Fibrinolytic plasminogen xcpt antgnc asa 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

$47.44

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.

$47.44

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.

$2.85 with Superior Health Plan vs $87.21 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 CHIP $2.85 ↓ -94%
Superior Health Plan STAR $2.85 ↓ -94%
Superior Health Plan STARKids $2.85 ↓ -94%
Superior Health Plan STARPLUS $2.85 ↓ -94%
Superior Health Plan CHPFC $2.85 ↓ -94%
Texas Childrens Health Plans STARKIDS $5.49 ↓ -88%
Community Health Choice MCD CHIP $5.49 ↓ -88%
Community Health Choice MCD CHIPPerinatal $5.49 ↓ -88%
Community Health Choice MCD STAR $5.49 ↓ -88%
Community Health Choice MCD STAR+PLUS $5.49 ↓ -88%
Texas Childrens Health Plans STAR $5.49 ↓ -88%
United MGMCD $5.60 ↓ -88%
Aetna Better Health MGMCD $5.93 ↓ -88%
Molina Healthcare STAR $6.04 ↓ -87%
Molina Healthcare STARKIDS $6.04 ↓ -87%
Molina Healthcare STARPLUS $6.04 ↓ -87%
Molina Healthcare CHIP $6.04 ↓ -87%
TriWest Healthcare Alliance VeteransPCCC $6.40 ↓ -87%
Oscar MGMCR $6.40 ↓ -87%
BCBS MCRPPO $6.53 ↓ -86%
United SmallGroup $6.53 ↓ -86%
United AllPayerAppendix $6.53 ↓ -86%
United NarrowNetworkIndivExchange $6.53 ↓ -86%
Humana MedicareAdvantageHMO $6.53 ↓ -86%
Humana MedicareAdvantagePPOPFFS $6.53 ↓ -86%
BCBS MedicareAdvantageHMO $6.53 ↓ -86%
Cigna HealthSpring MMP $6.53 ↓ -86%
Cigna HealthSpring PFFS $6.53 ↓ -86%
Cigna HealthSpring MCRSNP $6.53 ↓ -86%
Cigna HealthSpring MCRPPO $6.53 ↓ -86%
Cigna HealthSpring MCRHMO $6.53 ↓ -86%
Devoted Health MGMCR $6.53 ↓ -86%
WellMed MGMCR $6.56 ↓ -86%
Van Lang IPA MCR $6.60 ↓ -86%
United MCR $6.66 ↓ -86%
WellCare POS $6.73 ↓ -86%
Integranet Amerigroup IPA MCR $6.73 ↓ -86%
WellCare PPO $6.73 ↓ -86%
WellCare SNP $6.73 ↓ -86%
WellCare PFFS $6.73 ↓ -86%
WellCare MCRHMO $6.73 ↓ -86%
Superior Health Plan MCRPPO $6.86 ↓ -86%
Humana MCD $6.86 ↓ -86%
American Health Plan MGMCR $6.86 ↓ -86%
Superior Health Plan DualEligible $6.86 ↓ -86%
Superior Health Plan MCRHMO $6.86 ↓ -86%
Superior Health Plan MCRPOS $6.86 ↓ -86%
Superior Health Plan MCRSNP $6.86 ↓ -86%
Superior Health Plan PFFS $6.86 ↓ -86%
ProCare Advantage MGMCR $6.86 ↓ -86%
Shared Health MGMCR $6.86 ↓ -86%
Provider Partners Health Plan of Texas PPO $6.92 ↓ -85%
Provider Partners Health Plan of Texas PFFS $6.92 ↓ -85%
Provider Partners Health Plan of Texas MCRHMO $6.92 ↓ -85%
Provider Partners Health Plan of Texas POS $6.92 ↓ -85%
Provider Partners Health Plan of Texas SNP $6.92 ↓ -85%
Christus (USFHP) TRICARE $7.07 ↓ -85%
TriWest Health Alliance TRCR $7.07 ↓ -85%
Molina MGMCR $7.12 ↓ -85%
Texas Childrens Health Plans CHIP $7.88 ↓ -83%
United OptionsPPO $7.97 ↓ -83%
Verda Health Plan MCR $8.49 ↓ -82%
Community Health Choice HIX $9.47 ↓ -80%
Superior ValueHMO $9.47 ↓ -80%
Superior EPO $10.12 ↓ -79%
Superior HMO $10.12 ↓ -79%
Evry Health BroadNetwork $12.95 ↓ -73%
BCBS MyBlueHealth $13.19 ↓ -72%
Molina Healthcare HIX $14.04 ↓ -70%
BCBS BAV $14.56 ↓ -69%
BCBS Traditional $16.60 ↓ -65%
BCBS HMO $18.22 ↓ -62%
Oscar HIX $18.87 ↓ -60%
BCBS EPOSOA $19.52 ↓ -59%
TriWest Healthcare Alliance Veterans $19.59 ↓ -59%
Healthcare Highways NarrowNetwork $19.59 ↓ -59%
BCBS PPO $20.83 ↓ -56%
United GlobalAppendix $21.35 ↓ -55%
Aetna QHPExchange $23.91 ↓ -50%
Coventry National First Health COMM $25.29 ↓ -47%
Cigna CSN $26.50 ↓ -44%
Cigna OpenAccessPlus $28.70 ↓ -40%
Aetna NBHMO $31.79 ↓ -33%
Aetna NBPOS $31.79 ↓ -33%
Aetna NBPPO $31.79 ↓ -33%
Aetna COMMHMO $33.78 ↓ -29%
Aetna COMMPPO $33.78 ↓ -29%
Aetna COMMPOS $33.78 ↓ -29%
Cigna PPO $34.15 ↓ -28%
Aetna OONPPO $39.68 ↓ -16%
Aetna OONHMO $39.68 ↓ -16%
Aetna OONPOS $39.68 ↓ -16%
Aetna ASAPOS $42.90 ↓ -10%
Aetna ASAPPO $42.90 ↓ -10%
Aetna ASAHMO $42.90 ↓ -10%
Humana HMO $87.21 ↑ +84%
Humana PPO $87.21 ↑ +84%
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Fibrinolytic plasminogen xcpt antgnc asa at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Springwoods Village Hospital Spring $23.80 $4.70 – $68.00
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $163.27 $5.49 – $204.08
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $102.65 $9.58 – $153.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $77.50 $5.49 – $96.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $163.27 $5.49 – $204.08
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $102.65 $5.87 – $153.97
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $102.65 $5.49 – $153.97
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $77.50 $5.49 – $116.25

All Texas hospitals for this procedure →