Adenovirus assay w/optic 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$17.91 with Texas Health Network vs $235.44 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 |
|---|---|---|---|
| Texas Health Network | MCD | $17.91 | — |
| Texas Childrens Health Plans | STARKIDS | $18.28 | — |
| Community Health Choice MCD | CHIP | $18.28 | — |
| Texas Childrens Health Plans | STAR | $18.28 | — |
| Amerigroup | MGMCD | $18.28 | — |
| Amerigroup | MCDCHIPBH | $18.28 | — |
| Community Health Choice MCD | CHIPPerinatal | $18.28 | — |
| Community Health Choice MCD | STAR | $18.28 | — |
| Community Health Choice MCD | STAR+PLUS | $18.28 | — |
| United | MGMCD | $18.65 | — |
| Aetna Better Health | MGMCD | $19.74 | — |
| Molina Healthcare | STARKIDS | $20.11 | — |
| Molina Healthcare | CHIP | $20.11 | — |
| Molina Healthcare | STARPLUS | $20.11 | — |
| Molina Healthcare | STAR | $20.11 | — |
| Oscar | MGMCR | $21.32 | — |
| WellMed | MGMCR | $21.65 | — |
| Renaissance IPA Radiology | COMM | $21.76 | — |
| Amerigroup | DualEligible | $21.76 | — |
| Cigna HealthSpring | MCRSNP | $21.76 | — |
| Cigna HealthSpring | MCRPPO | $21.76 | — |
| Cigna HealthSpring | MCRHMO | $21.76 | — |
| Humana | MedicareAdvantageHMO | $21.76 | — |
| Humana | MedicareAdvantagePPOPFFS | $21.76 | — |
| Renaissance IPA Radiology | MCR | $21.76 | — |
| United | SmallGroup | $21.76 | — |
| Kelsey Seybold | MGMCR | $21.76 | — |
| CHC Harris Health | Indigent | $21.76 | — |
| BCBS | MedicareAdvantageHMO | $21.76 | — |
| BCBS | MCRPPO | $21.76 | — |
| Cigna HealthSpring | MMP | $21.76 | — |
| Devoted Health | MGMCR | $21.76 | — |
| TriWest Healthcare Alliance | Veterans | $21.76 | — |
| Cigna HealthSpring | PFFS | $21.76 | — |
| United | AllPayerAppendix | $21.76 | — |
| United | NarrowNetworkIndivExchange | $21.76 | — |
| Aetna | MCR | $21.94 | — |
| Van Lang IPA | MCR | $21.98 | — |
| United | MCR | $22.20 | — |
| WellCare | PFFS | $22.41 | — |
| WellCare | MCRHMO | $22.41 | — |
| Integranet Amerigroup IPA | MCR | $22.41 | — |
| WellCare | POS | $22.41 | — |
| WellCare | SNP | $22.41 | — |
| WellCare | PPO | $22.41 | — |
| Superior Health Plan | MCRPPO | $22.85 | — |
| Humana | MCD | $22.85 | — |
| American Health Plan | MGMCR | $22.85 | — |
| Superior Health Plan | DualEligible | $22.85 | — |
| Superior Health Plan | MCRHMO | $22.85 | — |
| Superior Health Plan | MCRPOS | $22.85 | — |
| Superior Health Plan | MCRSNP | $22.85 | — |
| Superior Health Plan | PFFS | $22.85 | — |
| ProCare Advantage | MGMCR | $22.85 | — |
| Shared Health | MGMCR | $22.85 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $23.07 | — |
| Provider Partners Health Plan of Texas | POS | $23.07 | — |
| Provider Partners Health Plan of Texas | PPO | $23.07 | — |
| Provider Partners Health Plan of Texas | SNP | $23.07 | — |
| Provider Partners Health Plan of Texas | PFFS | $23.07 | — |
| TriWest Health Alliance | TRCR | $23.55 | — |
| Christus (USFHP) | TRICARE | $23.55 | — |
| Molina | MGMCR | $23.72 | — |
| Universal Healthcare Group | MCR | $26.11 | — |
| Verda Health Plan | MCR | $28.29 | — |
| Community Health Choice | HIX | $31.55 | — |
| Superior | ValueHMO | $31.55 | — |
| Superior | HMO | $33.73 | — |
| Superior | EPO | $33.73 | — |
| Corvel Corporation | WORKERSCOMP | $43.08 | — |
| BCBS | MyBlueHealth | $43.96 | — |
| OMNI Healthcare | WORKERSCOMP | $45.70 | — |
| Molina Healthcare | HIX | $46.78 | — |
| BCBS | BAV | $48.52 | — |
| Healthcare Highways | NarrowNetwork | $52.88 | — |
| BCBS | HMO | $60.71 | — |
| Oscar | HIX | $62.89 | — |
| BCBS | EPOSOA | $65.06 | — |
| BCBS | PPO | $69.41 | — |
| Aetna | QHPExchange | $79.72 | — |
| Cigna | CSN | $89.20 | — |
| Cigna | OpenAccessPlus | $96.61 | — |
| Aetna | NBHMO | $106.02 | — |
| Aetna | NBPOS | $106.02 | — |
| Aetna | NBPPO | $106.02 | — |
| Aetna | COMMHMO | $112.64 | — |
| Aetna | COMMPOS | $112.64 | — |
| Aetna | COMMPPO | $112.64 | — |
| Cigna | PPO | $114.95 | — |
| Aetna | OONPPO | $132.32 | — |
| Aetna | OONPOS | $132.32 | — |
| Aetna | OONHMO | $132.32 | — |
| Aetna | ASAHMO | $143.07 | — |
| Aetna | ASAPOS | $143.07 | — |
| Aetna | ASAPPO | $143.07 | — |
| Humana | HMO | $235.44 | — |
| Humana | PPO | $235.44 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Adenovirus assay w/optic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $18.28 – $89.20 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $18.28 – $89.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $98.51 | $12.00 – $147.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $98.51 | $12.00 – $123.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $98.51 | $12.00 – $147.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $98.51 | $8.00 – $147.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $98.51 | $12.00 – $147.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $98.51 | $18.28 – $123.14 |