Dextrose 5 % and 0.9 % sodium chloride intravenous solution at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.31 with Christus (USFHP) vs $126.90 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 →

Payer
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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
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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
Christus (USFHP) TRICARE $1.31
TriWest Health Alliance TRCR $1.31
United NarrowNetworkIndivExchange $2.16
United AllPayerAppendix $2.16
United SmallGroup $2.16
BCBS MyBlueHealth $3.29
Cigna CSN $3.29
Cigna OpenAccessPlus $3.56
BCBS BAV $3.63
Cigna PPO $4.24
BCBS PPO $4.54
BCBS EPOSOA $4.54
BCBS HMO $4.54
Superior Health Plan STARKids $8.46
Superior Health Plan CHPFC $8.46
Superior Health Plan CHIP $8.46
Superior Health Plan STAR $8.46
Superior Health Plan STARPLUS $8.46
Aetna MCR $9.35
Humana PPO $10.52
Humana HMO $10.52
Community Health Choice MCD STAR $18.33
Community Health Choice MCD CHIP $18.33
Community Health Choice MCD CHIPPerinatal $18.33
Community Health Choice MCD STAR+PLUS $18.33
Amerigroup MGMCD $19.74
Amerigroup MCDCHIPBH $19.74
Texas Childrens Health Plans CHIP $23.41
United OptionsPPO $23.69
Superior HMO $24.68
Superior EPO $24.68
Superior ValueHMO $27.92
Texas Childrens Health Plans STARKIDS $33.42
Texas Childrens Health Plans STAR $33.42
Texas Workforce Commission WCOMP $33.84
Molina Healthcare HIX $38.07
CHC Harris Health Indigent $42.30
BCBS Traditional $49.35
HealthSmart Preferred Care ACCEL $60.63
United GlobalAppendix $63.45
Coventry National First Health COMM $75.15
Rockport Workers Comp COMM $77.55
Physicians Cooperative of Texas WC $77.55
Triumph COMM $84.60
National Healthcare Solutions COMM $84.60
SouthWest Medical WORKERSCOMP $84.60
Independent Medical System COMM $84.60
Coastal Comp COMM $91.65
Multiplan PHCSPrimaryNetwork $105.75
Cigna Behavioral Health COMMBH $112.80
HealthSmart Preferred Care PPO $115.62
Multiplan ComplementaryNetwork $119.85
Physicians, INC COMM $119.85
HealthSmart Preferred Care ACCOUNTABLEPPO $119.85
Affiliated PPO COMM $126.90

Visitor-reported prices

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Dextrose 5 % and 0.9 % sodium chloride intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $9.19 $0.59 – $2.64
St. Luke's Health - The Vintage Hospital Houston $9.19 $0.59 – $2.64
HCA HOUSTON MEDICAL CENTER Houston not published $1.25 – $10.52
HCA HOUSTON TOMBALL HOUSTON not published $1.25 – $10.52
Adventhealth Rollins Brook Lampasas $137.39 $6.47 – $6.47
Covenant Children's Hospital Lubbock $49.79 $4.74 – $6.71
St. Luke's Health - Patients Medical Center Pasadena $9.93 $1.69 – $21.27
St. Luke's Health - Springwoods Village Hospital Spring $9.19 $0.59 – $2.64

All Texas hospitals for this procedure →