Chromosome banding study 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.
$56.47 with Texas Health Network vs $916.35 with Humana — 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 Health Network | MCD | $56.47 | — |
| Texas Childrens Health Plans | STARKIDS | $57.62 | — |
| Community Health Choice MCD | CHIP | $57.62 | — |
| Texas Childrens Health Plans | STAR | $57.62 | — |
| Amerigroup | MCDCHIPBH | $57.62 | — |
| Amerigroup | MGMCD | $57.62 | — |
| Community Health Choice MCD | CHIPPerinatal | $57.62 | — |
| Community Health Choice MCD | STAR | $57.62 | — |
| Community Health Choice MCD | STAR+PLUS | $57.62 | — |
| United | MGMCD | $58.77 | — |
| Aetna Better Health | MGMCD | $62.23 | — |
| Molina Healthcare | STARKIDS | $63.38 | — |
| Molina Healthcare | CHIP | $63.38 | — |
| Molina Healthcare | STARPLUS | $63.38 | — |
| Molina Healthcare | STAR | $63.38 | — |
| Oscar | MGMCR | $67.23 | — |
| WellMed | MGMCR | $68.26 | — |
| United | SmallGroup | $68.60 | — |
| Amerigroup | DualEligible | $68.60 | — |
| Cigna HealthSpring | MCRSNP | $68.60 | — |
| Cigna HealthSpring | MCRPPO | $68.60 | — |
| Cigna HealthSpring | MCRHMO | $68.60 | — |
| Humana | MedicareAdvantageHMO | $68.60 | — |
| Humana | MedicareAdvantagePPOPFFS | $68.60 | — |
| Renaissance IPA Radiology | MCR | $68.60 | — |
| Renaissance IPA Radiology | COMM | $68.60 | — |
| Kelsey Seybold | MGMCR | $68.60 | — |
| CHC Harris Health | Indigent | $68.60 | — |
| BCBS | MedicareAdvantageHMO | $68.60 | — |
| BCBS | MCRPPO | $68.60 | — |
| Cigna HealthSpring | MMP | $68.60 | — |
| Devoted Health | MGMCR | $68.60 | — |
| TriWest Healthcare Alliance | Veterans | $68.60 | — |
| Cigna HealthSpring | PFFS | $68.60 | — |
| United | AllPayerAppendix | $68.60 | — |
| United | NarrowNetworkIndivExchange | $68.60 | — |
| Aetna | MCR | $69.18 | — |
| Van Lang IPA | MCR | $69.29 | — |
| United | MCR | $69.97 | — |
| WellCare | PPO | $70.66 | — |
| WellCare | PFFS | $70.66 | — |
| WellCare | MCRHMO | $70.66 | — |
| Integranet Amerigroup IPA | MCR | $70.66 | — |
| WellCare | SNP | $70.66 | — |
| WellCare | POS | $70.66 | — |
| Humana | MCD | $72.02 | — |
| Superior Health Plan | MCRPPO | $72.03 | — |
| American Health Plan | MGMCR | $72.03 | — |
| Superior Health Plan | DualEligible | $72.03 | — |
| Superior Health Plan | MCRHMO | $72.03 | — |
| Superior Health Plan | MCRPOS | $72.03 | — |
| Superior Health Plan | MCRSNP | $72.03 | — |
| Superior Health Plan | PFFS | $72.03 | — |
| ProCare Advantage | MGMCR | $72.03 | — |
| Shared Health | MGMCR | $72.03 | — |
| Provider Partners Health Plan of Texas | PFFS | $72.72 | — |
| Provider Partners Health Plan of Texas | PPO | $72.72 | — |
| Provider Partners Health Plan of Texas | POS | $72.72 | — |
| Provider Partners Health Plan of Texas | SNP | $72.72 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $72.72 | — |
| TriWest Health Alliance | TRCR | $74.25 | — |
| Christus (USFHP) | TRICARE | $74.25 | — |
| Molina | MGMCR | $74.77 | — |
| Universal Healthcare Group | MCR | $82.32 | — |
| Verda Health Plan | MCR | $89.18 | — |
| Superior | ValueHMO | $99.47 | — |
| Community Health Choice | HIX | $99.47 | — |
| Superior | HMO | $106.33 | — |
| Superior | EPO | $106.33 | — |
| Corvel Corporation | WORKERSCOMP | $135.83 | — |
| BCBS | MyBlueHealth | $138.57 | — |
| OMNI Healthcare | WORKERSCOMP | $144.06 | — |
| Molina Healthcare | HIX | $147.49 | — |
| BCBS | BAV | $152.98 | — |
| BCBS | HMO | $191.39 | — |
| Oscar | HIX | $198.25 | — |
| BCBS | EPOSOA | $205.11 | — |
| Healthcare Highways | NarrowNetwork | $205.79 | — |
| BCBS | PPO | $218.83 | — |
| Aetna | QHPExchange | $251.31 | — |
| Cigna | CSN | $281.58 | — |
| Cigna | OpenAccessPlus | $304.99 | — |
| Aetna | NBHMO | $334.22 | — |
| Aetna | NBPOS | $334.22 | — |
| Aetna | NBPPO | $334.22 | — |
| Aetna | COMMHMO | $355.07 | — |
| Aetna | COMMPOS | $355.07 | — |
| Aetna | COMMPPO | $355.07 | — |
| Cigna | PPO | $362.87 | — |
| Aetna | OONPPO | $417.12 | — |
| Aetna | OONPOS | $417.12 | — |
| Aetna | OONHMO | $417.12 | — |
| Aetna | ASAHMO | $451.01 | — |
| Aetna | ASAPPO | $451.01 | — |
| Aetna | ASAPOS | $451.01 | — |
| Humana | HMO | $916.35 | — |
| Humana | PPO | $916.35 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Chromosome banding study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $57.62 – $281.58 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $57.62 – $281.58 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $272.21 | $35.00 – $340.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $293.03 | $36.00 – $439.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $293.03 | $36.00 – $366.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $272.21 | $35.00 – $340.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $293.03 | $36.00 – $439.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $293.03 | $26.00 – $439.55 |