Cardiac perf spect sgl/ef/wm rst/strs 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 $9,657.90 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 Health Network | MCD | $309.44 | — |
| Texas Childrens Health Plans | STARKIDS | $315.75 | — |
| Amerigroup | MGMCD | $315.75 | — |
| Amerigroup | MCDCHIPBH | $315.75 | — |
| Texas Childrens Health Plans | STAR | $315.75 | — |
| Community Health Choice MCD | CHIPPerinatal | $334.46 | — |
| Community Health Choice MCD | STAR+PLUS | $334.46 | — |
| Community Health Choice MCD | STAR | $334.46 | — |
| Community Health Choice MCD | CHIP | $334.46 | — |
| United | MGMCD | $341.15 | — |
| Molina Healthcare | STAR | $347.33 | — |
| Molina Healthcare | STARPLUS | $347.33 | — |
| Molina Healthcare | STARKIDS | $347.33 | — |
| Molina Healthcare | CHIP | $347.33 | — |
| Aetna Better Health | MGMCD | $361.22 | — |
| Humana | MCD | $394.69 | — |
| BCBS | MyBlueHealth | $498.56 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| BCBS | BAV | $538.21 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Superior Health Plan | STAR | $643.86 | — |
| Superior Health Plan | CHPFC | $643.86 | — |
| Superior Health Plan | STARKids | $643.86 | — |
| Superior Health Plan | STARPLUS | $643.86 | — |
| Superior Health Plan | CHIP | $643.86 | — |
| BCBS | HMO | $963.12 | — |
| BCBS | EPOSOA | $999.94 | — |
| BCBS | PPO | $1,033.94 | — |
| Aetna | QHPExchange | $1,538.34 | — |
| Texas Childrens Health Plans | CHIP | $1,781.35 | — |
| United | OptionsPPO | $1,802.81 | — |
| Aetna | NBPOS | $2,044.60 | — |
| Aetna | NBHMO | $2,044.60 | — |
| Aetna | NBPPO | $2,044.60 | — |
| Aetna | COMMPPO | $2,174.97 | — |
| Aetna | COMMHMO | $2,174.97 | — |
| Aetna | COMMPOS | $2,174.97 | — |
| United | NarrowNetworkIndivExchange | $2,481.29 | — |
| Aetna | OONPPO | $2,557.39 | — |
| Aetna | OONHMO | $2,557.39 | — |
| Aetna | OONPOS | $2,557.39 | — |
| Texas Workforce Commission | WCOMP | $2,575.44 | — |
| Healthcare Highways | NarrowNetwork | $2,736.41 | — |
| Aetna | ASAHMO | $2,763.80 | — |
| Aetna | ASAPPO | $2,763.80 | — |
| Aetna | ASAPOS | $2,763.80 | — |
| Evry Health | BroadNetwork | $2,929.56 | — |
| United | AllPayerAppendix | $2,938.37 | — |
| United | SmallGroup | $2,938.37 | — |
| Humana | PPO | $3,424.26 | — |
| Humana | HMO | $3,424.26 | — |
| Imagine Health | PPO | $3,755.85 | — |
| BCBS | Traditional | $3,755.85 | — |
| Christus (USFHP) | TRICARE | $4,292.40 | — |
| Curative Administrators | COMM | $4,292.40 | — |
| HealthSmart Preferred Care | ACCEL | $4,614.33 | — |
| United | GlobalAppendix | $4,828.95 | — |
| Fidelis SecureCare of TX | MGMCR | $4,828.95 | — |
| Averde Health | Commercial | $4,828.95 | — |
| Coventry National First Health | COMM | $5,719.62 | — |
| Rockport Workers Comp | COMM | $5,902.05 | — |
| Physicians Cooperative of Texas | WC | $5,902.05 | — |
| Triumph | COMM | $6,438.60 | — |
| National Healthcare Solutions | COMM | $6,438.60 | — |
| SouthWest Medical | WORKERSCOMP | $6,438.60 | — |
| Independent Medical System | COMM | $6,438.60 | — |
| Coastal Comp | COMM | $6,975.15 | — |
| Multiplan | PHCSPrimaryNetwork | $8,048.25 | — |
| Cigna Behavioral Health | COMMBH | $8,584.80 | — |
| HealthSmart Preferred Care | PPO | $8,799.42 | — |
| Multiplan | ComplementaryNetwork | $9,121.35 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $9,121.35 | — |
| Physicians, INC | COMM | $9,121.35 | — |
| Affiliated PPO | COMM | $9,657.90 | — |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $16,883.73 | $334.46 – $1,538.34 |
| Baylor St Luke's Medical Center | Houston | $4,048.10 | $315.75 – $11,566.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $4,048.10 | $315.75 – $11,566.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $18,876.20 | $315.75 – $1,538.34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,064.87 | $306.74 – $3,831.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,104.72 | $639.05 – $4,657.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,699.01 | $306.74 – $4,623.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,064.87 | $306.74 – $3,831.08 |