Consultation pathology during surgery 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.
$33.84 with United vs $554.74 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 |
|---|---|---|---|
| United | SmallGroup | $33.84 | — |
| United | AllPayerAppendix | $33.84 | — |
| United | NarrowNetworkIndivExchange | $33.84 | — |
| BCBS | MyBlueHealth | $67.53 | — |
| BCBS | BAV | $74.55 | — |
| BCBS | HMO | $93.27 | — |
| Cigna | CSN | $99.20 | — |
| BCBS | EPOSOA | $99.96 | — |
| BCBS | PPO | $106.64 | — |
| Cigna | OpenAccessPlus | $107.45 | — |
| Cigna | PPO | $127.84 | — |
| Aetna | QHPExchange | $133.95 | — |
| Aetna | NBHMO | $178.13 | — |
| Aetna | NBPPO | $178.13 | — |
| Aetna | NBPOS | $178.13 | — |
| Aetna | COMMPOS | $189.25 | — |
| Aetna | COMMPPO | $189.25 | — |
| Aetna | COMMHMO | $189.25 | — |
| Aetna | OONPPO | $222.32 | — |
| Aetna | OONPOS | $222.32 | — |
| Aetna | OONHMO | $222.32 | — |
| Aetna | ASAPPO | $240.38 | — |
| Aetna | ASAPOS | $240.38 | — |
| Aetna | ASAHMO | $240.38 | — |
| Humana | PPO | $554.74 | — |
| Humana | HMO | $554.74 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $97.00 | $33.84 – $554.74 |
| Baylor St Luke's Medical Center | Houston | $58.10 | $40.12 – $166.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $58.10 | $44.82 – $166.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $97.29 | $33.84 – $554.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $134.66 | $35.00 – $168.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $45.01 | $9.26 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $34.61 | $6.92 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $134.66 | $35.00 – $168.32 |