Anaplsma phgcytophlm amp prb 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.
$28.89 with Texas Health Network vs $186.82 with Cigna — 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 | $28.89 | — |
| Amerigroup | MGMCD | $29.48 | — |
| Texas Childrens Health Plans | STARKIDS | $29.48 | — |
| Texas Childrens Health Plans | STAR | $29.48 | — |
| Community Health Choice MCD | STAR+PLUS | $29.48 | — |
| Community Health Choice MCD | STAR | $29.48 | — |
| Community Health Choice MCD | CHIPPerinatal | $29.48 | — |
| Community Health Choice MCD | CHIP | $29.48 | — |
| Amerigroup | MCDCHIPBH | $29.48 | — |
| United | MGMCD | $30.07 | — |
| Aetna Better Health | MGMCD | $31.84 | — |
| Molina Healthcare | STARKIDS | $32.43 | — |
| Molina Healthcare | STARPLUS | $32.43 | — |
| Molina Healthcare | STAR | $32.43 | — |
| Molina Healthcare | CHIP | $32.43 | — |
| Oscar | MGMCR | $34.39 | — |
| WellMed | MGMCR | $34.91 | — |
| Devoted Health | MGMCR | $35.09 | — |
| Humana | MedicareAdvantageHMO | $35.09 | — |
| Humana | MedicareAdvantagePPOPFFS | $35.09 | — |
| United | AllPayerAppendix | $35.09 | — |
| United | NarrowNetworkIndivExchange | $35.09 | — |
| United | SmallGroup | $35.09 | — |
| Amerigroup | DualEligible | $35.09 | — |
| Cigna HealthSpring | MCRHMO | $35.09 | — |
| Cigna HealthSpring | MCRPPO | $35.09 | — |
| Cigna HealthSpring | MCRSNP | $35.09 | — |
| Cigna HealthSpring | PFFS | $35.09 | — |
| Cigna HealthSpring | MMP | $35.09 | — |
| BCBS | MCRPPO | $35.09 | — |
| BCBS | MedicareAdvantageHMO | $35.09 | — |
| CHC Harris Health | Indigent | $35.09 | — |
| Kelsey Seybold | MGMCR | $35.09 | — |
| Renaissance IPA Radiology | COMM | $35.09 | — |
| Renaissance IPA Radiology | MCR | $35.09 | — |
| TriWest Healthcare Alliance | Veterans | $35.09 | — |
| Aetna | MCR | $35.39 | — |
| Van Lang IPA | MCR | $35.44 | — |
| United | MCR | $35.79 | — |
| WellCare | MCRHMO | $36.14 | — |
| WellCare | SNP | $36.14 | — |
| WellCare | POS | $36.14 | — |
| WellCare | PPO | $36.14 | — |
| WellCare | PFFS | $36.14 | — |
| Integranet Amerigroup IPA | MCR | $36.14 | — |
| Superior Health Plan | MCRPOS | $36.84 | — |
| Superior Health Plan | MCRPPO | $36.84 | — |
| ProCare Advantage | MGMCR | $36.84 | — |
| Shared Health | MGMCR | $36.84 | — |
| Superior Health Plan | DualEligible | $36.84 | — |
| American Health Plan | MGMCR | $36.84 | — |
| Superior Health Plan | PFFS | $36.84 | — |
| Superior Health Plan | MCRSNP | $36.84 | — |
| Superior Health Plan | MCRHMO | $36.84 | — |
| Humana | MCD | $36.85 | — |
| Provider Partners Health Plan of Texas | SNP | $37.20 | — |
| Provider Partners Health Plan of Texas | PFFS | $37.20 | — |
| Provider Partners Health Plan of Texas | POS | $37.20 | — |
| Provider Partners Health Plan of Texas | PPO | $37.20 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $37.20 | — |
| TriWest Health Alliance | TRCR | $37.98 | — |
| Christus (USFHP) | TRICARE | $37.98 | — |
| Molina | MGMCR | $38.25 | — |
| Universal Healthcare Group | MCR | $42.11 | — |
| Verda Health Plan | MCR | $45.62 | — |
| Superior | ValueHMO | $50.88 | — |
| Community Health Choice | HIX | $50.88 | — |
| Superior | HMO | $54.39 | — |
| Superior | EPO | $54.39 | — |
| Corvel Corporation | WORKERSCOMP | $69.48 | — |
| BCBS | MyBlueHealth | $70.88 | — |
| OMNI Healthcare | WORKERSCOMP | $73.69 | — |
| Molina Healthcare | HIX | $75.44 | — |
| BCBS | BAV | $78.25 | — |
| BCBS | HMO | $97.90 | — |
| Oscar | HIX | $101.41 | — |
| BCBS | EPOSOA | $104.92 | — |
| BCBS | PPO | $111.94 | — |
| Cigna | CSN | $144.97 | — |
| Cigna | OpenAccessPlus | $157.02 | — |
| Cigna | PPO | $186.82 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Anaplsma phgcytophlm amp prb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $29.48 – $144.97 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $29.48 – $144.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $240.00 | $10.00 – $95.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.00 | $12.00 – $114.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $240.00 | $12.00 – $95.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $240.00 | $10.00 – $95.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.00 | $12.00 – $114.37 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.00 | $8.00 – $114.37 |