Delayed breast prosthesis 19342 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.
$1,944.00 with Aetna vs $34,000.00 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 |
|---|---|---|---|
| Aetna | QHPExchange | $1,944.00 | — |
| Fidelis SecureCare of TX | MGMCR | $2,115.00 | — |
| Texas Health Network | MCD | $2,236.10 | — |
| Superior Health Plan | CHPFC | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STAR | $2,369.00 | — |
| Amerigroup | MGMCD | $2,395.82 | — |
| United | MGMCD | $2,448.39 | — |
| Molina Healthcare | STARPLUS | $2,509.90 | — |
| Molina Healthcare | STARKIDS | $2,509.90 | — |
| Molina Healthcare | STAR | $2,509.90 | — |
| Molina Healthcare | CHIP | $2,509.90 | — |
| Community Health Choice MCD | CHIPPerinatal | $2,555.54 | — |
| Community Health Choice MCD | CHIP | $2,555.54 | — |
| Community Health Choice MCD | STAR+PLUS | $2,555.54 | — |
| Community Health Choice MCD | STAR | $2,555.54 | — |
| Aetna | NBPOS | $2,580.00 | — |
| Aetna | NBHMO | $2,580.00 | — |
| Aetna | COMMPOS | $2,742.00 | — |
| Aetna | COMMHMO | $2,742.00 | — |
| Humana | MCD | $2,852.16 | — |
| Aetna Better Health | MGMCD | $2,880.46 | — |
| Aetna | NBPPO | $2,986.00 | — |
| Aetna | COMMPPO | $3,174.00 | — |
| Aetna | OONPOS | $3,228.00 | — |
| Aetna | OONHMO | $3,228.00 | — |
| Aetna | ASAPOS | $3,486.00 | — |
| Aetna | ASAHMO | $3,486.00 | — |
| Aetna | OONPPO | $3,732.00 | — |
| Aetna | ASAPPO | $4,034.00 | — |
| Humana | PPO | $4,690.00 | — |
| Humana | HMO | $4,690.00 | — |
| WellMed | MGMCR | $8,251.69 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| Healthcare Highways | NarrowNetwork | $9,124.00 | — |
| Evry Health | BroadNetwork | $9,493.00 | — |
| Oscar | HIX | $9,653.00 | — |
| Cigna | CSN | $9,751.00 | — |
| Cigna | OpenAccessPlus | $10,565.00 | — |
| Cigna | PPO | $12,562.00 | — |
| BCBS | MyBlueHealth | $14,155.87 | — |
| BCBS | BAV | $15,945.70 | — |
| BCBS | HMO | $16,840.61 | — |
| BCBS | EPOSOA | $18,549.08 | — |
| BCBS | PPO | $20,176.19 | — |
| United | NarrowNetworkIndivExchange | $23,015.00 | — |
| United | SmallGroup | $23,800.00 | — |
| United | AllPayerAppendix | $34,000.00 | — |
Visitor-reported prices
Comments
Delayed breast prosthesis 19342 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,448.39 – $16,677.90 |
| Baylor St Luke's Medical Center | Houston | not published | $1,609.00 – $1,609.00 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,609.00 – $1,609.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,281.73 – $14,155.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,910.18 | $71.00 – $23,352.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,698.09 | $71.00 – $23,352.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,910.18 | $85.00 – $23,352.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,910.18 | $2,281.73 – $23,352.21 |