Allograft epieffect 2x3cm-q4186-cost per sq cm 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.
$148.14 with Superior Health Plan vs $2,222.10 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $148.14 | — |
| Superior Health Plan | CHPFC | $148.14 | — |
| Superior Health Plan | STARPLUS | $148.14 | — |
| Superior Health Plan | STARKids | $148.14 | — |
| Superior Health Plan | STAR | $148.14 | — |
| Aetna | MCR | $163.69 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| BCBS | MyBlueHealth | $271.30 | — |
| BCBS | BAV | $299.74 | — |
| Community Health Choice MCD | STAR | $320.97 | — |
| Community Health Choice MCD | STAR+PLUS | $320.97 | — |
| Community Health Choice MCD | CHIPPerinatal | $320.97 | — |
| Community Health Choice MCD | CHIP | $320.97 | — |
| Amerigroup | MGMCD | $345.66 | — |
| Amerigroup | MCDCHIPBH | $345.66 | — |
| Cigna | CSN | $363.80 | — |
| BCBS | HMO | $374.13 | — |
| Cigna | OpenAccessPlus | $393.86 | — |
| BCBS | EPOSOA | $396.01 | — |
| Texas Childrens Health Plans | CHIP | $409.85 | — |
| United | OptionsPPO | $414.79 | — |
| BCBS | PPO | $417.89 | — |
| Superior | EPO | $432.07 | — |
| Superior | HMO | $432.07 | — |
| Cigna | PPO | $469.03 | — |
| Superior | ValueHMO | $488.86 | — |
| Texas Childrens Health Plans | STAR | $585.15 | — |
| Texas Childrens Health Plans | STARKIDS | $585.15 | — |
| Texas Workforce Commission | WCOMP | $592.56 | — |
| Molina Healthcare | HIX | $666.63 | — |
| CHC Harris Health | Indigent | $740.70 | — |
| Humana | HMO | $787.86 | — |
| Humana | PPO | $787.86 | — |
| BCBS | Traditional | $864.15 | — |
| Christus (USFHP) | TRICARE | $987.60 | — |
| HealthSmart Preferred Care | ACCEL | $1,061.67 | — |
| United | GlobalAppendix | $1,111.05 | — |
| Coventry National First Health | COMM | $1,315.98 | — |
| Rockport Workers Comp | COMM | $1,357.95 | — |
| Physicians Cooperative of Texas | WC | $1,357.95 | — |
| Triumph | COMM | $1,481.40 | — |
| Independent Medical System | COMM | $1,481.40 | — |
| National Healthcare Solutions | COMM | $1,481.40 | — |
| SouthWest Medical | WORKERSCOMP | $1,481.40 | — |
| Coastal Comp | COMM | $1,604.85 | — |
| Multiplan | PHCSPrimaryNetwork | $1,851.75 | — |
| Cigna Behavioral Health | COMMBH | $1,975.20 | — |
| HealthSmart Preferred Care | PPO | $2,024.58 | — |
| Multiplan | ComplementaryNetwork | $2,098.65 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $2,098.65 | — |
| Physicians, INC | COMM | $2,098.65 | — |
| Affiliated PPO | COMM | $2,222.10 | — |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $877.10 | $194.72 – $1,113.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $877.10 | $226.10 – $1,113.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $158.33 – $363.80 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $158.33 – $363.80 |
| Adventhealth Rollins Brook | Lampasas | $1,722.91 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $3,202.40 | $219.92 – $749.70 |
| St. Joseph Health Madison Hospital | Madisonville | $1,645.35 | $158.33 – $3,575.70 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,028.25 | $179.09 – $6,169.50 |