_afb id by dna probe rflx ast 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.
$16.50 with Texas Health Network vs $422.10 with Affiliated PPO — 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 | $16.50 | — |
| Amerigroup | MCDCHIPBH | $16.84 | — |
| Community Health Choice MCD | CHIPPerinatal | $16.84 | — |
| Community Health Choice MCD | STAR | $16.84 | — |
| Community Health Choice MCD | CHIP | $16.84 | — |
| Community Health Choice MCD | STAR+PLUS | $16.84 | — |
| Amerigroup | MGMCD | $16.84 | — |
| Texas Childrens Health Plans | STAR | $16.84 | — |
| Texas Childrens Health Plans | STARKIDS | $16.84 | — |
| United | MGMCD | $17.18 | — |
| Aetna Better Health | MGMCD | $18.19 | — |
| Molina Healthcare | STARPLUS | $18.52 | — |
| Molina Healthcare | CHIP | $18.52 | — |
| Molina Healthcare | STAR | $18.52 | — |
| Molina Healthcare | STARKIDS | $18.52 | — |
| Oscar | MGMCR | $19.65 | — |
| WellMed | MGMCR | $19.95 | — |
| Kelsey Seybold | MGMCR | $20.05 | — |
| Cigna HealthSpring | MMP | $20.05 | — |
| Devoted Health | MGMCR | $20.05 | — |
| United | AllPayerAppendix | $20.05 | — |
| CHC Harris Health | Indigent | $20.05 | — |
| TriWest Healthcare Alliance | Veterans | $20.05 | — |
| Humana | MedicareAdvantageHMO | $20.05 | — |
| Humana | MedicareAdvantagePPOPFFS | $20.05 | — |
| Cigna HealthSpring | PFFS | $20.05 | — |
| Cigna HealthSpring | MCRSNP | $20.05 | — |
| Cigna HealthSpring | MCRHMO | $20.05 | — |
| Cigna HealthSpring | MCRPPO | $20.05 | — |
| Amerigroup | DualEligible | $20.05 | — |
| Renaissance IPA Radiology | MCR | $20.05 | — |
| Renaissance IPA Radiology | COMM | $20.05 | — |
| United | SmallGroup | $20.05 | — |
| United | NarrowNetworkIndivExchange | $20.05 | — |
| BCBS | MCRPPO | $20.05 | — |
| BCBS | MedicareAdvantageHMO | $20.05 | — |
| Aetna | MCR | $20.22 | — |
| Van Lang IPA | MCR | $20.25 | — |
| United | MCR | $20.45 | — |
| Integranet Amerigroup IPA | MCR | $20.65 | — |
| WellCare | PPO | $20.65 | — |
| WellCare | SNP | $20.65 | — |
| WellCare | POS | $20.65 | — |
| WellCare | MCRHMO | $20.65 | — |
| WellCare | PFFS | $20.65 | — |
| Superior Health Plan | PFFS | $21.05 | — |
| Humana | MCD | $21.05 | — |
| Superior Health Plan | MCRSNP | $21.05 | — |
| American Health Plan | MGMCR | $21.05 | — |
| Shared Health | MGMCR | $21.05 | — |
| Superior Health Plan | MCRPPO | $21.05 | — |
| ProCare Advantage | MGMCR | $21.05 | — |
| Superior Health Plan | MCRPOS | $21.05 | — |
| Superior Health Plan | MCRHMO | $21.05 | — |
| Superior Health Plan | DualEligible | $21.05 | — |
| Provider Partners Health Plan of Texas | PPO | $21.25 | — |
| Provider Partners Health Plan of Texas | SNP | $21.25 | — |
| Provider Partners Health Plan of Texas | POS | $21.25 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $21.25 | — |
| Provider Partners Health Plan of Texas | PFFS | $21.25 | — |
| Christus (USFHP) | TRICARE | $21.70 | — |
| TriWest Health Alliance | TRCR | $21.70 | — |
| Molina | MGMCR | $21.85 | — |
| Universal Healthcare Group | MCR | $24.06 | — |
| Verda Health Plan | MCR | $26.07 | — |
| Superior Health Plan | STARPLUS | $28.14 | — |
| Superior Health Plan | CHIP | $28.14 | — |
| Superior Health Plan | CHPFC | $28.14 | — |
| Superior Health Plan | STAR | $28.14 | — |
| Superior Health Plan | STARKids | $28.14 | — |
| Community Health Choice | HIX | $29.07 | — |
| Superior | ValueHMO | $29.07 | — |
| Superior | HMO | $31.08 | — |
| Superior | EPO | $31.08 | — |
| Corvel Corporation | WORKERSCOMP | $39.70 | — |
| BCBS | MyBlueHealth | $40.50 | — |
| OMNI Healthcare | WORKERSCOMP | $42.11 | — |
| Molina Healthcare | HIX | $43.11 | — |
| BCBS | BAV | $44.71 | — |
| BCBS | HMO | $55.94 | — |
| Oscar | HIX | $57.94 | — |
| BCBS | EPOSOA | $59.95 | — |
| Healthcare Highways | NarrowNetwork | $60.17 | — |
| BCBS | PPO | $63.96 | — |
| Aetna | QHPExchange | $73.46 | — |
| Texas Childrens Health Plans | CHIP | $77.85 | — |
| United | OptionsPPO | $78.79 | — |
| Cigna | CSN | $82.23 | — |
| Cigna | OpenAccessPlus | $89.06 | — |
| Aetna | NBHMO | $97.69 | — |
| Aetna | NBPOS | $97.69 | — |
| Aetna | NBPPO | $97.69 | — |
| Aetna | COMMHMO | $103.78 | — |
| Aetna | COMMPPO | $103.78 | — |
| Aetna | COMMPOS | $103.78 | — |
| Cigna | PPO | $105.96 | — |
| Texas Workforce Commission | WCOMP | $112.56 | — |
| Aetna | OONPOS | $121.92 | — |
| Aetna | OONPPO | $121.92 | — |
| Aetna | OONHMO | $121.92 | — |
| Evry Health | BroadNetwork | $128.04 | — |
| Aetna | ASAPPO | $131.83 | — |
| Aetna | ASAPOS | $131.83 | — |
| Aetna | ASAHMO | $131.83 | — |
| BCBS | Traditional | $164.15 | — |
| Imagine Health | PPO | $164.15 | — |
| HealthSmart Preferred Care | ACCEL | $201.67 | — |
| Fidelis SecureCare of TX | MGMCR | $211.05 | — |
| Averde Health | Commercial | $211.05 | — |
| United | GlobalAppendix | $211.05 | — |
| Coventry National First Health | COMM | $249.98 | — |
| Physicians Cooperative of Texas | WC | $257.95 | — |
| Rockport Workers Comp | COMM | $257.95 | — |
| Humana | HMO | $267.90 | — |
| Humana | PPO | $267.90 | — |
| SouthWest Medical | WORKERSCOMP | $281.40 | — |
| National Healthcare Solutions | COMM | $281.40 | — |
| Triumph | COMM | $281.40 | — |
| Independent Medical System | COMM | $281.40 | — |
| Coastal Comp | COMM | $304.85 | — |
| Multiplan | PHCSPrimaryNetwork | $351.75 | — |
| Cigna Behavioral Health | COMMBH | $375.20 | — |
| HealthSmart Preferred Care | PPO | $384.58 | — |
| Physicians, INC | COMM | $398.65 | — |
| Multiplan | ComplementaryNetwork | $398.65 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $398.65 | — |
| Affiliated PPO | COMM | $422.10 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
_afb id by dna probe rflx ast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $52.85 | $14.44 – $151.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $52.85 | $14.44 – $151.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $16.84 – $82.23 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $16.84 – $82.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $292.41 | $12.00 – $161.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $307.03 | $10.00 – $166.69 |