Amantadine (symmetrel)-sendout at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$0.05 with Aetna vs $219.21 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.

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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
Aetna QHPExchange $0.05
Aetna NBHMO $0.06
Aetna NBPPO $0.06
Aetna NBPOS $0.06
Aetna COMMHMO $0.07
Aetna COMMPOS $0.07
Aetna COMMPPO $0.07
Aetna OONHMO $0.08
Aetna OONPPO $0.08
Aetna OONPOS $0.08
Aetna ASAHMO $0.09
Aetna ASAPOS $0.09
Aetna ASAPPO $0.09
Texas Health Network MCD $17.73
Community Health Choice MCD CHIPPerinatal $18.09
Amerigroup MGMCD $18.09
Amerigroup MCDCHIPBH $18.09
Texas Childrens Health Plans STAR $18.09
Community Health Choice MCD STAR+PLUS $18.09
Community Health Choice MCD STAR $18.09
Community Health Choice MCD CHIP $18.09
Texas Childrens Health Plans STARKIDS $18.09
United MGMCD $18.45
Aetna Better Health MGMCD $19.54
Molina Healthcare CHIP $19.90
Molina Healthcare STARPLUS $19.90
Molina Healthcare STARKIDS $19.90
Molina Healthcare STAR $19.90
Humana MCD $22.61
Cigna CSN $98.98
Cigna OpenAccessPlus $107.21
Cigna PPO $127.56
Humana PPO $219.21
Humana HMO $219.21
Curative Administrators COMM not published by hospital

Visitor-reported prices

visitor-reported
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Amantadine (symmetrel)-sendout at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON TOMBALL HOUSTON $347.22 $0.05 – $98.98
HCA HOUSTON MEDICAL CENTER Houston not published $0.05 – $98.98
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $784.35 $10.00 – $243.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $747.00 $12.00 – $164.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $747.00 $12.00 – $136.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $784.35 $10.00 – $243.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $747.00 $12.00 – $164.25
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $747.00 $8.00 – $164.25

All Texas hospitals for this procedure →