Tc-99m tilmanocept diag at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
$4,513.82
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.
$4,513.82
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.
$270.83 with Superior Health Plan vs $5,480.11 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 →
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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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $270.83 | ↓ -94% |
| Superior Health Plan | STARPLUS | $270.83 | ↓ -94% |
| Superior Health Plan | STARKids | $270.83 | ↓ -94% |
| Superior Health Plan | STAR | $270.83 | ↓ -94% |
| Superior Health Plan | CHPFC | $270.83 | ↓ -94% |
| Community Health Choice MCD | CHIP | $586.80 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $586.80 | ↓ -87% |
| Community Health Choice MCD | STAR | $586.80 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $586.80 | ↓ -87% |
| Texas Childrens Health Plans | CHIP | $749.29 | ↓ -83% |
| United | OptionsPPO | $758.32 | ↓ -83% |
| Oscar | HIX | $880.19 | ↓ -81% |
| BCBS | MyBlueHealth | $917.12 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $1,069.78 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $1,069.78 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,151.02 | ↓ -75% |
| Molina Healthcare | HIX | $1,218.73 | ↓ -73% |
| Evry Health | BroadNetwork | $1,232.27 | ↓ -73% |
| BCBS | HMO | $1,263.38 | ↓ -72% |
| BCBS | EPOSOA | $1,263.38 | ↓ -72% |
| BCBS | PPO | $1,263.38 | ↓ -72% |
| Aetna | NBHMO | $1,318.04 | ↓ -71% |
| Aetna | NBPOS | $1,318.04 | ↓ -71% |
| Aetna | NBPPO | $1,318.04 | ↓ -71% |
| Aetna | COMMHMO | $1,403.80 | ↓ -69% |
| Aetna | COMMPOS | $1,403.80 | ↓ -69% |
| Aetna | COMMPPO | $1,403.80 | ↓ -69% |
| BCBS | BAV | $1,576.89 | ↓ -65% |
| BCBS | Traditional | $1,579.84 | ↓ -65% |
| Cigna | CSN | $1,633.04 | ↓ -64% |
| Aetna | OONPOS | $1,652.06 | ↓ -63% |
| Aetna | OONHMO | $1,652.06 | ↓ -63% |
| Aetna | OONPPO | $1,652.06 | ↓ -63% |
| Cigna | OpenAccessPlus | $1,768.00 | ↓ -61% |
| Aetna | ASAPPO | $1,787.47 | ↓ -60% |
| Aetna | ASAPOS | $1,787.47 | ↓ -60% |
| Aetna | ASAHMO | $1,787.47 | ↓ -60% |
| Curative Administrators | COMM | $1,805.53 | ↓ -60% |
| Christus (USFHP) | TRICARE | $1,805.53 | ↓ -60% |
| United | GlobalAppendix | $2,031.22 | ↓ -55% |
| Cigna | PPO | $2,105.41 | ↓ -53% |
| Coventry National First Health | COMM | $2,405.87 | ↓ -47% |
| Humana | HMO | $5,480.11 | ↑ +21% |
| Humana | PPO | $5,480.11 | ↑ +21% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,279.60 | $100.00 – $3,656.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,340.10 | $917.12 – $5,480.11 |
| St. Luke's Health - Patients Medical Center | Pasadena | $932.09 | $100.00 – $1,997.33 |
| Baylor St Luke's Medical Center | Houston | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $978.71 | $419.45 – $1,398.15 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,279.60 | $100.00 – $3,656.00 |