Inj, fulvestrant (fresenius) 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

not published by hospital

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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.32 with Christus (USFHP) vs $44.73 with United — same scan, same building. Share

Negotiated rates by payer
?

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
Christus (USFHP) TRICARE $3.32
TriWest Health Alliance TRCR $3.32
Cigna CSN $8.03
Cigna OpenAccessPlus $8.70
Cigna PPO $10.36
BCBS MyBlueHealth $17.11
BCBS EPOSOA $23.57
BCBS PPO $23.57
BCBS HMO $23.57
BCBS BAV $29.42
United NarrowNetworkIndivExchange $44.73
United AllPayerAppendix $44.73
United SmallGroup $44.73

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Inj, fulvestrant (fresenius) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $399.48 $33.61 – $33.61
Covenant Children's Hospital Lubbock $788.48 $11.63 – $201.40
St. Luke's Health Memorial Lufkin Lufkin $1,735.20 $1,619.52 – $10,411.20
St. Luke's Health Memorial Livingston Livingston $1,735.20 $1,619.52 – $10,411.20
St. Luke's Health Memorial San Augustine San Augustine $1,735.20 $1,619.52 – $10,411.20
Texas Health Hospital Mansfield Mansfield $1,660.39 $10.40 – $53.54
Adventhealth Central Texas Killeen $399.48 $26.77 – $42.83
Texas Health Huguley Hospital Fort Worth South Burleson $1,660.39 $10.40 – $53.54

All Texas hospitals for this procedure →