Chromosome analysis 5 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.
$213.84 with Superior Health Plan vs $3,207.60 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $213.84 | — |
| Superior Health Plan | CHIP | $213.84 | — |
| Superior Health Plan | CHPFC | $213.84 | — |
| Superior Health Plan | STAR | $213.84 | — |
| Superior Health Plan | STARKids | $213.84 | — |
| Texas Health Network | MCD | $217.61 | — |
| Community Health Choice MCD | STAR | $222.05 | — |
| Amerigroup | MGMCD | $222.05 | — |
| Amerigroup | MCDCHIPBH | $222.05 | — |
| Texas Childrens Health Plans | STARKIDS | $222.05 | — |
| Texas Childrens Health Plans | STAR | $222.05 | — |
| Community Health Choice MCD | CHIP | $222.05 | — |
| Community Health Choice MCD | CHIPPerinatal | $222.05 | — |
| Community Health Choice MCD | STAR+PLUS | $222.05 | — |
| United | MGMCD | $226.49 | — |
| Aetna Better Health | MGMCD | $239.81 | — |
| Molina Healthcare | CHIP | $244.26 | — |
| Molina Healthcare | STAR | $244.26 | — |
| Molina Healthcare | STARKIDS | $244.26 | — |
| Molina Healthcare | STARPLUS | $244.26 | — |
| Oscar | MGMCR | $259.05 | — |
| WellMed | MGMCR | $263.02 | — |
| Cigna HealthSpring | MCRPPO | $264.34 | — |
| TriWest Healthcare Alliance | Veterans | $264.34 | — |
| United | AllPayerAppendix | $264.34 | — |
| Cigna HealthSpring | MMP | $264.34 | — |
| Cigna HealthSpring | PFFS | $264.34 | — |
| Cigna HealthSpring | MCRSNP | $264.34 | — |
| Renaissance IPA Radiology | COMM | $264.34 | — |
| Kelsey Seybold | MGMCR | $264.34 | — |
| Humana | MedicareAdvantagePPOPFFS | $264.34 | — |
| Humana | MedicareAdvantageHMO | $264.34 | — |
| CHC Harris Health | Indigent | $264.34 | — |
| Cigna HealthSpring | MCRHMO | $264.34 | — |
| Devoted Health | MGMCR | $264.34 | — |
| Amerigroup | DualEligible | $264.34 | — |
| United | NarrowNetworkIndivExchange | $264.34 | — |
| United | SmallGroup | $264.34 | — |
| Renaissance IPA Radiology | MCR | $264.34 | — |
| BCBS | MedicareAdvantageHMO | $264.34 | — |
| BCBS | MCRPPO | $264.34 | — |
| Aetna | MCR | $266.59 | — |
| Van Lang IPA | MCR | $266.98 | — |
| United | MCR | $269.63 | — |
| WellCare | MCRHMO | $272.27 | — |
| WellCare | PPO | $272.27 | — |
| WellCare | POS | $272.27 | — |
| WellCare | SNP | $272.27 | — |
| Integranet Amerigroup IPA | MCR | $272.27 | — |
| WellCare | PFFS | $272.27 | — |
| ProCare Advantage | MGMCR | $277.56 | — |
| Shared Health | MGMCR | $277.56 | — |
| Superior Health Plan | DualEligible | $277.56 | — |
| Superior Health Plan | MCRHMO | $277.56 | — |
| Superior Health Plan | MCRPOS | $277.56 | — |
| Superior Health Plan | MCRPPO | $277.56 | — |
| Superior Health Plan | MCRSNP | $277.56 | — |
| Superior Health Plan | PFFS | $277.56 | — |
| American Health Plan | MGMCR | $277.56 | — |
| Humana | MCD | $277.56 | — |
| Provider Partners Health Plan of Texas | SNP | $280.20 | — |
| Provider Partners Health Plan of Texas | PPO | $280.20 | — |
| Provider Partners Health Plan of Texas | POS | $280.20 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $280.20 | — |
| Provider Partners Health Plan of Texas | PFFS | $280.20 | — |
| TriWest Health Alliance | TRCR | $286.10 | — |
| Christus (USFHP) | TRICARE | $286.10 | — |
| Molina | MGMCR | $288.13 | — |
| Universal Healthcare Group | MCR | $317.21 | — |
| Verda Health Plan | MCR | $343.64 | — |
| Superior | ValueHMO | $383.29 | — |
| Community Health Choice | HIX | $383.29 | — |
| Superior | HMO | $409.73 | — |
| Superior | EPO | $409.73 | — |
| Corvel Corporation | WORKERSCOMP | $523.39 | — |
| BCBS | MyBlueHealth | $533.97 | — |
| OMNI Healthcare | WORKERSCOMP | $555.11 | — |
| Molina Healthcare | HIX | $568.33 | — |
| BCBS | BAV | $589.48 | — |
| Texas Childrens Health Plans | CHIP | $591.62 | — |
| United | OptionsPPO | $598.75 | — |
| Healthcare Highways | NarrowNetwork | $642.35 | — |
| BCBS | HMO | $737.51 | — |
| Oscar | HIX | $763.94 | — |
| BCBS | EPOSOA | $790.38 | — |
| BCBS | PPO | $843.24 | — |
| Texas Workforce Commission | WCOMP | $855.36 | — |
| Aetna | QHPExchange | $968.34 | — |
| Evry Health | BroadNetwork | $972.97 | — |
| Cigna | CSN | $1,087.26 | — |
| Cigna | OpenAccessPlus | $1,177.66 | — |
| BCBS | Traditional | $1,247.40 | — |
| Imagine Health | PPO | $1,247.40 | — |
| Aetna | NBHMO | $1,287.77 | — |
| Aetna | NBPOS | $1,287.77 | — |
| Aetna | NBPPO | $1,287.77 | — |
| Aetna | COMMPPO | $1,368.13 | — |
| Aetna | COMMPOS | $1,368.13 | — |
| Aetna | COMMHMO | $1,368.13 | — |
| Cigna | PPO | $1,401.14 | — |
| HealthSmart Preferred Care | ACCEL | $1,532.52 | — |
| Averde Health | Commercial | $1,603.80 | — |
| United | GlobalAppendix | $1,603.80 | — |
| Fidelis SecureCare of TX | MGMCR | $1,603.80 | — |
| Aetna | OONHMO | $1,607.20 | — |
| Aetna | OONPPO | $1,607.20 | — |
| Aetna | OONPOS | $1,607.20 | — |
| Aetna | ASAHMO | $1,737.79 | — |
| Aetna | ASAPPO | $1,737.79 | — |
| Aetna | ASAPOS | $1,737.79 | — |
| Coventry National First Health | COMM | $1,899.61 | — |
| Physicians Cooperative of Texas | WC | $1,960.20 | — |
| Rockport Workers Comp | COMM | $1,960.20 | — |
| Independent Medical System | COMM | $2,138.40 | — |
| SouthWest Medical | WORKERSCOMP | $2,138.40 | — |
| Triumph | COMM | $2,138.40 | — |
| National Healthcare Solutions | COMM | $2,138.40 | — |
| Coastal Comp | COMM | $2,316.60 | — |
| Multiplan | PHCSPrimaryNetwork | $2,673.00 | — |
| Cigna Behavioral Health | COMMBH | $2,851.20 | — |
| Humana | PPO | $2,860.16 | — |
| Humana | HMO | $2,860.16 | — |
| HealthSmart Preferred Care | PPO | $2,922.48 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $3,029.40 | — |
| Multiplan | ComplementaryNetwork | $3,029.40 | — |
| Physicians, INC | COMM | $3,029.40 | — |
| Affiliated PPO | COMM | $3,207.60 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Chromosome analysis 5 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON TOMBALL | HOUSTON | $856.46 | $222.05 – $1,087.26 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $222.05 – $1,087.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $847.58 | $35.00 – $1,059.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,146.11 | $36.00 – $1,719.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,146.11 | $36.00 – $1,432.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $847.58 | $35.00 – $1,059.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,146.11 | $36.00 – $1,719.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,146.11 | $26.00 – $1,719.17 |