Athrectomy fem/pop/unilateral 37225 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.
$300.00 with Texas Athletic Network vs $51,452.10 with Affiliated PPO — 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 Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Aetna | QHPExchange | $2,156.00 | — |
| Aetna | NBHMO | $2,864.00 | — |
| Aetna | NBPOS | $2,864.00 | — |
| Aetna | COMMPOS | $3,044.00 | — |
| Aetna | COMMHMO | $3,044.00 | — |
| Aetna | NBPPO | $3,108.00 | — |
| Aetna | COMMPPO | $3,303.00 | — |
| Superior Health Plan | STARKids | $3,430.14 | — |
| Superior Health Plan | CHPFC | $3,430.14 | — |
| Superior Health Plan | STAR | $3,430.14 | — |
| Superior Health Plan | STARPLUS | $3,430.14 | — |
| Superior Health Plan | CHIP | $3,430.14 | — |
| Aetna | OONHMO | $3,582.00 | — |
| Aetna | OONPOS | $3,582.00 | — |
| Aetna | ASAPOS | $3,870.00 | — |
| Aetna | ASAHMO | $3,870.00 | — |
| Aetna | OONPPO | $3,886.00 | — |
| Aetna | ASAPPO | $4,197.00 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
| Texas Health Network | MCD | $5,410.25 | — |
| Amerigroup | MGMCD | $5,796.69 | — |
| United | MGMCD | $5,923.88 | — |
| Molina Healthcare | CHIP | $6,072.73 | — |
| Molina Healthcare | STAR | $6,072.73 | — |
| Molina Healthcare | STARPLUS | $6,072.73 | — |
| Molina Healthcare | STARKIDS | $6,072.73 | — |
| Community Health Choice MCD | CHIPPerinatal | $6,183.14 | — |
| Community Health Choice MCD | STAR | $6,183.14 | — |
| Community Health Choice MCD | CHIP | $6,183.14 | — |
| Community Health Choice MCD | STAR+PLUS | $6,183.14 | — |
| Humana | MCD | $6,900.82 | — |
| Aetna Better Health | MGMCD | $6,969.28 | — |
| Amerigroup | MCDCHIPBH | $8,003.66 | — |
| Cigna | CSN | $8,461.01 | — |
| Cigna | OpenAccessPlus | $9,147.04 | — |
| BCBS | MyBlueHealth | $9,318.55 | — |
| Texas Childrens Health Plans | CHIP | $9,490.05 | — |
| United | OptionsPPO | $9,604.39 | — |
| BCBS | BAV | $10,290.42 | — |
| Oscar | HIX | $10,586.00 | — |
| Cigna | PPO | $10,862.11 | — |
| Healthcare Highways | NarrowNetwork | $10,949.00 | — |
| Evry Health | BroadNetwork | $11,113.00 | — |
| BCBS | HMO | $12,863.02 | — |
| BCBS | EPOSOA | $13,148.87 | — |
| BCBS | PPO | $13,377.55 | — |
| Texas Childrens Health Plans | STARKIDS | $13,549.05 | — |
| Texas Childrens Health Plans | STAR | $13,549.05 | — |
| Texas Workforce Commission | WCOMP | $13,720.56 | — |
| BCBS | Traditional | $20,009.15 | — |
| Christus (USFHP) | TRICARE | $22,867.60 | — |
| Curative Administrators | COMM | $22,867.60 | — |
| HealthSmart Preferred Care | ACCEL | $24,582.67 | — |
| United | GlobalAppendix | $25,726.05 | — |
| Fidelis SecureCare of TX | MGMCR | $25,726.05 | — |
| Coventry National First Health | COMM | $30,471.08 | — |
| Physicians Cooperative of Texas | WC | $31,442.95 | — |
| Rockport Workers Comp | COMM | $31,442.95 | — |
| SouthWest Medical | WORKERSCOMP | $34,301.40 | — |
| Triumph | COMM | $34,301.40 | — |
| Independent Medical System | COMM | $34,301.40 | — |
| National Healthcare Solutions | COMM | $34,301.40 | — |
| Coastal Comp | COMM | $37,159.85 | — |
| Multiplan | PHCSPrimaryNetwork | $42,876.75 | — |
| Cigna Behavioral Health | COMMBH | $45,735.20 | — |
| HealthSmart Preferred Care | PPO | $46,878.58 | — |
| Multiplan | ComplementaryNetwork | $48,593.65 | — |
| Physicians, INC | COMM | $48,593.65 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $48,593.65 | — |
| Affiliated PPO | COMM | $51,452.10 | — |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $16,141.30 | $12,451.86 – $46,118.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $16,141.30 | $12,451.86 – $46,118.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,923.88 – $20,312.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5,520.66 – $17,240.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $26,503.49 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,745.61 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,902.90 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $26,503.49 | $7,038.00 – $43,439.01 |