Anl sp inf pmp w/mdreprg&fil 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.
$310.08 with WellMed vs $5,841.00 with Healthcare Highways — 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 |
|---|---|---|---|
| WellMed | MGMCR | $310.08 | — |
| BCBS | MyBlueHealth | $479.41 | — |
| BCBS | BAV | $527.88 | — |
| BCBS | PPO | $560.42 | — |
| BCBS | EPOSOA | $586.98 | — |
| BCBS | HMO | $613.54 | — |
| Superior Health Plan | STAR | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | CHPFC | $948.00 | — |
| United | SmallGroup | $1,120.00 | — |
| Aetna | QHPExchange | $1,579.00 | — |
| United | AllPayerAppendix | $1,600.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| United | NarrowNetworkIndivExchange | $1,702.00 | — |
| Aetna | NBHMO | $2,098.00 | — |
| Aetna | NBPOS | $2,098.00 | — |
| Fidelis SecureCare of TX | MGMCR | $2,115.00 | — |
| Aetna | COMMHMO | $2,229.00 | — |
| Aetna | COMMPOS | $2,229.00 | — |
| Aetna | NBPPO | $2,299.00 | — |
| Oscar | HIX | $2,358.00 | — |
| Aetna | COMMPPO | $2,444.00 | — |
| Cigna | CSN | $2,518.00 | — |
| Aetna | OONPOS | $2,623.00 | — |
| Aetna | OONHMO | $2,623.00 | — |
| Cigna | OpenAccessPlus | $2,728.00 | — |
| Aetna | ASAHMO | $2,832.00 | — |
| Aetna | ASAPOS | $2,832.00 | — |
| Aetna | OONPPO | $2,876.00 | — |
| Aetna | ASAPPO | $3,106.00 | — |
| Cigna | PPO | $3,244.00 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
| Healthcare Highways | NarrowNetwork | $5,841.00 | — |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $479.41 – $479.41 |
| Baylor St Luke's Medical Center | Houston | not published | $56.56 – $56.56 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $479.41 – $479.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $792.60 | $224.57 – $990.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $627.94 | $71.00 – $941.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $420.84 | $71.00 – $739.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $792.60 | $211.36 – $990.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $627.94 | $85.00 – $941.91 |