Cytogenetics 25-99 at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,258.00
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.
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What you pay up front if you don't use insurance.
$1,258.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$34.89 with Texas Health Network vs $1,132.20 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 | $34.89 | ↓ -97% |
| Texas Childrens Health Plans | STAR | $35.60 | ↓ -97% |
| Community Health Choice MCD | CHIP | $35.60 | ↓ -97% |
| Community Health Choice MCD | CHIPPerinatal | $35.60 | ↓ -97% |
| Community Health Choice MCD | STAR | $35.60 | ↓ -97% |
| Community Health Choice MCD | STAR+PLUS | $35.60 | ↓ -97% |
| Amerigroup | MGMCD | $35.60 | ↓ -97% |
| Amerigroup | MCDCHIPBH | $35.60 | ↓ -97% |
| Texas Childrens Health Plans | STARKIDS | $35.60 | ↓ -97% |
| United | MGMCD | $36.31 | ↓ -97% |
| Aetna Better Health | MGMCD | $38.45 | ↓ -97% |
| Molina Healthcare | STARPLUS | $39.16 | ↓ -97% |
| Molina Healthcare | STAR | $39.16 | ↓ -97% |
| Molina Healthcare | STARKIDS | $39.16 | ↓ -97% |
| Molina Healthcare | CHIP | $39.16 | ↓ -97% |
| Oscar | MGMCR | $41.53 | ↓ -97% |
| WellMed | MGMCR | $42.17 | ↓ -97% |
| TriWest Healthcare Alliance | Veterans | $42.38 | ↓ -97% |
| Cigna HealthSpring | MCRSNP | $42.38 | ↓ -97% |
| Cigna HealthSpring | PFFS | $42.38 | ↓ -97% |
| Cigna HealthSpring | MMP | $42.38 | ↓ -97% |
| Cigna HealthSpring | MCRPPO | $42.38 | ↓ -97% |
| Humana | MedicareAdvantageHMO | $42.38 | ↓ -97% |
| Humana | MedicareAdvantagePPOPFFS | $42.38 | ↓ -97% |
| Renaissance IPA Radiology | MCR | $42.38 | ↓ -97% |
| Renaissance IPA Radiology | COMM | $42.38 | ↓ -97% |
| Kelsey Seybold | MGMCR | $42.38 | ↓ -97% |
| Devoted Health | MGMCR | $42.38 | ↓ -97% |
| CHC Harris Health | Indigent | $42.38 | ↓ -97% |
| United | AllPayerAppendix | $42.38 | ↓ -97% |
| BCBS | MedicareAdvantageHMO | $42.38 | ↓ -97% |
| United | NarrowNetworkIndivExchange | $42.38 | ↓ -97% |
| United | SmallGroup | $42.38 | ↓ -97% |
| Amerigroup | DualEligible | $42.38 | ↓ -97% |
| BCBS | MCRPPO | $42.38 | ↓ -97% |
| Cigna HealthSpring | MCRHMO | $42.38 | ↓ -97% |
| Aetna | MCR | $42.74 | ↓ -97% |
| Van Lang IPA | MCR | $42.80 | ↓ -97% |
| United | MCR | $43.23 | ↓ -97% |
| WellCare | PFFS | $43.65 | ↓ -97% |
| WellCare | POS | $43.65 | ↓ -97% |
| WellCare | SNP | $43.65 | ↓ -97% |
| WellCare | PPO | $43.65 | ↓ -97% |
| Integranet Amerigroup IPA | MCR | $43.65 | ↓ -97% |
| WellCare | MCRHMO | $43.65 | ↓ -97% |
| Shared Health | MGMCR | $44.50 | ↓ -96% |
| ProCare Advantage | MGMCR | $44.50 | ↓ -96% |
| Superior Health Plan | MCRHMO | $44.50 | ↓ -96% |
| Superior Health Plan | DualEligible | $44.50 | ↓ -96% |
| American Health Plan | MGMCR | $44.50 | ↓ -96% |
| Humana | MCD | $44.50 | ↓ -96% |
| Superior Health Plan | MCRPOS | $44.50 | ↓ -96% |
| Superior Health Plan | MCRPPO | $44.50 | ↓ -96% |
| Superior Health Plan | MCRSNP | $44.50 | ↓ -96% |
| Superior Health Plan | PFFS | $44.50 | ↓ -96% |
| Provider Partners Health Plan of Texas | POS | $44.92 | ↓ -96% |
| Provider Partners Health Plan of Texas | MCRHMO | $44.92 | ↓ -96% |
| Provider Partners Health Plan of Texas | PPO | $44.92 | ↓ -96% |
| Provider Partners Health Plan of Texas | SNP | $44.92 | ↓ -96% |
| Provider Partners Health Plan of Texas | PFFS | $44.92 | ↓ -96% |
| Christus (USFHP) | TRICARE | $45.87 | ↓ -96% |
| TriWest Health Alliance | TRCR | $45.87 | ↓ -96% |
| Molina | MGMCR | $46.19 | ↓ -96% |
| Universal Healthcare Group | MCR | $50.86 | ↓ -96% |
| Verda Health Plan | MCR | $55.09 | ↓ -96% |
| Community Health Choice | HIX | $61.45 | ↓ -95% |
| Superior | ValueHMO | $61.45 | ↓ -95% |
| Superior | HMO | $65.69 | ↓ -95% |
| Superior | EPO | $65.69 | ↓ -95% |
| Superior Health Plan | STARPLUS | $75.48 | ↓ -94% |
| Superior Health Plan | CHIP | $75.48 | ↓ -94% |
| Superior Health Plan | CHPFC | $75.48 | ↓ -94% |
| Superior Health Plan | STAR | $75.48 | ↓ -94% |
| Superior Health Plan | STARKids | $75.48 | ↓ -94% |
| Corvel Corporation | WORKERSCOMP | $83.91 | ↓ -93% |
| BCBS | MyBlueHealth | $85.61 | ↓ -93% |
| OMNI Healthcare | WORKERSCOMP | $89.00 | ↓ -93% |
| Molina Healthcare | HIX | $91.12 | ↓ -93% |
| BCBS | BAV | $94.51 | ↓ -92% |
| Healthcare Highways | NarrowNetwork | $104.44 | ↓ -92% |
| BCBS | HMO | $118.24 | ↓ -91% |
| Oscar | HIX | $122.48 | ↓ -90% |
| BCBS | EPOSOA | $126.72 | ↓ -90% |
| BCBS | PPO | $135.19 | ↓ -89% |
| Aetna | QHPExchange | $155.25 | ↓ -88% |
| Cigna | CSN | $174.24 | ↓ -86% |
| Cigna | OpenAccessPlus | $188.73 | ↓ -85% |
| Aetna | NBPPO | $206.47 | ↓ -84% |
| Aetna | NBPOS | $206.47 | ↓ -84% |
| Aetna | NBHMO | $206.47 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $208.83 | ↓ -83% |
| United | OptionsPPO | $211.34 | ↓ -83% |
| Aetna | COMMPOS | $219.35 | ↓ -83% |
| Aetna | COMMHMO | $219.35 | ↓ -83% |
| Aetna | COMMPPO | $219.35 | ↓ -83% |
| Cigna | PPO | $224.54 | ↓ -82% |
| Aetna | OONHMO | $257.68 | ↓ -80% |
| Aetna | OONPPO | $257.68 | ↓ -80% |
| Aetna | OONPOS | $257.68 | ↓ -80% |
| Aetna | ASAPPO | $278.62 | ↓ -78% |
| Aetna | ASAHMO | $278.62 | ↓ -78% |
| Aetna | ASAPOS | $278.62 | ↓ -78% |
| Texas Workforce Commission | WCOMP | $301.92 | ↓ -76% |
| Evry Health | BroadNetwork | $343.43 | ↓ -73% |
| Imagine Health | PPO | $440.30 | ↓ -65% |
| BCBS | Traditional | $440.30 | ↓ -65% |
| Humana | HMO | $465.04 | ↓ -63% |
| Humana | PPO | $465.04 | ↓ -63% |
| HealthSmart Preferred Care | ACCEL | $540.94 | ↓ -57% |
| Averde Health | Commercial | $566.10 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $566.10 | ↓ -55% |
| United | GlobalAppendix | $566.10 | ↓ -55% |
| Coventry National First Health | COMM | $670.51 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $691.90 | ↓ -45% |
| Rockport Workers Comp | COMM | $691.90 | ↓ -45% |
| Triumph | COMM | $754.80 | ↓ -40% |
| National Healthcare Solutions | COMM | $754.80 | ↓ -40% |
| Independent Medical System | COMM | $754.80 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $754.80 | ↓ -40% |
| Coastal Comp | COMM | $817.70 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $943.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $1,006.40 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,031.56 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $1,069.30 | ↓ -15% |
| Physicians, INC | COMM | $1,069.30 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,069.30 | ↓ -15% |
| Affiliated PPO | COMM | $1,132.20 | ↓ -10% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $35.60 – $174.24 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $35.60 – $174.24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $246.56 | $35.00 – $308.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $255.92 | $36.00 – $383.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $248.46 | $35.60 – $310.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $246.56 | $35.00 – $308.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $255.92 | $36.00 – $383.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $255.92 | $26.00 – $383.88 |