Revasc intra lithotrip-ather 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

$40,068.29

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.

$40,068.29

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.

$300.00 with Texas Athletic Network vs $36,061.46 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
Texas Athletic Network Premier $300.00 ↓ -99%
Texas Athletic Network PremierPlus $500.00 ↓ -99%
Texas Athletic Network TexasCustomUC $600.00 ↓ -99%
Aetna QHPExchange $2,370.00 ↓ -94%
Superior Health Plan STARPLUS $2,404.10 ↓ -94%
Superior Health Plan CHIP $2,404.10 ↓ -94%
Superior Health Plan CHPFC $2,404.10 ↓ -94%
Superior Health Plan STAR $2,404.10 ↓ -94%
Superior Health Plan STARKids $2,404.10 ↓ -94%
Aetna NBHMO $3,148.00 ↓ -92%
Aetna NBPOS $3,148.00 ↓ -92%
Aetna COMMPOS $3,345.00 ↓ -92%
Aetna COMMHMO $3,345.00 ↓ -92%
Aetna NBPPO $3,388.00 ↓ -92%
Aetna COMMPPO $3,601.00 ↓ -91%
Aetna OONPOS $3,934.00 ↓ -90%
Aetna OONHMO $3,934.00 ↓ -90%
Aetna OONPPO $4,237.00 ↓ -89%
Aetna ASAHMO $4,250.00 ↓ -89%
Aetna ASAPOS $4,250.00 ↓ -89%
Aetna ASAPPO $4,577.00 ↓ -89%
Humana PPO $4,690.00 ↓ -88%
Humana HMO $4,690.00 ↓ -88%
Community Health Choice MCD STAR+PLUS $5,208.88 ↓ -87%
Community Health Choice MCD CHIP $5,208.88 ↓ -87%
Community Health Choice MCD CHIPPerinatal $5,208.88 ↓ -87%
Community Health Choice MCD STAR $5,208.88 ↓ -87%
Amerigroup MGMCD $5,609.56 ↓ -86%
Amerigroup MCDCHIPBH $5,609.56 ↓ -86%
BCBS MyBlueHealth $6,531.13 ↓ -84%
Texas Childrens Health Plans CHIP $7,052.02 ↓ -82%
BCBS BAV $7,212.29 ↓ -82%
Oscar HIX $7,813.32 ↓ -80%
United OptionsPPO $8,093.79 ↓ -80%
BCBS HMO $9,015.37 ↓ -77%
BCBS EPOSOA $9,215.71 ↓ -77%
Texas Childrens Health Plans STAR $9,496.18 ↓ -76%
Texas Childrens Health Plans STARKIDS $9,496.18 ↓ -76%
Texas Workforce Commission WCOMP $9,616.39 ↓ -76%
Curative Administrators COMM $9,875.00 ↓ -75%
Healthcare Highways NarrowNetwork $10,217.41 ↓ -75%
Cigna CSN $10,740.00 ↓ -73%
Evry Health BroadNetwork $10,938.64 ↓ -73%
United SmallGroup $11,200.00 ↓ -72%
Cigna OpenAccessPlus $11,636.00 ↓ -71%
Cigna PPO $13,835.00 ↓ -65%
BCBS Traditional $14,023.90 ↓ -65%
United NarrowNetworkIndivExchange $15,678.00 ↓ -61%
United AllPayerAppendix $16,000.00 ↓ -60%
Christus (USFHP) TRICARE $16,027.32 ↓ -60%
HealthSmart Preferred Care ACCEL $17,229.36 ↓ -57%
United GlobalAppendix $18,030.73 ↓ -55%
Fidelis SecureCare of TX MGMCR $18,030.73 ↓ -55%
Multiplan SAVILITYNETWORK $20,034.15 ↓ -50%
Coventry National First Health COMM $21,356.40 ↓ -47%
Rockport Workers Comp COMM $22,037.56 ↓ -45%
Physicians Cooperative of Texas WC $22,037.56 ↓ -45%
BCBS PPO $22,393.16 ↓ -44%
Beech Street WCOMP $24,040.97 ↓ -40%
Prime Health Services WORKERSCOMP $24,040.97 ↓ -40%
National Healthcare Solutions COMM $24,040.97 ↓ -40%
SouthWest Medical WORKERSCOMP $24,040.97 ↓ -40%
Independent Medical System COMM $24,040.97 ↓ -40%
Coastal Comp COMM $26,044.39 ↓ -35%
Fiesta Mart, Inc COMM $30,051.22 ↓ -25%
Beech Street COMMPPO $32,054.63 ↓ -20%
Cigna Behavioral Health COMMBH $32,054.63 ↓ -20%
HealthSmart Preferred Care PPO $32,856.00 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $34,058.05 ↓ -15%
Physicians, INC COMM $34,058.05 ↓ -15%
Multiplan COMPLEMENTARYPPO $36,061.46 ↓ -10%
Affiliated PPO COMM $36,061.46 ↓ -10%

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Revasc intra lithotrip-ather at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $13,792.12 $2,620.51 – $29,554.53
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28,802.66 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,250.53 $3,850.11 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28,802.66 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $27,304.92 $14,096.00 – $43,439.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $19,250.53 $5,388.00 – $43,439.01

All Texas hospitals for this procedure →