X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$5,380.48

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.

$5,380.48

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.

$76.63 with Texas Health Network vs $4,842.43 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 Health Network MCD $76.63 ↓ -99%
Community Health Choice MCD STAR $77.19 ↓ -99%
Community Health Choice MCD CHIPPerinatal $77.19 ↓ -99%
Community Health Choice MCD CHIP $77.19 ↓ -99%
Community Health Choice MCD STAR+PLUS $77.19 ↓ -99%
Texas Childrens Health Plans STARKIDS $78.19 ↓ -99%
Texas Childrens Health Plans STAR $78.19 ↓ -99%
Amerigroup MGMCD $78.19 ↓ -99%
Amerigroup MCDCHIPBH $78.19 ↓ -99%
United MGMCD $78.73 ↓ -99%
BCBS MyBlueHealth $81.82 ↓ -98%
Aetna Better Health MGMCD $83.37 ↓ -98%
Molina Healthcare STARPLUS $86.01 ↓ -98%
Molina Healthcare STARKIDS $86.01 ↓ -98%
Molina Healthcare STAR $86.01 ↓ -98%
Molina Healthcare CHIP $86.01 ↓ -98%
Humana MCD $97.74 ↓ -98%
BCBS BAV $103.67 ↓ -98%
BCBS HMO $158.07 ↓ -97%
BCBS EPOSOA $169.69 ↓ -97%
BCBS PPO $181.31 ↓ -97%
Cigna CSN $192.72 ↓ -96%
Cigna OpenAccessPlus $208.57 ↓ -96%
Cigna PPO $247.93 ↓ -95%
Aetna QHPExchange $312.44 ↓ -94%
Superior Health Plan STARKids $322.83 ↓ -94%
Superior Health Plan CHIP $322.83 ↓ -94%
Superior Health Plan CHPFC $322.83 ↓ -94%
Superior Health Plan STAR $322.83 ↓ -94%
Superior Health Plan STARPLUS $322.83 ↓ -94%
Aetna NBPOS $415.26 ↓ -92%
Aetna NBHMO $415.26 ↓ -92%
Aetna NBPPO $415.26 ↓ -92%
Aetna COMMPPO $441.74 ↓ -92%
Aetna COMMHMO $441.74 ↓ -92%
Aetna COMMPOS $441.74 ↓ -92%
Aetna OONHMO $519.41 ↓ -90%
Aetna OONPOS $519.41 ↓ -90%
Aetna OONPPO $519.41 ↓ -90%
Aetna ASAHMO $561.33 ↓ -90%
Aetna ASAPOS $561.33 ↓ -90%
Aetna ASAPPO $561.33 ↓ -90%
United NarrowNetworkIndivExchange $699.43 ↓ -87%
United SmallGroup $828.27 ↓ -85%
United AllPayerAppendix $828.27 ↓ -85%
Texas Childrens Health Plans CHIP $946.96 ↓ -82%
United OptionsPPO $1,086.86 ↓ -80%
Texas Workforce Commission WCOMP $1,291.32 ↓ -76%
Healthcare Highways NarrowNetwork $1,372.02 ↓ -75%
Evry Health BroadNetwork $1,468.87 ↓ -73%
BCBS Traditional $1,883.17 ↓ -65%
Imagine Health PPO $1,883.17 ↓ -65%
Humana PPO $2,114.53 ↓ -61%
Humana HMO $2,114.53 ↓ -61%
Christus (USFHP) TRICARE $2,152.19 ↓ -60%
Curative Administrators COMM $2,152.19 ↓ -60%
HealthSmart Preferred Care ACCEL $2,313.61 ↓ -57%
Fidelis SecureCare of TX MGMCR $2,421.22 ↓ -55%
Averde Health Commercial $2,421.22 ↓ -55%
United GlobalAppendix $2,421.22 ↓ -55%
Multiplan SAVILITYNETWORK $2,690.24 ↓ -50%
Coventry National First Health COMM $2,867.80 ↓ -47%
Rockport Workers Comp COMM $2,959.26 ↓ -45%
Physicians Cooperative of Texas WC $2,959.26 ↓ -45%
Prime Health Services WORKERSCOMP $3,228.29 ↓ -40%
Beech Street WCOMP $3,228.29 ↓ -40%
SouthWest Medical WORKERSCOMP $3,228.29 ↓ -40%
National Healthcare Solutions COMM $3,228.29 ↓ -40%
Independent Medical System COMM $3,228.29 ↓ -40%
Coastal Comp COMM $3,497.31 ↓ -35%
Fiesta Mart, Inc COMM $4,035.36 ↓ -25%
Cigna Behavioral Health COMMBH $4,304.38 ↓ -20%
Beech Street COMMPPO $4,304.38 ↓ -20%
HealthSmart Preferred Care PPO $4,411.99 ↓ -18%
Physicians, INC COMM $4,573.41 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $4,573.41 ↓ -15%
Multiplan COMPLEMENTARYPPO $4,842.43 ↓ -10%
Affiliated PPO COMM $4,842.43 ↓ -10%

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $1,772.09 $65.55 – $3,797.33
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $719.37 $78.19 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $849.37 $156.21 – $1,274.05
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $782.02 $78.19 – $977.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $719.37 $78.19 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $849.37 $83.66 – $1,274.05
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $849.37 $78.19 – $1,274.05
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $782.02 $78.19 – $1,173.02

All Texas hospitals for this procedure →