Contrast x-ray of wrist at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$132.62 with Texas Health Network vs $3,892.50 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 →

Payer
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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
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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 $132.62
Amerigroup MCDCHIPBH $135.33
Texas Childrens Health Plans STARKIDS $135.33
Texas Childrens Health Plans STAR $135.33
Amerigroup MGMCD $135.33
Community Health Choice MCD CHIPPerinatal $136.33
Community Health Choice MCD CHIP $136.33
Community Health Choice MCD STAR+PLUS $136.33
Community Health Choice MCD STAR $136.33
United MGMCD $139.06
Aetna Better Health MGMCD $147.24
Molina Healthcare STARKIDS $148.86
Molina Healthcare STARPLUS $148.86
Molina Healthcare CHIP $148.86
Molina Healthcare STAR $148.86
Humana MCD $169.16
Superior Health Plan STARKids $259.50
Superior Health Plan STARPLUS $259.50
Superior Health Plan CHIP $259.50
Superior Health Plan CHPFC $259.50
Superior Health Plan STAR $259.50
Cigna CSN $396.64
Cigna OpenAccessPlus $429.26
Cigna PPO $510.27
Aetna QHPExchange $660.99
BCBS MyBlueHealth $672.06
United NarrowNetworkIndivExchange $699.43
Texas Childrens Health Plans CHIP $717.95
BCBS BAV $725.51
United OptionsPPO $726.60
United AllPayerAppendix $828.27
United SmallGroup $828.27
Aetna NBPPO $878.52
Aetna NBPOS $878.52
Aetna NBHMO $878.52
Aetna COMMHMO $934.53
Aetna COMMPOS $934.53
Aetna COMMPPO $934.53
Texas Workforce Commission WCOMP $1,038.00
Aetna OONHMO $1,098.85
Aetna OONPOS $1,098.85
Aetna OONPPO $1,098.85
Healthcare Highways NarrowNetwork $1,102.88
Evry Health BroadNetwork $1,180.72
Aetna ASAPOS $1,187.54
Aetna ASAPPO $1,187.54
Aetna ASAHMO $1,187.54
BCBS HMO $1,298.29
BCBS EPOSOA $1,347.93
Humana HMO $1,372.27
Humana PPO $1,372.27
BCBS PPO $1,393.75
Imagine Health PPO $1,513.75
BCBS Traditional $1,513.75
Curative Administrators COMM $1,730.00
Christus (USFHP) TRICARE $1,730.00
HealthSmart Preferred Care ACCEL $1,859.75
United GlobalAppendix $1,946.25
Averde Health Commercial $1,946.25
Fidelis SecureCare of TX MGMCR $1,946.25
Coventry National First Health COMM $2,305.22
Rockport Workers Comp COMM $2,378.75
Physicians Cooperative of Texas WC $2,378.75
National Healthcare Solutions COMM $2,595.00
Independent Medical System COMM $2,595.00
Triumph COMM $2,595.00
SouthWest Medical WORKERSCOMP $2,595.00
Coastal Comp COMM $2,811.25
Multiplan PHCSPrimaryNetwork $3,243.75
Cigna Behavioral Health COMMBH $3,460.00
HealthSmart Preferred Care PPO $3,546.50
Multiplan ComplementaryNetwork $3,676.25
HealthSmart Preferred Care ACCOUNTABLEPPO $3,676.25
Physicians, INC COMM $3,676.25
Affiliated PPO COMM $3,892.50

Visitor-reported prices

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Contrast x-ray of wrist at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $366.80 $115.28 – $1,048.00
St. Luke's Health - The Vintage Hospital Houston $366.80 $83.84 – $1,048.00
HCA HOUSTON MEDICAL CENTER Houston not published $136.33 – $672.06
HCA HOUSTON TOMBALL HOUSTON not published $135.33 – $672.06
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $495.58 $135.33 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,109.48 $228.37 – $1,664.23
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $989.23 $135.33 – $1,236.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $495.58 $135.33 – $952.69

All Texas hospitals for this procedure →