Counseling visit to discuss need for ldct g0296 at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$333.00
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.
$333.00
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.
$19.77 with Humana vs $600.00 with Texas Athletic Network — 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 |
|---|---|---|---|
| Humana | HMO | $19.77 | ↓ -94% |
| Humana | PPO | $19.77 | ↓ -94% |
| Superior Health Plan | CHIP | $19.98 | ↓ -94% |
| Superior Health Plan | STARPLUS | $19.98 | ↓ -94% |
| Superior Health Plan | STARKids | $19.98 | ↓ -94% |
| Superior Health Plan | STAR | $19.98 | ↓ -94% |
| Superior Health Plan | CHPFC | $19.98 | ↓ -94% |
| Community Health Choice MCD | CHIP | $43.29 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $43.29 | ↓ -87% |
| Community Health Choice MCD | STAR | $43.29 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $43.29 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $46.62 | ↓ -86% |
| Amerigroup | MGMCD | $46.62 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $55.28 | ↓ -83% |
| United | OptionsPPO | $55.94 | ↓ -83% |
| BCBS | MyBlueHealth | $63.25 | ↓ -81% |
| BCBS | BAV | $69.74 | ↓ -79% |
| Texas Childrens Health Plans | STARKIDS | $78.92 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $78.92 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $79.92 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $84.92 | ↓ -74% |
| BCBS | HMO | $87.31 | ↓ -74% |
| Aetna | QHPExchange | $88.25 | ↓ -73% |
| Evry Health | BroadNetwork | $90.91 | ↓ -73% |
| BCBS | EPOSOA | $98.12 | ↓ -71% |
| Aetna | NBPPO | $106.89 | ↓ -68% |
| Aetna | NBPOS | $106.89 | ↓ -68% |
| Aetna | NBHMO | $106.89 | ↓ -68% |
| BCBS | PPO | $108.66 | ↓ -67% |
| Aetna | COMMHMO | $113.89 | ↓ -66% |
| Aetna | COMMPOS | $113.89 | ↓ -66% |
| Aetna | COMMPPO | $113.89 | ↓ -66% |
| Imagine Health | PPO | $116.55 | ↓ -65% |
| BCBS | Traditional | $116.55 | ↓ -65% |
| Curative Administrators | COMM | $133.20 | ↓ -60% |
| Christus (USFHP) | TRICARE | $133.20 | ↓ -60% |
| Aetna | OONHMO | $133.53 | ↓ -60% |
| Aetna | OONPPO | $133.53 | ↓ -60% |
| Aetna | OONPOS | $133.53 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $143.19 | ↓ -57% |
| Aetna | ASAPOS | $144.19 | ↓ -57% |
| Aetna | ASAHMO | $144.19 | ↓ -57% |
| Aetna | ASAPPO | $144.19 | ↓ -57% |
| Fidelis SecureCare of TX | MGMCR | $149.85 | ↓ -55% |
| Averde Health | Commercial | $149.85 | ↓ -55% |
| United | GlobalAppendix | $149.85 | ↓ -55% |
| Coventry National First Health | COMM | $177.49 | ↓ -47% |
| Rockport Workers Comp | COMM | $183.15 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $183.15 | ↓ -45% |
| Triumph | COMM | $199.80 | ↓ -40% |
| Independent Medical System | COMM | $199.80 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $199.80 | ↓ -40% |
| National Healthcare Solutions | COMM | $199.80 | ↓ -40% |
| Coastal Comp | COMM | $216.45 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $249.75 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $266.40 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $273.06 | ↓ -18% |
| Physicians, INC | COMM | $283.05 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $283.05 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $283.05 | ↓ -15% |
| Affiliated PPO | COMM | $299.70 | ↓ -10% |
| Texas Athletic Network | Premier | $300.00 | ↓ -10% |
| Texas Athletic Network | PremierPlus | $500.00 | ↑ +50% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↑ +80% |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON TOMBALL | HOUSTON | not published | $19.77 – $63.25 |
| St. Joseph Health Madison Hospital | Madisonville | $6.48 | $4.72 – $77.00 |
| St. Joseph Health College Station Hospital | College Station | $6.48 | $20.35 – $77.00 |
| St. Joseph Health Grimes Hospital | Navasota | $6.48 | $13.42 – $77.00 |
| St. Joseph Health Burleson Hospital | Caldwell | $6.48 | $8.14 – $37.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $104.07 – $104.07 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $19.77 – $63.25 |
| Covenant Children's Hospital | Lubbock | not published | $92.17 – $92.17 |