Application of paste boot 29580 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.
$22.86 with Superior Health Plan vs $4,690.00 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $22.86 | — |
| Superior Health Plan | STARPLUS | $22.86 | — |
| Superior Health Plan | STARKids | $22.86 | — |
| Superior Health Plan | STAR | $22.86 | — |
| Superior Health Plan | CHPFC | $22.86 | — |
| Texas Health Network | MCD | $32.46 | — |
| Amerigroup | MGMCD | $34.78 | — |
| Molina Healthcare | CHIP | $36.43 | — |
| Molina Healthcare | STARPLUS | $36.43 | — |
| Molina Healthcare | STARKIDS | $36.43 | — |
| Molina Healthcare | STAR | $36.43 | — |
| United | MGMCD | $37.73 | — |
| Community Health Choice MCD | CHIP | $39.38 | — |
| Community Health Choice MCD | STAR+PLUS | $39.38 | — |
| Community Health Choice MCD | STAR | $39.38 | — |
| Community Health Choice MCD | CHIPPerinatal | $39.38 | — |
| Humana | MCD | $41.40 | — |
| Aetna Better Health | MGMCD | $44.39 | — |
| Amerigroup | MCDCHIPBH | $53.34 | — |
| BCBS | MyBlueHealth | $62.10 | — |
| Texas Childrens Health Plans | CHIP | $63.25 | — |
| United | OptionsPPO | $64.01 | — |
| BCBS | BAV | $68.58 | — |
| BCBS | HMO | $85.72 | — |
| BCBS | EPOSOA | $87.63 | — |
| Texas Childrens Health Plans | STAR | $90.30 | — |
| Texas Childrens Health Plans | STARKIDS | $90.30 | — |
| Texas Workforce Commission | WCOMP | $91.44 | — |
| Healthcare Highways | NarrowNetwork | $97.16 | — |
| Evry Health | BroadNetwork | $104.01 | — |
| Aetna | NBHMO | $122.30 | — |
| Aetna | NBPOS | $122.30 | — |
| Aetna | NBPPO | $122.30 | — |
| Aetna | COMMPOS | $130.30 | — |
| Aetna | COMMHMO | $130.30 | — |
| Aetna | COMMPPO | $130.30 | — |
| BCBS | Traditional | $133.35 | — |
| Imagine Health | PPO | $133.35 | — |
| Christus (USFHP) | TRICARE | $152.40 | — |
| Curative Administrators | COMM | $152.40 | — |
| Aetna | OONHMO | $152.78 | — |
| Aetna | OONPPO | $152.78 | — |
| Aetna | OONPOS | $152.78 | — |
| HealthSmart Preferred Care | ACCEL | $163.83 | — |
| WellMed | MGMCR | $164.06 | — |
| Aetna | ASAPPO | $164.97 | — |
| Aetna | ASAPOS | $164.97 | — |
| Aetna | ASAHMO | $164.97 | — |
| Fidelis SecureCare of TX | MGMCR | $171.45 | — |
| United | GlobalAppendix | $171.45 | — |
| Averde Health | Commercial | $171.45 | — |
| Coventry National First Health | COMM | $203.07 | — |
| Physicians Cooperative of Texas | WC | $209.55 | — |
| Rockport Workers Comp | COMM | $209.55 | — |
| National Healthcare Solutions | COMM | $228.60 | — |
| SouthWest Medical | WORKERSCOMP | $228.60 | — |
| Independent Medical System | COMM | $228.60 | — |
| Triumph | COMM | $228.60 | — |
| Coastal Comp | COMM | $247.65 | — |
| Multiplan | PHCSPrimaryNetwork | $285.75 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Cigna Behavioral Health | COMMBH | $304.80 | — |
| HealthSmart Preferred Care | PPO | $312.42 | — |
| Physicians, INC | COMM | $323.85 | — |
| Multiplan | ComplementaryNetwork | $323.85 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $323.85 | — |
| Affiliated PPO | COMM | $342.90 | — |
| BCBS | PPO | $356.34 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| United | SmallGroup | $1,120.00 | — |
| United | AllPayerAppendix | $1,600.00 | — |
| United | NarrowNetworkIndivExchange | $1,702.00 | — |
| Oscar | HIX | $2,358.00 | — |
| Cigna | CSN | $2,518.00 | — |
| Cigna | OpenAccessPlus | $2,728.00 | — |
| Cigna | PPO | $3,244.00 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
Visitor-reported prices
Comments
Application of paste boot 29580 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $223.30 | $172.26 – $638.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $223.30 | $172.26 – $638.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $36.43 – $304.83 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $33.12 – $304.83 |
| Adventhealth Rollins Brook | Lampasas | $1,062.85 | $52.78 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $331.74 | $33.12 – $414.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $444.71 | $35.44 – $667.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $421.59 | $33.12 – $526.99 |