Critical care each additional 30 minutes 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.
$101.88 with Humana vs $7,960.00 with BCBS — 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 |
|---|---|---|---|
| Humana | HMO | $101.88 | — |
| Humana | PPO | $101.88 | — |
| Aetna | MCR | $193.33 | — |
| Community Health Choice MCD | STAR | $379.08 | — |
| Community Health Choice MCD | CHIP | $379.08 | — |
| Community Health Choice MCD | CHIPPerinatal | $379.08 | — |
| Community Health Choice MCD | STAR+PLUS | $379.08 | — |
| Amerigroup | MCDCHIPBH | $408.24 | — |
| Amerigroup | MGMCD | $408.24 | — |
| Texas Childrens Health Plans | CHIP | $484.06 | — |
| United | OptionsPPO | $489.89 | — |
| Superior | EPO | $510.30 | — |
| Superior | HMO | $510.30 | — |
| Superior | ValueHMO | $577.37 | — |
| Texas Childrens Health Plans | STARKIDS | $691.09 | — |
| Texas Childrens Health Plans | STAR | $691.09 | — |
| Texas Workforce Commission | WCOMP | $699.84 | — |
| Healthcare Highways | NarrowNetwork | $743.58 | — |
| Molina Healthcare | HIX | $787.32 | — |
| Evry Health | BroadNetwork | $796.07 | — |
| CHC Harris Health | Indigent | $874.80 | — |
| BCBS | Traditional | $1,020.60 | — |
| Imagine Health | PPO | $1,020.60 | — |
| Curative Administrators | COMM | $1,166.40 | — |
| Christus (USFHP) | TRICARE | $1,166.40 | — |
| HealthSmart Preferred Care | ACCEL | $1,253.88 | — |
| United | GlobalAppendix | $1,312.20 | — |
| Coventry National First Health | COMM | $1,554.23 | — |
| Physicians Cooperative of Texas | WC | $1,603.80 | — |
| Rockport Workers Comp | COMM | $1,603.80 | — |
| SouthWest Medical | WORKERSCOMP | $1,749.60 | — |
| National Healthcare Solutions | COMM | $1,749.60 | — |
| Triumph | COMM | $1,749.60 | — |
| Independent Medical System | COMM | $1,749.60 | — |
| Coastal Comp | COMM | $1,895.40 | — |
| Multiplan | PHCSPrimaryNetwork | $2,187.00 | — |
| Cigna Behavioral Health | COMMBH | $2,332.80 | — |
| HealthSmart Preferred Care | PPO | $2,391.12 | — |
| Multiplan | ComplementaryNetwork | $2,478.60 | — |
| Physicians, INC | COMM | $2,478.60 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $2,478.60 | — |
| Aetna | QHPExchange | $2,537.00 | — |
| Affiliated PPO | COMM | $2,624.40 | — |
| Oscar | HIX | $3,343.00 | — |
| Aetna | NBHMO | $3,372.00 | — |
| Aetna | NBPOS | $3,372.00 | — |
| Aetna | COMMHMO | $3,582.00 | — |
| Aetna | COMMPOS | $3,582.00 | — |
| Aetna | NBPPO | $3,999.00 | — |
| Averde Health | Commercial | $4,000.00 | — |
| Aetna | OONHMO | $4,213.00 | — |
| Aetna | OONPOS | $4,213.00 | — |
| Aetna | COMMPPO | $4,248.00 | — |
| BCBS | MyBlueHealth | $4,520.00 | — |
| Aetna | ASAPOS | $4,551.00 | — |
| Aetna | ASAHMO | $4,551.00 | — |
| Cigna | CSN | $4,988.00 | — |
| Aetna | OONPPO | $4,996.00 | — |
| United | SmallGroup | $5,320.00 | — |
| BCBS | BAV | $5,360.00 | — |
| Aetna | ASAPPO | $5,399.00 | — |
| Cigna | OpenAccessPlus | $5,404.00 | — |
| United | NarrowNetworkIndivExchange | $5,457.00 | — |
| BCBS | HMO | $6,400.00 | — |
| Cigna | PPO | $6,425.00 | — |
| BCBS | EPOSOA | $7,200.00 | — |
| United | AllPayerAppendix | $7,600.00 | — |
| BCBS | PPO | $7,960.00 | — |
Visitor-reported prices
Comments
Critical care each additional 30 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $70.35 | $22.11 – $1,240.20 |
| St. Luke's Health - The Vintage Hospital | Houston | $70.35 | $16.08 – $1,240.20 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $101.88 – $101.88 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $101.88 – $101.88 |
| Adventhealth Rollins Brook | Lampasas | $1,597.43 | $437.05 – $437.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $845.09 | $239.44 – $3,000.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $686.86 | $141.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,013.20 | $202.64 – $7,280.00 |