X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast 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.

$87.91 with Superior Health Plan vs $1,608.16 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.

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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 STARPLUS $87.91
Superior Health Plan CHIP $87.91
Superior Health Plan STARKids $87.91
Superior Health Plan STAR $87.91
Superior Health Plan CHPFC $87.91
Texas Health Network MCD $136.55
Amerigroup MGMCD $139.34
Texas Childrens Health Plans STARKIDS $139.34
Texas Childrens Health Plans STAR $139.34
Amerigroup MCDCHIPBH $139.34
Community Health Choice MCD CHIPPerinatal $141.68
Community Health Choice MCD CHIP $141.68
Community Health Choice MCD STAR+PLUS $141.68
Community Health Choice MCD STAR $141.68
United MGMCD $144.51
Aetna Better Health MGMCD $153.01
Molina Healthcare CHIP $153.27
Molina Healthcare STAR $153.27
Molina Healthcare STARKIDS $153.27
Molina Healthcare STARPLUS $153.27
Humana MCD $174.18
Texas Childrens Health Plans CHIP $257.88
United OptionsPPO $295.97
BCBS MyBlueHealth $320.71
United NarrowNetworkIndivExchange $339.25
Texas Workforce Commission WCOMP $351.65
Cigna CSN $361.43
Healthcare Highways NarrowNetwork $373.63
Cigna OpenAccessPlus $391.15
Evry Health BroadNetwork $400.00
United SmallGroup $401.74
United AllPayerAppendix $401.74
BCBS BAV $406.35
Cigna PPO $464.97
Imagine Health PPO $512.82
BCBS Traditional $512.82
Christus (USFHP) TRICARE $586.08
Curative Administrators COMM $586.08
Aetna QHPExchange $605.27
BCBS HMO $619.55
HealthSmart Preferred Care ACCEL $630.04
Averde Health Commercial $659.34
United GlobalAppendix $659.34
Fidelis SecureCare of TX MGMCR $659.34
BCBS EPOSOA $665.10
BCBS PPO $710.66
Multiplan SAVILITYNETWORK $732.60
Coventry National First Health COMM $780.95
Aetna NBHMO $804.46
Aetna NBPPO $804.46
Aetna NBPOS $804.46
Rockport Workers Comp COMM $805.86
Physicians Cooperative of Texas WC $805.86
Aetna COMMPOS $855.75
Aetna COMMHMO $855.75
Aetna COMMPPO $855.75
Prime Health Services WORKERSCOMP $879.12
Beech Street WCOMP $879.12
National Healthcare Solutions COMM $879.12
SouthWest Medical WORKERSCOMP $879.12
Independent Medical System COMM $879.12
Coastal Comp COMM $952.38
Aetna OONHMO $1,006.22
Aetna OONPPO $1,006.22
Aetna OONPOS $1,006.22
Aetna ASAPPO $1,087.43
Aetna ASAPOS $1,087.43
Aetna ASAHMO $1,087.43
Fiesta Mart, Inc COMM $1,098.90
Beech Street COMMPPO $1,172.16
Cigna Behavioral Health COMMBH $1,172.16
HealthSmart Preferred Care PPO $1,201.46
Physicians, INC COMM $1,245.42
HealthSmart Preferred Care ACCOUNTABLEPPO $1,245.42
Multiplan COMPLEMENTARYPPO $1,318.68
Affiliated PPO COMM $1,318.68
Humana PPO $1,608.16
Humana HMO $1,608.16

Visitor-reported prices

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X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $1,054.20 $132.37 – $2,259.00
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $657.77 $139.34 – $822.22
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $704.42 $144.99 – $1,056.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $665.87 $139.34 – $832.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $657.77 $139.34 – $822.22
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $704.42 $149.09 – $1,056.64
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $704.42 $139.34 – $1,056.64
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $665.87 $139.34 – $998.81

All Texas hospitals for this procedure →