Adenosine 3 mg/250 ml bag for osm at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.53 with Christus (USFHP) vs $838.80 with Affiliated PPO — 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 →
?
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 | $0.53 | — |
| TriWest Health Alliance | TRCR | $0.53 | — |
| United | NarrowNetworkIndivExchange | $0.87 | — |
| United | AllPayerAppendix | $0.87 | — |
| United | SmallGroup | $0.87 | — |
| Cigna | CSN | $1.11 | — |
| Cigna | OpenAccessPlus | $1.21 | — |
| Cigna | PPO | $1.44 | — |
| BCBS | MyBlueHealth | $2.47 | — |
| BCBS | BAV | $2.72 | — |
| BCBS | PPO | $3.40 | — |
| BCBS | EPOSOA | $3.40 | — |
| BCBS | HMO | $3.40 | — |
| Humana | HMO | $8.08 | — |
| Humana | PPO | $8.08 | — |
| Superior Health Plan | CHIP | $55.92 | — |
| Superior Health Plan | STARKids | $55.92 | — |
| Superior Health Plan | STARPLUS | $55.92 | — |
| Superior Health Plan | STAR | $55.92 | — |
| Superior Health Plan | CHPFC | $55.92 | — |
| Aetna | MCR | $61.79 | — |
| Community Health Choice MCD | STAR | $121.16 | — |
| Community Health Choice MCD | CHIP | $121.16 | — |
| Community Health Choice MCD | CHIPPerinatal | $121.16 | — |
| Community Health Choice MCD | STAR+PLUS | $121.16 | — |
| Amerigroup | MGMCD | $130.48 | — |
| Amerigroup | MCDCHIPBH | $130.48 | — |
| Texas Childrens Health Plans | CHIP | $154.71 | — |
| United | OptionsPPO | $156.58 | — |
| Superior | HMO | $163.10 | — |
| Superior | EPO | $163.10 | — |
| Superior | ValueHMO | $184.54 | — |
| Texas Childrens Health Plans | STARKIDS | $220.88 | — |
| Texas Childrens Health Plans | STAR | $220.88 | — |
| Texas Workforce Commission | WCOMP | $223.68 | — |
| Molina Healthcare | HIX | $251.64 | — |
| CHC Harris Health | Indigent | $279.60 | — |
| BCBS | Traditional | $326.20 | — |
| HealthSmart Preferred Care | ACCEL | $400.76 | — |
| United | GlobalAppendix | $419.40 | — |
| Coventry National First Health | COMM | $496.76 | — |
| Rockport Workers Comp | COMM | $512.60 | — |
| Physicians Cooperative of Texas | WC | $512.60 | — |
| Triumph | COMM | $559.20 | — |
| National Healthcare Solutions | COMM | $559.20 | — |
| SouthWest Medical | WORKERSCOMP | $559.20 | — |
| Independent Medical System | COMM | $559.20 | — |
| Coastal Comp | COMM | $605.80 | — |
| Multiplan | PHCSPrimaryNetwork | $699.00 | — |
| Cigna Behavioral Health | COMMBH | $745.60 | — |
| HealthSmart Preferred Care | PPO | $764.24 | — |
| Multiplan | ComplementaryNetwork | $792.20 | — |
| Physicians, INC | COMM | $792.20 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $792.20 | — |
| Affiliated PPO | COMM | $838.80 | — |
Visitor-reported prices
Comments
Adenosine 3 mg/250 ml bag for osm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $672.25 | $0.56 – $55.97 |
| St. Luke's Health - The Vintage Hospital | Houston | $672.25 | $0.46 – $55.97 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.39 – $8.08 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.39 – $8.08 |
| Adventhealth Rollins Brook | Lampasas | $762.46 | $4.85 – $4.85 |
| St. Luke's Health - Patients Medical Center | Pasadena | $413.70 | $0.46 – $885.75 |
| St. Luke's Health Memorial Lufkin | Lufkin | $234.26 | $0.45 – $35.06 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $672.25 | $0.46 – $55.97 |