Hydroxyzine pamoate 25 mg capsule 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

$33.62

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.

$33.62

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.

$0.08 with BCBS vs $17.92 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
BCBS MyBlueHealth $0.08 ↓ -100%
BCBS HMO $0.11 ↓ -100%
BCBS EPOSOA $0.11 ↓ -100%
BCBS PPO $0.11 ↓ -100%
BCBS BAV $0.13 ↓ -100%
Cigna CSN $0.24 ↓ -99%
Cigna OpenAccessPlus $0.26 ↓ -99%
Cigna PPO $0.31 ↓ -99%
Superior Health Plan CHPFC $2.02 ↓ -94%
Superior Health Plan STAR $2.02 ↓ -94%
Superior Health Plan STARKids $2.02 ↓ -94%
Superior Health Plan STARPLUS $2.02 ↓ -94%
Superior Health Plan CHIP $2.02 ↓ -94%
Humana PPO $2.82 ↓ -92%
Humana HMO $2.82 ↓ -92%
United NarrowNetworkIndivExchange $3.30 ↓ -90%
United AllPayerAppendix $3.30 ↓ -90%
United SmallGroup $3.30 ↓ -90%
Community Health Choice MCD CHIP $4.37 ↓ -87%
Community Health Choice MCD STAR+PLUS $4.37 ↓ -87%
Community Health Choice MCD STAR $4.37 ↓ -87%
Community Health Choice MCD CHIPPerinatal $4.37 ↓ -87%
Texas Childrens Health Plans CHIP $5.58 ↓ -83%
United OptionsPPO $5.65 ↓ -83%
Texas Childrens Health Plans STARKIDS $7.97 ↓ -76%
Texas Childrens Health Plans STAR $7.97 ↓ -76%
Molina Healthcare HIX $9.08 ↓ -73%
BCBS Traditional $11.77 ↓ -65%
Christus (USFHP) TRICARE $13.45 ↓ -60%
United GlobalAppendix $15.13 ↓ -55%
Coventry National First Health COMM $17.92 ↓ -47%

Visitor-reported prices

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Hydroxyzine pamoate 25 mg capsule at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $34.02 $0.08 – $3.30
HCA HOUSTON MEDICAL CENTER Houston $36.88 $0.08 – $3.30
Covenant Children's Hospital Lubbock $4.62 $0.15 – $7.45
HCA HOUSTON KINGWOOD HUMBLE $35.67 $0.08 – $3.30
St. Luke's Health - Patients Medical Center Pasadena $36.02 $0.04 – $5.25
HCA HOUSTON SOUTHEAST PASADENA $6.80 $0.08 – $3.30
Covenant Medical Center Lubbock $4.62 $0.15 – $7.45
Ascension Seton Cedar Park Hospital Cedar Park $7.51 $0.14 – $0.17

All Texas hospitals for this procedure →