Bld prd mix at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$240.00
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.
?
What you pay up front if you don't use insurance.
$240.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.40 with Superior Health Plan vs $600.00 with Texas Athletic Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHPFC | $14.40 | ↓ -94% |
| Superior Health Plan | CHIP | $14.40 | ↓ -94% |
| Superior Health Plan | STARPLUS | $14.40 | ↓ -94% |
| Superior Health Plan | STARKids | $14.40 | ↓ -94% |
| Superior Health Plan | STAR | $14.40 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $31.20 | ↓ -87% |
| Community Health Choice MCD | CHIP | $31.20 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $31.20 | ↓ -87% |
| Community Health Choice MCD | STAR | $31.20 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $33.60 | ↓ -86% |
| Amerigroup | MGMCD | $33.60 | ↓ -86% |
| Cigna | CSN | $35.52 | ↓ -85% |
| Cigna | OpenAccessPlus | $38.40 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $39.84 | ↓ -83% |
| United | OptionsPPO | $40.32 | ↓ -83% |
| Cigna | PPO | $45.60 | ↓ -81% |
| Oscar | HIX | $46.80 | ↓ -81% |
| Texas Childrens Health Plans | STAR | $56.88 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $56.88 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $57.60 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $61.20 | ↓ -75% |
| Evry Health | BroadNetwork | $65.52 | ↓ -73% |
| Humana | HMO | $76.58 | ↓ -68% |
| Humana | PPO | $76.58 | ↓ -68% |
| Imagine Health | PPO | $84.00 | ↓ -65% |
| BCBS | Traditional | $84.00 | ↓ -65% |
| Christus (USFHP) | TRICARE | $96.00 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $103.20 | ↓ -57% |
| Averde Health | Commercial | $108.00 | ↓ -55% |
| United | GlobalAppendix | $108.00 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $108.00 | ↓ -55% |
| Aetna | QHPExchange | $123.92 | ↓ -48% |
| Coventry National First Health | COMM | $127.92 | ↓ -47% |
| Rockport Workers Comp | COMM | $132.00 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $132.00 | ↓ -45% |
| Triumph | COMM | $144.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $144.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $144.00 | ↓ -40% |
| Independent Medical System | COMM | $144.00 | ↓ -40% |
| United | AllPayerAppendix | $149.16 | ↓ -38% |
| United | NarrowNetworkIndivExchange | $149.16 | ↓ -38% |
| United | SmallGroup | $149.16 | ↓ -38% |
| Coastal Comp | COMM | $156.00 | ↓ -35% |
| Aetna | NBPPO | $164.80 | ↓ -31% |
| Aetna | NBHMO | $164.80 | ↓ -31% |
| Aetna | NBPOS | $164.80 | ↓ -31% |
| Aetna | COMMPPO | $175.09 | ↓ -27% |
| Aetna | COMMHMO | $175.09 | ↓ -27% |
| Aetna | COMMPOS | $175.09 | ↓ -27% |
| Multiplan | PHCSPrimaryNetwork | $180.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $192.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $196.80 | ↓ -18% |
| Physicians, INC | COMM | $204.00 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $204.00 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $204.00 | ↓ -15% |
| Aetna | OONPOS | $205.68 | ↓ -14% |
| Aetna | OONHMO | $205.68 | ↓ -14% |
| Aetna | OONPPO | $205.68 | ↓ -14% |
| Affiliated PPO | COMM | $216.00 | ↓ -10% |
| Aetna | ASAHMO | $222.39 | ↓ -7% |
| Aetna | ASAPOS | $222.39 | ↓ -7% |
| Aetna | ASAPPO | $222.39 | ↓ -7% |
| BCBS | MyBlueHealth | $289.87 | ↑ +21% |
| Texas Athletic Network | Premier | $300.00 | ↑ +25% |
| BCBS | BAV | $320.00 | ↑ +33% |
| BCBS | HMO | $400.37 | ↑ +67% |
| BCBS | EPOSOA | $429.07 | ↑ +79% |
| BCBS | PPO | $457.76 | ↑ +91% |
| Texas Athletic Network | PremierPlus | $500.00 | ↑ +108% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↑ +150% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $92.40 | $64.13 – $264.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $92.40 | $71.28 – $264.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $123.92 – $350.78 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $123.92 – $350.78 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $139.21 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $139.21 | $10.00 – $423.12 |