Doxycycline hyclate 100 mg intravenous powder for solution 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

$304.64

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.

$304.64

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.

$0.12 with TriWest Health Alliance vs $162.37 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
TriWest Health Alliance TRCR $0.12 ↓ -100%
Christus (USFHP) TRICARE $0.12 ↓ -100%
United SmallGroup $0.17 ↓ -100%
United AllPayerAppendix $0.17 ↓ -100%
United NarrowNetworkIndivExchange $0.17 ↓ -100%
BCBS MyBlueHealth $0.25 ↓ -100%
Cigna CSN $0.29 ↓ -100%
Cigna OpenAccessPlus $0.31 ↓ -100%
BCBS PPO $0.35 ↓ -100%
BCBS EPOSOA $0.35 ↓ -100%
BCBS HMO $0.35 ↓ -100%
Cigna PPO $0.37 ↓ -100%
BCBS BAV $0.44 ↓ -100%
Superior Health Plan CHPFC $18.28 ↓ -94%
Superior Health Plan STARKids $18.28 ↓ -94%
Superior Health Plan STARPLUS $18.28 ↓ -94%
Superior Health Plan CHIP $18.28 ↓ -94%
Superior Health Plan STAR $18.28 ↓ -94%
Community Health Choice MCD CHIPPerinatal $39.60 ↓ -87%
Community Health Choice MCD STAR $39.60 ↓ -87%
Community Health Choice MCD STAR+PLUS $39.60 ↓ -87%
Community Health Choice MCD CHIP $39.60 ↓ -87%
Texas Childrens Health Plans CHIP $50.57 ↓ -83%
United OptionsPPO $51.18 ↓ -83%
Texas Childrens Health Plans STARKIDS $72.20 ↓ -76%
Texas Childrens Health Plans STAR $72.20 ↓ -76%
Molina Healthcare HIX $82.25 ↓ -73%
Humana HMO $97.21 ↓ -68%
Humana PPO $97.21 ↓ -68%
BCBS Traditional $106.62 ↓ -65%
United GlobalAppendix $137.09 ↓ -55%
Coventry National First Health COMM $162.37 ↓ -47%

Visitor-reported prices

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Doxycycline hyclate 100 mg intravenous powder for solution at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $133.38 $0.12 – $0.29
Covenant Children's Hospital Lubbock $171.75 $0.41 – $0.41
HCA HOUSTON PEARLAND Pearland $533.53 $0.12 – $0.29
HCA HOUSTON SOUTHEAST PASADENA $103.23 $0.12 – $0.29
Covenant Medical Center Lubbock $171.75 $0.41 – $0.41
HCA HOUSTON TOMBALL HOUSTON $133.38 $0.12 – $0.29
Covenant Hospital Plainview Plainview $171.75 not published
Covenant Hospital Levelland Levelland $171.75 not published

All Texas hospitals for this procedure →