Bupivacaine 0.1 % epidural pca - 1 hour dose limit at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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

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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.

$0.01 with Christus (USFHP) vs $33.30 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 →

Payer
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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
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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
Christus (USFHP) TRICARE $0.01
TriWest Health Alliance TRCR $0.01
United AllPayerAppendix $0.02
Cigna CSN $0.02
United SmallGroup $0.02
United NarrowNetworkIndivExchange $0.02
Cigna PPO $0.03
Cigna OpenAccessPlus $0.03
BCBS BAV $0.04
BCBS MyBlueHealth $0.04
BCBS EPOSOA $0.05
BCBS PPO $0.05
BCBS HMO $0.05
Superior Health Plan CHIP $2.22
Superior Health Plan STARKids $2.22
Superior Health Plan STARPLUS $2.22
Superior Health Plan CHPFC $2.22
Superior Health Plan STAR $2.22
Aetna MCR $2.45
Community Health Choice MCD STAR $4.81
Community Health Choice MCD STAR+PLUS $4.81
Community Health Choice MCD CHIP $4.81
Community Health Choice MCD CHIPPerinatal $4.81
Amerigroup MCDCHIPBH $5.18
Amerigroup MGMCD $5.18
Texas Childrens Health Plans CHIP $6.14
United OptionsPPO $6.22
Superior EPO $6.47
Superior HMO $6.47
Superior ValueHMO $7.33
Texas Childrens Health Plans STAR $8.77
Texas Childrens Health Plans STARKIDS $8.77
Texas Workforce Commission WCOMP $8.88
Molina Healthcare HIX $9.99
CHC Harris Health Indigent $11.10
Humana PPO $11.81
Humana HMO $11.81
BCBS Traditional $12.95
HealthSmart Preferred Care ACCEL $15.91
United GlobalAppendix $16.65
Coventry National First Health COMM $19.72
Rockport Workers Comp COMM $20.35
Physicians Cooperative of Texas WC $20.35
Triumph COMM $22.20
Independent Medical System COMM $22.20
National Healthcare Solutions COMM $22.20
SouthWest Medical WORKERSCOMP $22.20
Coastal Comp COMM $24.05
Multiplan PHCSPrimaryNetwork $27.75
Cigna Behavioral Health COMMBH $29.60
HealthSmart Preferred Care PPO $30.34
Multiplan ComplementaryNetwork $31.45
Physicians, INC COMM $31.45
HealthSmart Preferred Care ACCOUNTABLEPPO $31.45
Affiliated PPO COMM $33.30

Visitor-reported prices

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Bupivacaine 0.1 % epidural pca - 1 hour dose limit at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $34.75 $11.97 – $54.38
St. Luke's Health - The Vintage Hospital Houston $34.75 $11.97 – $54.38
HCA HOUSTON MEDICAL CENTER Houston not published $0.01 – $0.04
HCA HOUSTON TOMBALL HOUSTON not published $0.01 – $0.04
Adventhealth Rollins Brook Lampasas $175.50 $0.08 – $0.08
Covenant Children's Hospital Lubbock $56.70 $0.04 – $0.07
St. Luke's Health Memorial Lufkin Lufkin $33.85 $9.29 – $37.13
HCA HOUSTON PEARLAND Pearland $179.87 $0.01 – $0.04

All Texas hospitals for this procedure →