Clozapine, 25 mg 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.92 with BCBS vs $52.20 with Affiliated PPO — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $0.92 | — |
| BCBS | BAV | $1.02 | — |
| BCBS | EPOSOA | $1.27 | — |
| BCBS | PPO | $1.27 | — |
| BCBS | HMO | $1.27 | — |
| Cigna | CSN | $1.60 | — |
| Cigna | OpenAccessPlus | $1.73 | — |
| Cigna | PPO | $2.06 | — |
| Superior Health Plan | CHPFC | $3.48 | — |
| Superior Health Plan | STAR | $3.48 | — |
| Superior Health Plan | STARKids | $3.48 | — |
| Superior Health Plan | STARPLUS | $3.48 | — |
| Superior Health Plan | CHIP | $3.48 | — |
| Aetna | MCR | $3.85 | — |
| Community Health Choice MCD | CHIP | $7.54 | — |
| Community Health Choice MCD | CHIPPerinatal | $7.54 | — |
| Community Health Choice MCD | STAR | $7.54 | — |
| Community Health Choice MCD | STAR+PLUS | $7.54 | — |
| Amerigroup | MGMCD | $8.12 | — |
| Amerigroup | MCDCHIPBH | $8.12 | — |
| Texas Childrens Health Plans | CHIP | $9.63 | — |
| United | OptionsPPO | $9.74 | — |
| Humana | HMO | $9.84 | — |
| Humana | PPO | $9.84 | — |
| Superior | EPO | $10.15 | — |
| Superior | HMO | $10.15 | — |
| Superior | ValueHMO | $11.48 | — |
| Texas Childrens Health Plans | STAR | $13.75 | — |
| Texas Childrens Health Plans | STARKIDS | $13.75 | — |
| Texas Workforce Commission | WCOMP | $13.92 | — |
| Molina Healthcare | HIX | $15.66 | — |
| CHC Harris Health | Indigent | $17.40 | — |
| BCBS | Traditional | $20.30 | — |
| Christus (USFHP) | TRICARE | $23.20 | — |
| HealthSmart Preferred Care | ACCEL | $24.94 | — |
| United | GlobalAppendix | $26.10 | — |
| Coventry National First Health | COMM | $30.91 | — |
| Rockport Workers Comp | COMM | $31.90 | — |
| Physicians Cooperative of Texas | WC | $31.90 | — |
| Triumph | COMM | $34.80 | — |
| National Healthcare Solutions | COMM | $34.80 | — |
| SouthWest Medical | WORKERSCOMP | $34.80 | — |
| Independent Medical System | COMM | $34.80 | — |
| Coastal Comp | COMM | $37.70 | — |
| Multiplan | PHCSPrimaryNetwork | $43.50 | — |
| Cigna Behavioral Health | COMMBH | $46.40 | — |
| HealthSmart Preferred Care | PPO | $47.56 | — |
| Multiplan | ComplementaryNetwork | $49.30 | — |
| Physicians, INC | COMM | $49.30 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $49.30 | — |
| Affiliated PPO | COMM | $52.20 | — |
Visitor-reported prices
Comments
Clozapine, 25 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.92 – $9.84 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.92 – $9.84 |
| Adventhealth Rollins Brook | Lampasas | not published | $1.81 – $1.81 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.92 – $9.84 |
| Covenant Children's Hospital | Lubbock | not published | $1.76 – $1.88 |
| HCA HOUSTON CONROE | CONROE | not published | $0.92 – $9.84 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $0.92 – $9.84 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $0.92 – $9.84 |