Dextrose 5 % IV bolus 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

$503.00

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.

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

$503.00

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.

$2.94 with Christus (USFHP) vs $452.70 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 $2.94 ↓ -99%
TriWest Health Alliance TRCR $2.94 ↓ -99%
United NarrowNetworkIndivExchange $4.85 ↓ -99%
United AllPayerAppendix $4.85 ↓ -99%
United SmallGroup $4.85 ↓ -99%
Cigna CSN $7.36 ↓ -99%
Cigna OpenAccessPlus $7.96 ↓ -98%
Cigna PPO $9.48 ↓ -98%
BCBS MyBlueHealth $29.71 ↓ -94%
Superior Health Plan STAR $30.18 ↓ -94%
Superior Health Plan STARKids $30.18 ↓ -94%
Superior Health Plan STARPLUS $30.18 ↓ -94%
Superior Health Plan CHIP $30.18 ↓ -94%
Superior Health Plan CHPFC $30.18 ↓ -94%
BCBS BAV $32.75 ↓ -93%
Aetna MCR $33.35 ↓ -93%
BCBS PPO $40.93 ↓ -92%
BCBS EPOSOA $40.93 ↓ -92%
BCBS HMO $40.93 ↓ -92%
Humana PPO $48.12 ↓ -90%
Humana HMO $48.12 ↓ -90%
Community Health Choice MCD STAR $65.39 ↓ -87%
Community Health Choice MCD CHIPPerinatal $65.39 ↓ -87%
Community Health Choice MCD STAR+PLUS $65.39 ↓ -87%
Community Health Choice MCD CHIP $65.39 ↓ -87%
Amerigroup MGMCD $70.42 ↓ -86%
Amerigroup MCDCHIPBH $70.42 ↓ -86%
Texas Childrens Health Plans CHIP $83.50 ↓ -83%
United OptionsPPO $84.50 ↓ -83%
Superior HMO $88.03 ↓ -82%
Superior EPO $88.03 ↓ -82%
Superior ValueHMO $99.59 ↓ -80%
Texas Childrens Health Plans STARKIDS $119.21 ↓ -76%
Texas Childrens Health Plans STAR $119.21 ↓ -76%
Texas Workforce Commission WCOMP $120.72 ↓ -76%
Molina Healthcare HIX $135.81 ↓ -73%
CHC Harris Health Indigent $150.90 ↓ -70%
BCBS Traditional $176.05 ↓ -65%
HealthSmart Preferred Care ACCEL $216.29 ↓ -57%
United GlobalAppendix $226.35 ↓ -55%
Coventry National First Health COMM $268.10 ↓ -47%
Rockport Workers Comp COMM $276.65 ↓ -45%
Physicians Cooperative of Texas WC $276.65 ↓ -45%
Triumph COMM $301.80 ↓ -40%
National Healthcare Solutions COMM $301.80 ↓ -40%
SouthWest Medical WORKERSCOMP $301.80 ↓ -40%
Independent Medical System COMM $301.80 ↓ -40%
Coastal Comp COMM $326.95 ↓ -35%
Multiplan PHCSPrimaryNetwork $377.25 ↓ -25%
Cigna Behavioral Health COMMBH $402.40 ↓ -20%
HealthSmart Preferred Care PPO $412.46 ↓ -18%
Multiplan ComplementaryNetwork $427.55 ↓ -15%
Physicians, INC COMM $427.55 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $427.55 ↓ -15%
Affiliated PPO COMM $452.70 ↓ -10%

Visitor-reported prices

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Dextrose 5 % IV bolus at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $404.30 $3.64 – $48.12
Baylor St Luke's Medical Center Houston $10.75 $1.28 – $5.79
St. Luke's Health - The Vintage Hospital Houston $10.75 $1.28 – $5.79
HCA HOUSTON TOMBALL HOUSTON $353.31 $3.64 – $48.12
Adventhealth Rollins Brook Lampasas $137.39 $58.37 – $58.37
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $508.55 $3.64 – $48.12
Covenant Children's Hospital Lubbock $47.69 $10.64 – $60.53
HCA HOUSTON NORTHWEST SPRING $354.45 $3.64 – $48.12

All Texas hospitals for this procedure →