Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr at HCA HOUSTON NORTHWEST

621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121

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.

$0.42 with Superior Health Plan vs $3.74 with Coventry National First Health — 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 $0.42
Superior Health Plan STAR $0.42
Superior Health Plan STARKids $0.42
Superior Health Plan STARPLUS $0.42
Superior Health Plan CHPFC $0.42
Christus (USFHP) TRICARE $0.57
TriWest Health Alliance TRCR $0.57
United NarrowNetworkIndivExchange $0.59
United AllPayerAppendix $0.59
United SmallGroup $0.59
Community Health Choice MCD STAR $0.91
Community Health Choice MCD CHIPPerinatal $0.91
Community Health Choice MCD STAR+PLUS $0.91
Community Health Choice MCD CHIP $0.91
Texas Childrens Health Plans CHIP $1.16
United OptionsPPO $1.18
Superior HMO $1.23
Superior EPO $1.23
Superior ValueHMO $1.39
BCBS MyBlueHealth $1.45
Cigna CSN $1.48
Cigna OpenAccessPlus $1.60
Texas Childrens Health Plans STARKIDS $1.66
Texas Childrens Health Plans STAR $1.66
Molina Healthcare HIX $1.89
Cigna PPO $1.90
BCBS HMO $2.00
BCBS PPO $2.00
BCBS EPOSOA $2.00
Humana PPO $2.24
Humana HMO $2.24
BCBS Traditional $2.45
BCBS BAV $2.49
United GlobalAppendix $3.15
Coventry National First Health COMM $3.74

Visitor-reported prices

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Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $57.12 $2.85 – $2.85
Covenant Children's Hospital Lubbock $56.70 $2.13 – $2.77
St. Luke's Health Memorial Lufkin Lufkin $23.78 $5.46 – $33.42
St. Luke's Health Memorial Livingston Livingston $23.78 $5.46 – $33.42
Covenant Medical Center Lubbock $56.70 $2.13 – $2.77
St. Luke's Health Memorial San Augustine San Augustine $23.78 $5.46 – $33.42
Covenant Hospital Plainview Plainview $56.70 $2.75 – $2.75
Texas Health Hospital Mansfield Mansfield $51.77 $0.98 – $0.98

All Texas hospitals for this procedure →