Indigotindisulfonate 8 mg/ml soln 5 ml ampule at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
$1,725.27
Cash price 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.
$1,725.27
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$15.35 with United vs $919.57 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 →
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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 ?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 ?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 |
|---|---|---|---|
| United | AllPayerAppendix | $15.35 | ↓ -99% |
| United | SmallGroup | $15.35 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $15.35 | ↓ -99% |
| BCBS | MyBlueHealth | $19.76 | ↓ -99% |
| Cigna | CSN | $24.68 | ↓ -99% |
| Cigna | OpenAccessPlus | $26.72 | ↓ -98% |
| BCBS | PPO | $27.22 | ↓ -98% |
| BCBS | EPOSOA | $27.22 | ↓ -98% |
| BCBS | HMO | $27.22 | ↓ -98% |
| Cigna | PPO | $31.82 | ↓ -98% |
| BCBS | BAV | $33.97 | ↓ -98% |
| Superior Health Plan | STAR | $103.52 | ↓ -94% |
| Superior Health Plan | CHPFC | $103.52 | ↓ -94% |
| Superior Health Plan | STARKids | $103.52 | ↓ -94% |
| Superior Health Plan | STARPLUS | $103.52 | ↓ -94% |
| Superior Health Plan | CHIP | $103.52 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $224.29 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $224.29 | ↓ -87% |
| Community Health Choice MCD | STAR | $224.29 | ↓ -87% |
| Community Health Choice MCD | CHIP | $224.29 | ↓ -87% |
| Texas Childrens Health Plans | CHIP | $286.39 | ↓ -83% |
| United | OptionsPPO | $289.85 | ↓ -83% |
| Texas Childrens Health Plans | STARKIDS | $408.89 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $408.89 | ↓ -76% |
| Humana | HMO | $550.53 | ↓ -68% |
| Humana | PPO | $550.53 | ↓ -68% |
| BCBS | Traditional | $603.84 | ↓ -65% |
| Christus (USFHP) | TRICARE | $690.11 | ↓ -60% |
| United | GlobalAppendix | $776.37 | ↓ -55% |
| Coventry National First Health | COMM | $919.57 | ↓ -47% |
Visitor-reported prices
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Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,080.00 | $7.34 – $32.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,080.00 | $5.34 – $38.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,080.00 | $5.18 – $32.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,080.00 | $6.91 – $32.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,080.00 | $8.32 – $38.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,080.00 | $13.39 – $38.88 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,080.00 | $8.64 – $38.88 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,080.00 | $6.91 – $32.40 |