CT upper extremity w/contrast (both sides) 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.
$202.36 with Texas Health Network vs $12,086.10 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 →
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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 |
|---|---|---|---|
| Texas Health Network | MCD | $202.36 | — |
| Amerigroup | MGMCD | $206.49 | — |
| Texas Childrens Health Plans | STAR | $206.49 | — |
| Amerigroup | MCDCHIPBH | $206.49 | — |
| Texas Childrens Health Plans | STARKIDS | $206.49 | — |
| Community Health Choice MCD | CHIP | $209.84 | — |
| Community Health Choice MCD | CHIPPerinatal | $209.84 | — |
| Community Health Choice MCD | STAR | $209.84 | — |
| Community Health Choice MCD | STAR+PLUS | $209.84 | — |
| United | MGMCD | $214.04 | — |
| Aetna Better Health | MGMCD | $226.63 | — |
| Molina Healthcare | STARKIDS | $227.14 | — |
| Molina Healthcare | STARPLUS | $227.14 | — |
| Molina Healthcare | CHIP | $227.14 | — |
| Molina Healthcare | STAR | $227.14 | — |
| Humana | MCD | $258.11 | — |
| United | NarrowNetworkIndivExchange | $699.43 | — |
| Aetna | QHPExchange | $725.00 | — |
| BCBS | MyBlueHealth | $763.70 | — |
| Superior Health Plan | STAR | $805.74 | — |
| Superior Health Plan | STARPLUS | $805.74 | — |
| Superior Health Plan | CHIP | $805.74 | — |
| Superior Health Plan | CHPFC | $805.74 | — |
| Superior Health Plan | STARKids | $805.74 | — |
| United | AllPayerAppendix | $828.27 | — |
| United | SmallGroup | $828.27 | — |
| BCBS | BAV | $946.99 | — |
| Aetna | NBPPO | $963.00 | — |
| Aetna | NBHMO | $963.00 | — |
| Aetna | NBPOS | $963.00 | — |
| Aetna | COMMPOS | $1,024.00 | — |
| Aetna | COMMHMO | $1,024.00 | — |
| Aetna | COMMPPO | $1,024.00 | — |
| Aetna | OONPPO | $1,203.00 | — |
| Aetna | OONPOS | $1,203.00 | — |
| Aetna | OONHMO | $1,203.00 | — |
| Aetna | ASAPOS | $1,301.00 | — |
| Aetna | ASAPPO | $1,301.00 | — |
| Aetna | ASAHMO | $1,301.00 | — |
| BCBS | HMO | $1,439.57 | — |
| BCBS | EPOSOA | $1,512.13 | — |
| BCBS | PPO | $1,580.86 | — |
| Cigna | CSN | $1,635.00 | — |
| Cigna | OpenAccessPlus | $1,771.00 | — |
| Cigna | PPO | $2,106.00 | — |
| Texas Childrens Health Plans | CHIP | $2,229.21 | — |
| United | OptionsPPO | $2,256.07 | — |
| Humana | HMO | $2,881.99 | — |
| Humana | PPO | $2,881.99 | — |
| Texas Workforce Commission | WCOMP | $3,222.96 | — |
| BCBS | Traditional | $4,700.15 | — |
| Christus (USFHP) | TRICARE | $5,371.60 | — |
| HealthSmart Preferred Care | ACCEL | $5,774.47 | — |
| United | GlobalAppendix | $6,043.05 | — |
| Fidelis SecureCare of TX | MGMCR | $6,043.05 | — |
| Coventry National First Health | COMM | $7,157.66 | — |
| Physicians Cooperative of Texas | WC | $7,385.95 | — |
| Rockport Workers Comp | COMM | $7,385.95 | — |
| Triumph | COMM | $8,057.40 | — |
| National Healthcare Solutions | COMM | $8,057.40 | — |
| SouthWest Medical | WORKERSCOMP | $8,057.40 | — |
| Independent Medical System | COMM | $8,057.40 | — |
| Coastal Comp | COMM | $8,728.85 | — |
| Multiplan | PHCSPrimaryNetwork | $10,071.75 | — |
| Cigna Behavioral Health | COMMBH | $10,743.20 | — |
| HealthSmart Preferred Care | PPO | $11,011.78 | — |
| Multiplan | ComplementaryNetwork | $11,414.65 | — |
| Physicians, INC | COMM | $11,414.65 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $11,414.65 | — |
| Affiliated PPO | COMM | $12,086.10 | — |
Visitor-reported prices
Comments
CT upper extremity w/contrast (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,965.95 | $206.49 – $5,617.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,965.95 | $206.49 – $5,617.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $209.84 – $820.98 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $206.49 – $820.98 |
| Adventhealth Rollins Brook | Lampasas | $4,549.97 | $1,779.42 – $1,779.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,394.81 | $206.49 – $2,993.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,824.46 | $375.53 – $2,736.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,067.90 | $206.49 – $2,584.88 |