X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast 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

$5,981.13

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.

$5,981.13

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.

$139.34 with Texas Childrens Health Plans vs $3,187.94 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
Texas Childrens Health Plans STAR $139.34 ↓ -98%
Texas Childrens Health Plans STARKIDS $139.34 ↓ -98%
Community Health Choice MCD STAR+PLUS $141.68 ↓ -98%
Community Health Choice MCD CHIPPerinatal $141.68 ↓ -98%
Community Health Choice MCD CHIP $141.68 ↓ -98%
Community Health Choice MCD STAR $141.68 ↓ -98%
United MGMCD $144.51 ↓ -98%
Aetna Better Health MGMCD $153.01 ↓ -97%
Molina Healthcare CHIP $153.27 ↓ -97%
Molina Healthcare STARPLUS $153.27 ↓ -97%
Molina Healthcare STARKIDS $153.27 ↓ -97%
Molina Healthcare STAR $153.27 ↓ -97%
Humana MCD $174.18 ↓ -97%
BCBS MyBlueHealth $320.71 ↓ -95%
United NarrowNetworkIndivExchange $339.25 ↓ -94%
Superior Health Plan CHIP $358.87 ↓ -94%
Superior Health Plan CHPFC $358.87 ↓ -94%
Superior Health Plan STAR $358.87 ↓ -94%
Superior Health Plan STARKids $358.87 ↓ -94%
Superior Health Plan STARPLUS $358.87 ↓ -94%
Cigna CSN $361.43 ↓ -94%
Cigna OpenAccessPlus $391.15 ↓ -93%
United SmallGroup $401.74 ↓ -93%
United AllPayerAppendix $401.74 ↓ -93%
BCBS BAV $406.35 ↓ -93%
Cigna PPO $464.97 ↓ -92%
Aetna QHPExchange $605.27 ↓ -90%
BCBS HMO $619.55 ↓ -90%
BCBS EPOSOA $643.24 ↓ -89%
BCBS PPO $665.10 ↓ -89%
Aetna NBHMO $804.46 ↓ -87%
Aetna NBPOS $804.46 ↓ -87%
Aetna NBPPO $804.46 ↓ -87%
Aetna COMMHMO $855.75 ↓ -86%
Aetna COMMPOS $855.75 ↓ -86%
Aetna COMMPPO $855.75 ↓ -86%
Texas Childrens Health Plans CHIP $992.87 ↓ -83%
United OptionsPPO $1,004.83 ↓ -83%
Aetna OONPOS $1,006.22 ↓ -83%
Aetna OONPPO $1,006.22 ↓ -83%
Aetna OONHMO $1,006.22 ↓ -83%
Aetna ASAPPO $1,087.43 ↓ -82%
Aetna ASAHMO $1,087.43 ↓ -82%
Aetna ASAPOS $1,087.43 ↓ -82%
Healthcare Highways NarrowNetwork $1,525.19 ↓ -74%
Humana PPO $1,608.16 ↓ -73%
Humana HMO $1,608.16 ↓ -73%
Evry Health BroadNetwork $1,632.85 ↓ -73%
BCBS Traditional $2,093.40 ↓ -65%
Curative Administrators COMM $2,392.45 ↓ -60%
Christus (USFHP) TRICARE $2,392.45 ↓ -60%
United GlobalAppendix $2,691.51 ↓ -55%
Coventry National First Health COMM $3,187.94 ↓ -47%

Visitor-reported prices

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X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Springwoods Village Hospital Spring $1,152.55 $139.34 – $3,293.00
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $657.77 $139.34 – $822.22
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $704.42 $144.99 – $1,056.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $665.87 $139.34 – $832.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $657.77 $139.34 – $822.22
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $704.42 $149.09 – $1,056.64
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $704.42 $139.34 – $1,056.64
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $665.87 $139.34 – $998.81

All Texas hospitals for this procedure →