Tc-99m exame autol wbc diag per dose 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

$1,305.67

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.

$1,305.67

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.

$78.34 with Superior Health Plan vs $17,017.34 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 CHPFC $78.34 ↓ -94%
Superior Health Plan STAR $78.34 ↓ -94%
Superior Health Plan STARKids $78.34 ↓ -94%
Superior Health Plan STARPLUS $78.34 ↓ -94%
Superior Health Plan CHIP $78.34 ↓ -94%
Community Health Choice MCD CHIP $169.74 ↓ -87%
Community Health Choice MCD STAR+PLUS $169.74 ↓ -87%
Community Health Choice MCD STAR $169.74 ↓ -87%
Community Health Choice MCD CHIPPerinatal $169.74 ↓ -87%
Texas Childrens Health Plans CHIP $216.74 ↓ -83%
United OptionsPPO $219.35 ↓ -83%
Oscar HIX $254.61 ↓ -80%
Texas Childrens Health Plans STAR $309.44 ↓ -76%
Texas Childrens Health Plans STARKIDS $309.44 ↓ -76%
Healthcare Highways NarrowNetwork $332.95 ↓ -74%
Evry Health BroadNetwork $356.45 ↓ -73%
Aetna NBPPO $381.26 ↓ -71%
Aetna NBPOS $381.26 ↓ -71%
Aetna NBHMO $381.26 ↓ -71%
Aetna COMMPOS $406.06 ↓ -69%
Aetna COMMHMO $406.06 ↓ -69%
Aetna COMMPPO $406.06 ↓ -69%
BCBS Traditional $456.98 ↓ -65%
Aetna OONPOS $477.88 ↓ -63%
Aetna OONPPO $477.88 ↓ -63%
Aetna OONHMO $477.88 ↓ -63%
Aetna ASAPOS $517.05 ↓ -60%
Aetna ASAHMO $517.05 ↓ -60%
Aetna ASAPPO $517.05 ↓ -60%
Christus (USFHP) TRICARE $522.27 ↓ -60%
Curative Administrators COMM $522.27 ↓ -60%
United GlobalAppendix $587.55 ↓ -55%
Coventry National First Health COMM $695.92 ↓ -47%
United SmallGroup $1,541.31 ↑ +18%
United NarrowNetworkIndivExchange $1,541.31 ↑ +18%
United AllPayerAppendix $1,541.31 ↑ +18%
BCBS MyBlueHealth $2,842.27 ↑ +118%
BCBS HMO $3,915.38 ↑ +200%
BCBS EPOSOA $3,915.38 ↑ +200%
BCBS PPO $3,915.38 ↑ +200%
Cigna CSN $4,230.77 ↑ +224%
Cigna OpenAccessPlus $4,580.41 ↑ +251%
BCBS BAV $4,886.97 ↑ +274%
Cigna PPO $5,454.54 ↑ +318%
Humana HMO $17,017.34 ↑ +1203%
Humana PPO $17,017.34 ↑ +1203%

Visitor-reported prices

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Tc-99m exame autol wbc diag per dose at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Springwoods Village Hospital Spring $3,177.30 $100.00 – $9,078.00
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $137.31 $1,541.31 – $17,017.34
HCA HOUSTON MEDICAL CENTER Houston $1,081.41 $1,541.31 – $17,017.34
HCA HOUSTON KINGWOOD HUMBLE $1,257.66 $1,541.31 – $17,017.34
Baylor St Luke's Medical Center Houston $3,177.30 $100.00 – $9,078.00
St. Luke's Health - Sugar Land Hospital Sugar Land $3,177.30 $100.00 – $9,078.00
St. Luke's Health - Lakeside Hospital The Woodlands $3,177.30 $100.00 – $9,078.00
St. Luke's Health - The Vintage Hospital Houston $3,177.30 $100.00 – $9,078.00

All Texas hospitals for this procedure →