Apl(pml-rara) quant - sendout 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.
$170.66 with Texas Health Network vs $2,769.27 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.
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 | $170.66 | — |
| Texas Childrens Health Plans | STARKIDS | $174.14 | — |
| Community Health Choice MCD | CHIP | $174.14 | — |
| Texas Childrens Health Plans | STAR | $174.14 | — |
| Amerigroup | MCDCHIPBH | $174.14 | — |
| Amerigroup | MGMCD | $174.14 | — |
| Community Health Choice MCD | CHIPPerinatal | $174.14 | — |
| Community Health Choice MCD | STAR | $174.14 | — |
| Community Health Choice MCD | STAR+PLUS | $174.14 | — |
| United | MGMCD | $177.62 | — |
| Aetna Better Health | MGMCD | $188.07 | — |
| Molina Healthcare | STARKIDS | $191.55 | — |
| Molina Healthcare | CHIP | $191.55 | — |
| Molina Healthcare | STARPLUS | $191.55 | — |
| Molina Healthcare | STAR | $191.55 | — |
| Oscar | MGMCR | $203.16 | — |
| WellMed | MGMCR | $206.27 | — |
| United | SmallGroup | $207.31 | — |
| Amerigroup | DualEligible | $207.31 | — |
| Cigna HealthSpring | MCRSNP | $207.31 | — |
| Cigna HealthSpring | MCRPPO | $207.31 | — |
| Cigna HealthSpring | MCRHMO | $207.31 | — |
| Humana | MedicareAdvantageHMO | $207.31 | — |
| Humana | MedicareAdvantagePPOPFFS | $207.31 | — |
| Renaissance IPA Radiology | MCR | $207.31 | — |
| Renaissance IPA Radiology | COMM | $207.31 | — |
| Kelsey Seybold | MGMCR | $207.31 | — |
| CHC Harris Health | Indigent | $207.31 | — |
| BCBS | MedicareAdvantageHMO | $207.31 | — |
| BCBS | MCRPPO | $207.31 | — |
| Cigna HealthSpring | MMP | $207.31 | — |
| Devoted Health | MGMCR | $207.31 | — |
| TriWest Healthcare Alliance | Veterans | $207.31 | — |
| Cigna HealthSpring | PFFS | $207.31 | — |
| United | AllPayerAppendix | $207.31 | — |
| United | NarrowNetworkIndivExchange | $207.31 | — |
| Aetna | MCR | $209.07 | — |
| Van Lang IPA | MCR | $209.38 | — |
| United | MCR | $211.46 | — |
| WellCare | SNP | $213.53 | — |
| WellCare | PPO | $213.53 | — |
| WellCare | PFFS | $213.53 | — |
| WellCare | MCRHMO | $213.53 | — |
| Integranet Amerigroup IPA | MCR | $213.53 | — |
| WellCare | POS | $213.53 | — |
| Humana | MCD | $217.67 | — |
| Superior Health Plan | MCRPOS | $217.68 | — |
| American Health Plan | MGMCR | $217.68 | — |
| Superior Health Plan | DualEligible | $217.68 | — |
| Superior Health Plan | MCRHMO | $217.68 | — |
| Superior Health Plan | MCRPPO | $217.68 | — |
| Superior Health Plan | MCRSNP | $217.68 | — |
| Superior Health Plan | PFFS | $217.68 | — |
| ProCare Advantage | MGMCR | $217.68 | — |
| Shared Health | MGMCR | $217.68 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $219.75 | — |
| Provider Partners Health Plan of Texas | PPO | $219.75 | — |
| Provider Partners Health Plan of Texas | SNP | $219.75 | — |
| Provider Partners Health Plan of Texas | PFFS | $219.75 | — |
| Provider Partners Health Plan of Texas | POS | $219.75 | — |
| Molina | MGMCR | $225.97 | — |
| Universal Healthcare Group | MCR | $248.77 | — |
| Verda Health Plan | MCR | $269.50 | — |
| Superior | ValueHMO | $300.60 | — |
| Community Health Choice | HIX | $300.60 | — |
| Superior | HMO | $321.33 | — |
| Superior | EPO | $321.33 | — |
| Corvel Corporation | WORKERSCOMP | $410.47 | — |
| BCBS | MyBlueHealth | $418.77 | — |
| OMNI Healthcare | WORKERSCOMP | $435.35 | — |
| Molina Healthcare | HIX | $445.72 | — |
| BCBS | BAV | $462.30 | — |
| BCBS | HMO | $578.39 | — |
| Oscar | HIX | $599.13 | — |
| BCBS | EPOSOA | $619.86 | — |
| Healthcare Highways | NarrowNetwork | $621.93 | — |
| BCBS | PPO | $661.32 | — |
| Aetna | QHPExchange | $759.44 | — |
| Cigna | CSN | $853.10 | — |
| Cigna | OpenAccessPlus | $924.02 | — |
| Aetna | NBPPO | $1,009.96 | — |
| Aetna | NBHMO | $1,009.96 | — |
| Aetna | NBPOS | $1,009.96 | — |
| Aetna | COMMPOS | $1,072.98 | — |
| Aetna | COMMHMO | $1,072.98 | — |
| Aetna | COMMPPO | $1,072.98 | — |
| Cigna | PPO | $1,099.37 | — |
| Aetna | OONHMO | $1,260.48 | — |
| Aetna | OONPOS | $1,260.48 | — |
| Aetna | OONPPO | $1,260.48 | — |
| Aetna | ASAPPO | $1,362.89 | — |
| Aetna | ASAPOS | $1,362.89 | — |
| Aetna | ASAHMO | $1,362.89 | — |
| Humana | PPO | $2,769.27 | — |
| Humana | HMO | $2,769.27 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $174.14 – $853.10 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $174.14 – $853.10 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $567.00 | $12.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $650.81 | $8.00 – $735.75 |