Cytopath tbs c/v redo 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.
$34.75 with Texas Health Network vs $456.82 with Humana — 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 | $34.75 | — |
| Texas Childrens Health Plans | STARKIDS | $35.46 | — |
| Community Health Choice MCD | CHIP | $35.46 | — |
| Texas Childrens Health Plans | STAR | $35.46 | — |
| Amerigroup | MGMCD | $35.46 | — |
| Amerigroup | MCDCHIPBH | $35.46 | — |
| Community Health Choice MCD | CHIPPerinatal | $35.46 | — |
| Community Health Choice MCD | STAR | $35.46 | — |
| Community Health Choice MCD | STAR+PLUS | $35.46 | — |
| United | MGMCD | $36.17 | — |
| Aetna Better Health | MGMCD | $38.30 | — |
| Molina Healthcare | STARKIDS | $39.01 | — |
| Molina Healthcare | CHIP | $39.01 | — |
| Molina Healthcare | STARPLUS | $39.01 | — |
| Molina Healthcare | STAR | $39.01 | — |
| Oscar | MGMCR | $41.38 | — |
| WellMed | MGMCR | $42.01 | — |
| Renaissance IPA Radiology | COMM | $42.22 | — |
| Amerigroup | DualEligible | $42.22 | — |
| Cigna HealthSpring | MCRSNP | $42.22 | — |
| Cigna HealthSpring | MCRPPO | $42.22 | — |
| Cigna HealthSpring | MCRHMO | $42.22 | — |
| Humana | MedicareAdvantageHMO | $42.22 | — |
| Humana | MedicareAdvantagePPOPFFS | $42.22 | — |
| Renaissance IPA Radiology | MCR | $42.22 | — |
| United | SmallGroup | $42.22 | — |
| Kelsey Seybold | MGMCR | $42.22 | — |
| CHC Harris Health | Indigent | $42.22 | — |
| BCBS | MedicareAdvantageHMO | $42.22 | — |
| BCBS | MCRPPO | $42.22 | — |
| Cigna HealthSpring | MMP | $42.22 | — |
| Devoted Health | MGMCR | $42.22 | — |
| TriWest Healthcare Alliance | Veterans | $42.22 | — |
| Cigna HealthSpring | PFFS | $42.22 | — |
| United | AllPayerAppendix | $42.22 | — |
| United | NarrowNetworkIndivExchange | $42.22 | — |
| Aetna | MCR | $42.58 | — |
| Van Lang IPA | MCR | $42.64 | — |
| United | MCR | $43.06 | — |
| WellCare | PFFS | $43.49 | — |
| WellCare | MCRHMO | $43.49 | — |
| Integranet Amerigroup IPA | MCR | $43.49 | — |
| WellCare | POS | $43.49 | — |
| WellCare | SNP | $43.49 | — |
| WellCare | PPO | $43.49 | — |
| Superior Health Plan | MCRPPO | $44.33 | — |
| Humana | MCD | $44.33 | — |
| American Health Plan | MGMCR | $44.33 | — |
| Superior Health Plan | DualEligible | $44.33 | — |
| Superior Health Plan | MCRHMO | $44.33 | — |
| Superior Health Plan | MCRPOS | $44.33 | — |
| Superior Health Plan | MCRSNP | $44.33 | — |
| Superior Health Plan | PFFS | $44.33 | — |
| ProCare Advantage | MGMCR | $44.33 | — |
| Shared Health | MGMCR | $44.33 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $44.75 | — |
| Provider Partners Health Plan of Texas | POS | $44.75 | — |
| Provider Partners Health Plan of Texas | PPO | $44.75 | — |
| Provider Partners Health Plan of Texas | SNP | $44.75 | — |
| Provider Partners Health Plan of Texas | PFFS | $44.75 | — |
| TriWest Health Alliance | TRCR | $45.69 | — |
| Christus (USFHP) | TRICARE | $45.69 | — |
| Molina | MGMCR | $46.02 | — |
| Universal Healthcare Group | MCR | $50.66 | — |
| Verda Health Plan | MCR | $54.89 | — |
| Community Health Choice | HIX | $61.22 | — |
| Superior | ValueHMO | $61.22 | — |
| Superior | HMO | $65.44 | — |
| Superior | EPO | $65.44 | — |
| Corvel Corporation | WORKERSCOMP | $83.60 | — |
| BCBS | MyBlueHealth | $85.28 | — |
| OMNI Healthcare | WORKERSCOMP | $88.66 | — |
| Molina Healthcare | HIX | $90.77 | — |
| BCBS | BAV | $94.15 | — |
| Healthcare Highways | NarrowNetwork | $102.59 | — |
| BCBS | HMO | $117.79 | — |
| Oscar | HIX | $122.02 | — |
| BCBS | EPOSOA | $126.24 | — |
| BCBS | PPO | $134.68 | — |
| Aetna | QHPExchange | $154.67 | — |
| Cigna | CSN | $174.24 | — |
| Cigna | OpenAccessPlus | $188.73 | — |
| Aetna | NBHMO | $205.70 | — |
| Aetna | NBPOS | $205.70 | — |
| Aetna | NBPPO | $205.70 | — |
| Aetna | COMMHMO | $218.53 | — |
| Aetna | COMMPOS | $218.53 | — |
| Aetna | COMMPPO | $218.53 | — |
| Cigna | PPO | $224.54 | — |
| Aetna | OONPPO | $256.72 | — |
| Aetna | OONPOS | $256.72 | — |
| Aetna | OONHMO | $256.72 | — |
| Aetna | ASAHMO | $277.58 | — |
| Aetna | ASAPOS | $277.58 | — |
| Aetna | ASAPPO | $277.58 | — |
| Humana | HMO | $456.82 | — |
| Humana | PPO | $456.82 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cytopath tbs c/v redo at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $35.46 – $174.24 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $35.46 – $174.24 |
| Texas Health Hospital Mansfield | Mansfield | $182.75 | $32.11 – $84.44 |
| Adventhealth Rollins Brook | Lampasas | not published | $38.00 – $162.55 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $34.75 – $174.24 |
| Covenant Children's Hospital | Lubbock | not published | $92.20 – $184.08 |
| HCA HOUSTON CONROE | CONROE | not published | $34.75 – $174.24 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $34.75 – $174.24 |