Caffeine citrate 20 mg/ml inj for po 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

$17.86

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.

$17.86

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.

$1.07 with Superior Health Plan vs $14.90 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.

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 STAR $1.07 ↓ -94%
Superior Health Plan STARKids $1.07 ↓ -94%
Superior Health Plan STARPLUS $1.07 ↓ -94%
Superior Health Plan CHIP $1.07 ↓ -94%
Superior Health Plan CHPFC $1.07 ↓ -94%
Community Health Choice MCD CHIPPerinatal $2.32 ↓ -87%
Community Health Choice MCD CHIP $2.32 ↓ -87%
Community Health Choice MCD STAR+PLUS $2.32 ↓ -87%
Community Health Choice MCD STAR $2.32 ↓ -87%
BCBS MyBlueHealth $2.70 ↓ -85%
Texas Childrens Health Plans CHIP $2.96 ↓ -83%
Cigna CSN $2.98 ↓ -83%
United OptionsPPO $3.00 ↓ -83%
Cigna OpenAccessPlus $3.22 ↓ -82%
United NarrowNetworkIndivExchange $3.35 ↓ -81%
United AllPayerAppendix $3.35 ↓ -81%
United SmallGroup $3.35 ↓ -81%
BCBS HMO $3.73 ↓ -79%
BCBS PPO $3.73 ↓ -79%
BCBS EPOSOA $3.73 ↓ -79%
Cigna PPO $3.84 ↓ -78%
Texas Childrens Health Plans STARKIDS $4.23 ↓ -76%
Texas Childrens Health Plans STAR $4.23 ↓ -76%
BCBS BAV $4.65 ↓ -74%
Molina Healthcare HIX $4.82 ↓ -73%
BCBS Traditional $6.25 ↓ -65%
Christus (USFHP) TRICARE $7.14 ↓ -60%
United GlobalAppendix $8.04 ↓ -55%
Coventry National First Health COMM $9.52 ↓ -47%
Humana PPO $14.90 ↓ -17%
Humana HMO $14.90 ↓ -17%

Visitor-reported prices

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Caffeine citrate 20 mg/ml inj for po at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Springwoods Village Hospital Spring $35.31 $1.28 – $5.80
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $335.66 $2.70 – $14.90
HCA HOUSTON MEDICAL CENTER Houston $429.49 $2.70 – $14.90
Covenant Children's Hospital Lubbock $60.50 $5.16 – $8.51
Baylor St Luke's Medical Center Houston $35.31 $1.24 – $5.80
St. Joseph Health Madison Hospital Madisonville $3.71 $0.60 – $4.23
St. Luke's Health Memorial Lufkin Lufkin $36.02 $1.72 – $56.52
HCA HOUSTON PEARLAND Pearland $110.87 $2.70 – $14.90

All Texas hospitals for this procedure →