Debridement (>20 cm) charge pt 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.
$26.98 with BCBS vs $1,702.00 with United — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $26.98 | — |
| BCBS | BAV | $29.75 | — |
| BCBS | HMO | $37.24 | — |
| Community Health Choice MCD | CHIP | $39.78 | — |
| Community Health Choice MCD | CHIPPerinatal | $39.78 | — |
| Community Health Choice MCD | STAR+PLUS | $39.78 | — |
| Community Health Choice MCD | STAR | $39.78 | — |
| BCBS | EPOSOA | $41.85 | — |
| Amerigroup | MCDCHIPBH | $42.84 | — |
| Amerigroup | MGMCD | $42.84 | — |
| Cigna | CSN | $45.29 | — |
| BCBS | PPO | $46.35 | — |
| Oscar | MGMCR | $47.47 | — |
| WellMed | MGMCR | $48.20 | — |
| Kelsey Seybold | MGMCR | $48.44 | — |
| Humana | MedicareAdvantageHMO | $48.44 | — |
| BCBS | MCRPPO | $48.44 | — |
| BCBS | MedicareAdvantageHMO | $48.44 | — |
| CHC Harris Health | Indigent | $48.44 | — |
| Humana | MedicareAdvantagePPOPFFS | $48.44 | — |
| Cigna HealthSpring | PFFS | $48.44 | — |
| Cigna HealthSpring | MCRSNP | $48.44 | — |
| Cigna HealthSpring | MCRPPO | $48.44 | — |
| Cigna HealthSpring | MCRHMO | $48.44 | — |
| Devoted Health | MGMCR | $48.44 | — |
| Cigna HealthSpring | MMP | $48.44 | — |
| TriWest Healthcare Alliance | Veterans | $48.44 | — |
| Renaissance IPA Radiology | MCR | $48.44 | — |
| Renaissance IPA Radiology | COMM | $48.44 | — |
| Amerigroup | DualEligible | $48.44 | — |
| Aetna | MCR | $48.85 | — |
| Van Lang IPA | MCR | $48.92 | — |
| Cigna | OpenAccessPlus | $48.96 | — |
| United | MCR | $49.41 | — |
| WellCare | PFFS | $49.89 | — |
| WellCare | PPO | $49.89 | — |
| WellCare | SNP | $49.89 | — |
| WellCare | POS | $49.89 | — |
| WellCare | MCRHMO | $49.89 | — |
| Integranet Amerigroup IPA | MCR | $49.89 | — |
| Texas Childrens Health Plans | CHIP | $50.80 | — |
| Superior Health Plan | MCRSNP | $50.86 | — |
| Shared Health | MGMCR | $50.86 | — |
| Superior Health Plan | MCRPPO | $50.86 | — |
| Superior Health Plan | MCRPOS | $50.86 | — |
| Superior Health Plan | MCRHMO | $50.86 | — |
| Superior Health Plan | DualEligible | $50.86 | — |
| ProCare Advantage | MGMCR | $50.86 | — |
| Superior Health Plan | PFFS | $50.86 | — |
| American Health Plan | MGMCR | $50.86 | — |
| Provider Partners Health Plan of Texas | PFFS | $51.35 | — |
| Provider Partners Health Plan of Texas | PPO | $51.35 | — |
| Provider Partners Health Plan of Texas | SNP | $51.35 | — |
| Provider Partners Health Plan of Texas | POS | $51.35 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $51.35 | — |
| United | OptionsPPO | $51.41 | — |
| Molina | MGMCR | $52.80 | — |
| Universal Healthcare Group | MCR | $58.13 | — |
| Cigna | PPO | $58.14 | — |
| Verda Health Plan | MCR | $62.97 | — |
| Community Health Choice | HIX | $70.24 | — |
| Superior | ValueHMO | $70.24 | — |
| Texas Childrens Health Plans | STAR | $72.52 | — |
| Texas Childrens Health Plans | STARKIDS | $72.52 | — |
| Texas Workforce Commission | WCOMP | $73.44 | — |
| Superior | HMO | $75.08 | — |
| Superior | EPO | $75.08 | — |
| Healthcare Highways | NarrowNetwork | $78.03 | — |
| Aetna | QHPExchange | $81.09 | — |
| Evry Health | BroadNetwork | $83.54 | — |
| Corvel Corporation | WORKERSCOMP | $95.91 | — |
| Humana | PPO | $97.64 | — |
| Humana | HMO | $97.64 | — |
| Aetna | NBPPO | $98.23 | — |
| Aetna | NBHMO | $98.23 | — |
| Aetna | NBPOS | $98.23 | — |
| OMNI Healthcare | WORKERSCOMP | $101.72 | — |
| Superior Health Plan | STAR | $102.18 | — |
| Superior Health Plan | CHPFC | $102.18 | — |
| Superior Health Plan | STARKids | $102.18 | — |
| Superior Health Plan | CHIP | $102.18 | — |
| Superior Health Plan | STARPLUS | $102.18 | — |
| Molina Healthcare | HIX | $104.15 | — |
| Aetna | COMMPPO | $104.65 | — |
| Aetna | COMMPOS | $104.65 | — |
| Aetna | COMMHMO | $104.65 | — |
| BCBS | Traditional | $107.10 | — |
| Imagine Health | PPO | $107.10 | — |
| Curative Administrators | COMM | $122.40 | — |
| Christus (USFHP) | TRICARE | $122.40 | — |
| Aetna | OONHMO | $122.71 | — |
| Aetna | OONPPO | $122.71 | — |
| Aetna | OONPOS | $122.71 | — |
| HealthSmart Preferred Care | ACCEL | $131.58 | — |
| Aetna | ASAPPO | $132.50 | — |
| Aetna | ASAHMO | $132.50 | — |
| Aetna | ASAPOS | $132.50 | — |
| United | GlobalAppendix | $137.70 | — |
| Coventry National First Health | COMM | $163.10 | — |
| Rockport Workers Comp | COMM | $168.30 | — |
| Physicians Cooperative of Texas | WC | $168.30 | — |
| National Healthcare Solutions | COMM | $183.60 | — |
| Triumph | COMM | $183.60 | — |
| Independent Medical System | COMM | $183.60 | — |
| SouthWest Medical | WORKERSCOMP | $183.60 | — |
| Coastal Comp | COMM | $198.90 | — |
| Multiplan | PHCSPrimaryNetwork | $229.50 | — |
| Cigna Behavioral Health | COMMBH | $244.80 | — |
| HealthSmart Preferred Care | PPO | $250.92 | — |
| Physicians, INC | COMM | $260.10 | — |
| Multiplan | ComplementaryNetwork | $260.10 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $260.10 | — |
| Affiliated PPO | COMM | $275.40 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Oscar | HIX | $332.08 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Fidelis SecureCare of TX | MGMCR | $766.35 | — |
| United | SmallGroup | $1,120.00 | — |
| United | AllPayerAppendix | $1,600.00 | — |
| United | NarrowNetworkIndivExchange | $1,702.00 | — |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $286.65 | $13.61 – $819.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $286.65 | $16.83 – $819.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $26.98 – $104.15 |
| Adventhealth Rollins Brook | Lampasas | $942.01 | $44.39 – $44.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $414.23 | $35.40 – $586.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $553.49 | $34.82 – $830.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $315.59 | $34.82 – $394.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $414.23 | $26.98 – $586.83 |