Diabetes (HbA1c) Test 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.
$8.00 with Texas Health Network vs $517.50 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 →
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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 | $8.00 | — |
| Community Health Choice MCD | STAR | $8.16 | — |
| Community Health Choice MCD | CHIPPerinatal | $8.16 | — |
| Amerigroup | MGMCD | $8.16 | — |
| Texas Childrens Health Plans | STARKIDS | $8.16 | — |
| Amerigroup | MCDCHIPBH | $8.16 | — |
| Texas Childrens Health Plans | STAR | $8.16 | — |
| Community Health Choice MCD | STAR+PLUS | $8.16 | — |
| Community Health Choice MCD | CHIP | $8.16 | — |
| United | MGMCD | $8.32 | — |
| Aetna Better Health | MGMCD | $8.81 | — |
| Molina Healthcare | CHIP | $8.98 | — |
| Molina Healthcare | STARKIDS | $8.98 | — |
| Molina Healthcare | STARPLUS | $8.98 | — |
| Molina Healthcare | STAR | $8.98 | — |
| Oscar | MGMCR | $9.52 | — |
| WellMed | MGMCR | $9.66 | — |
| BCBS | MCRPPO | $9.71 | — |
| United | NarrowNetworkIndivExchange | $9.71 | — |
| United | AllPayerAppendix | $9.71 | — |
| Humana | MedicareAdvantageHMO | $9.71 | — |
| Humana | MedicareAdvantagePPOPFFS | $9.71 | — |
| Cigna HealthSpring | MMP | $9.71 | — |
| Cigna HealthSpring | MCRPPO | $9.71 | — |
| TriWest Healthcare Alliance | Veterans | $9.71 | — |
| Cigna HealthSpring | PFFS | $9.71 | — |
| Renaissance IPA Radiology | MCR | $9.71 | — |
| Renaissance IPA Radiology | COMM | $9.71 | — |
| Cigna HealthSpring | MCRHMO | $9.71 | — |
| CHC Harris Health | Indigent | $9.71 | — |
| Amerigroup | DualEligible | $9.71 | — |
| Kelsey Seybold | MGMCR | $9.71 | — |
| United | SmallGroup | $9.71 | — |
| Devoted Health | MGMCR | $9.71 | — |
| BCBS | MedicareAdvantageHMO | $9.71 | — |
| Cigna HealthSpring | MCRSNP | $9.71 | — |
| Aetna | MCR | $9.79 | — |
| Van Lang IPA | MCR | $9.81 | — |
| United | MCR | $9.90 | — |
| WellCare | MCRHMO | $10.00 | — |
| WellCare | SNP | $10.00 | — |
| WellCare | PPO | $10.00 | — |
| Integranet Amerigroup IPA | MCR | $10.00 | — |
| WellCare | POS | $10.00 | — |
| WellCare | PFFS | $10.00 | — |
| ProCare Advantage | MGMCR | $10.20 | — |
| Humana | MCD | $10.20 | — |
| American Health Plan | MGMCR | $10.20 | — |
| Shared Health | MGMCR | $10.20 | — |
| Superior Health Plan | DualEligible | $10.20 | — |
| Superior Health Plan | MCRHMO | $10.20 | — |
| Superior Health Plan | MCRPOS | $10.20 | — |
| Superior Health Plan | MCRPPO | $10.20 | — |
| Superior Health Plan | MCRSNP | $10.20 | — |
| Superior Health Plan | PFFS | $10.20 | — |
| Provider Partners Health Plan of Texas | PPO | $10.29 | — |
| Provider Partners Health Plan of Texas | PFFS | $10.29 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $10.29 | — |
| Provider Partners Health Plan of Texas | POS | $10.29 | — |
| Provider Partners Health Plan of Texas | SNP | $10.29 | — |
| TriWest Health Alliance | TRCR | $10.51 | — |
| Christus (USFHP) | TRICARE | $10.51 | — |
| Molina | MGMCR | $10.58 | — |
| Universal Healthcare Group | MCR | $11.65 | — |
| Verda Health Plan | MCR | $12.62 | — |
| Community Health Choice | HIX | $14.08 | — |
| Superior | ValueHMO | $14.08 | — |
| Superior | HMO | $15.05 | — |
| Superior | EPO | $15.05 | — |
| Corvel Corporation | WORKERSCOMP | $19.23 | — |
| BCBS | MyBlueHealth | $19.61 | — |
| OMNI Healthcare | WORKERSCOMP | $20.39 | — |
| Molina Healthcare | HIX | $20.88 | — |
| BCBS | BAV | $21.65 | — |
| BCBS | HMO | $27.09 | — |
| Oscar | HIX | $28.06 | — |
| BCBS | EPOSOA | $29.03 | — |
| Healthcare Highways | NarrowNetwork | $29.14 | — |
| BCBS | PPO | $30.97 | — |
| Superior Health Plan | STARPLUS | $34.50 | — |
| Superior Health Plan | CHIP | $34.50 | — |
| Superior Health Plan | CHPFC | $34.50 | — |
| Superior Health Plan | STAR | $34.50 | — |
| Superior Health Plan | STARKids | $34.50 | — |
| Aetna | QHPExchange | $35.57 | — |
| Cigna | CSN | $40.44 | — |
| Cigna | OpenAccessPlus | $43.80 | — |
| Aetna | NBHMO | $47.31 | — |
| Aetna | NBPOS | $47.31 | — |
| Aetna | NBPPO | $47.31 | — |
| Aetna | COMMHMO | $50.26 | — |
| Aetna | COMMPPO | $50.26 | — |
| Aetna | COMMPOS | $50.26 | — |
| Cigna | PPO | $52.12 | — |
| Aetna | OONPOS | $59.04 | — |
| Aetna | OONHMO | $59.04 | — |
| Aetna | OONPPO | $59.04 | — |
| Aetna | ASAPOS | $63.84 | — |
| Aetna | ASAPPO | $63.84 | — |
| Aetna | ASAHMO | $63.84 | — |
| Texas Childrens Health Plans | CHIP | $95.45 | — |
| United | OptionsPPO | $96.60 | — |
| Humana | HMO | $129.73 | — |
| Humana | PPO | $129.73 | — |
| Texas Workforce Commission | WCOMP | $138.00 | — |
| Evry Health | BroadNetwork | $156.97 | — |
| BCBS | Traditional | $201.25 | — |
| Imagine Health | PPO | $201.25 | — |
| HealthSmart Preferred Care | ACCEL | $247.25 | — |
| Averde Health | Commercial | $258.75 | — |
| United | GlobalAppendix | $258.75 | — |
| Fidelis SecureCare of TX | MGMCR | $258.75 | — |
| Coventry National First Health | COMM | $306.48 | — |
| Rockport Workers Comp | COMM | $316.25 | — |
| Physicians Cooperative of Texas | WC | $316.25 | — |
| Triumph | COMM | $345.00 | — |
| National Healthcare Solutions | COMM | $345.00 | — |
| SouthWest Medical | WORKERSCOMP | $345.00 | — |
| Independent Medical System | COMM | $345.00 | — |
| Coastal Comp | COMM | $373.75 | — |
| Multiplan | PHCSPrimaryNetwork | $431.25 | — |
| Cigna Behavioral Health | COMMBH | $460.00 | — |
| HealthSmart Preferred Care | PPO | $471.50 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $488.75 | — |
| Multiplan | ComplementaryNetwork | $488.75 | — |
| Physicians, INC | COMM | $488.75 | — |
| Affiliated PPO | COMM | $517.50 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $74.90 | $6.99 – $214.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $74.90 | $6.99 – $214.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $8.16 – $40.44 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $8.16 – $40.44 |
| Adventhealth Rollins Brook | Lampasas | $193.18 | $8.74 – $37.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $111.51 | $8.16 – $115.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $92.09 | $12.00 – $129.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $123.97 | $8.16 – $115.11 |