORKERSCOMP $10.39
Prime Health Services WORKERSCOMP $10.39
Independent Medical System COMM $10.39
Beech Street WCOMP $10.39
National Healthcare Solutions COMM $10.39
Coastal Comp COMM $11.25
Humana HMO $11.30
Humana PPO $11.30
Fiesta Mart, Inc COMM $12.98
Beech Street COMMPPO $13.85
Cigna Behavioral Health COMMBH $13.85
HealthSmart Preferred Care PPO $14.19
HealthSmart Preferred Care ACCOUNTABLEPPO $14.71
Physicians, INC COMM $14.71
Multiplan COMPLEMENTARYPPO $15.58
Affiliated PPO COMM $15.58

Visitor-reported prices

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Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $4.05 $1.47 – $11.55
Adventhealth Rollins Brook Lampasas $53.91 $5.85 – $5.85
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $7.92 $1.05 – $6.33
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $7.92 $0.92 – $6.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $7.92 $0.89 – $5.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $7.92 $1.05 – $6.33
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $7.92 $1.05 – $6.71
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $7.92 $1.05 – $6.71

All Texas hospitals for this procedure →