Artery xray of abdomen 75726-26 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.
$166.68 with Texas Health Network vs $16,776.09 with BCBS — 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 | $166.68 | — |
| Amerigroup | MCDCHIPBH | $170.08 | — |
| Amerigroup | MGMCD | $170.08 | — |
| Texas Childrens Health Plans | STARKIDS | $170.08 | — |
| Texas Childrens Health Plans | STAR | $170.08 | — |
| Community Health Choice MCD | STAR+PLUS | $171.41 | — |
| Community Health Choice MCD | CHIP | $171.41 | — |
| Community Health Choice MCD | CHIPPerinatal | $171.41 | — |
| Community Health Choice MCD | STAR | $171.41 | — |
| United | MGMCD | $174.84 | — |
| Aetna Better Health | MGMCD | $185.12 | — |
| Molina Healthcare | STAR | $187.09 | — |
| Molina Healthcare | STARKIDS | $187.09 | — |
| Molina Healthcare | STARPLUS | $187.09 | — |
| Molina Healthcare | CHIP | $187.09 | — |
| Humana | MCD | $212.60 | — |
| Cigna | CSN | $282.30 | — |
| Cigna | OpenAccessPlus | $305.51 | — |
| Cigna | PPO | $363.17 | — |
| Aetna | QHPExchange | $461.62 | — |
| Aetna | NBPOS | $613.53 | — |
| Aetna | NBPPO | $613.53 | — |
| Aetna | NBHMO | $613.53 | — |
| Aetna | COMMHMO | $652.65 | — |
| Aetna | COMMPPO | $652.65 | — |
| Aetna | COMMPOS | $652.65 | — |
| Aetna | OONPPO | $767.40 | — |
| Aetna | OONHMO | $767.40 | — |
| Aetna | OONPOS | $767.40 | — |
| Aetna | ASAPOS | $829.34 | — |
| Aetna | ASAHMO | $829.34 | — |
| Aetna | ASAPPO | $829.34 | — |
| Superior Health Plan | STAR | $1,060.20 | — |
| Superior Health Plan | CHIP | $1,060.20 | — |
| Superior Health Plan | CHPFC | $1,060.20 | — |
| Superior Health Plan | STARKids | $1,060.20 | — |
| Superior Health Plan | STARPLUS | $1,060.20 | — |
| Humana | HMO | $1,645.51 | — |
| Humana | PPO | $1,645.51 | — |
| Texas Childrens Health Plans | CHIP | $2,933.22 | — |
| United | OptionsPPO | $2,968.56 | — |
| Texas Workforce Commission | WCOMP | $4,240.80 | — |
| Healthcare Highways | NarrowNetwork | $4,505.85 | — |
| Evry Health | BroadNetwork | $4,823.91 | — |
| BCBS | Traditional | $6,184.50 | — |
| Imagine Health | PPO | $6,184.50 | — |
| Christus (USFHP) | TRICARE | $7,068.00 | — |
| Curative Administrators | COMM | $7,068.00 | — |
| HealthSmart Preferred Care | ACCEL | $7,598.10 | — |
| Fidelis SecureCare of TX | MGMCR | $7,951.50 | — |
| United | GlobalAppendix | $7,951.50 | — |
| Averde Health | Commercial | $7,951.50 | — |
| BCBS | MyBlueHealth | $8,089.29 | — |
| BCBS | BAV | $8,732.76 | — |
| United | NarrowNetworkIndivExchange | $9,063.70 | — |
| Coventry National First Health | COMM | $9,418.11 | — |
| Rockport Workers Comp | COMM | $9,718.50 | — |
| Physicians Cooperative of Texas | WC | $9,718.50 | — |
| SouthWest Medical | WORKERSCOMP | $10,602.00 | — |
| Independent Medical System | COMM | $10,602.00 | — |
| Triumph | COMM | $10,602.00 | — |
| National Healthcare Solutions | COMM | $10,602.00 | — |
| United | AllPayerAppendix | $10,733.33 | — |
| United | SmallGroup | $10,733.33 | — |
| Coastal Comp | COMM | $11,485.50 | — |
| Multiplan | PHCSPrimaryNetwork | $13,252.50 | — |
| Cigna Behavioral Health | COMMBH | $14,136.00 | — |
| HealthSmart Preferred Care | PPO | $14,489.40 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $15,019.50 | — |
| Physicians, INC | COMM | $15,019.50 | — |
| Multiplan | ComplementaryNetwork | $15,019.50 | — |
| BCBS | HMO | $15,627.05 | — |
| Affiliated PPO | COMM | $15,903.00 | — |
| BCBS | EPOSOA | $16,224.55 | — |
| BCBS | PPO | $16,776.09 | — |
Visitor-reported prices
Comments
Artery xray of abdomen 75726-26 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $5,453.35 | $170.08 – $15,581.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,453.35 | $140.00 – $15,581.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $171.41 – $8,089.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $170.08 – $8,089.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,658.99 | $170.08 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,218.92 | $1,074.23 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,332.20 | $170.08 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,658.99 | $170.08 – $13,613.39 |