Dialysis one evaluation 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.
$174.66 with Superior Health Plan vs $2,619.90 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 →
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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 |
|---|---|---|---|
| Superior Health Plan | STAR | $174.66 | — |
| Superior Health Plan | STARPLUS | $174.66 | — |
| Superior Health Plan | STARKids | $174.66 | — |
| Superior Health Plan | CHIP | $174.66 | — |
| Superior Health Plan | CHPFC | $174.66 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Community Health Choice MCD | STAR+PLUS | $378.43 | — |
| Community Health Choice MCD | STAR | $378.43 | — |
| Community Health Choice MCD | CHIPPerinatal | $378.43 | — |
| Community Health Choice MCD | CHIP | $378.43 | — |
| Amerigroup | MCDCHIPBH | $407.54 | — |
| Amerigroup | MGMCD | $407.54 | — |
| Cigna | CSN | $430.83 | — |
| Cigna | OpenAccessPlus | $465.76 | — |
| BCBS | MyBlueHealth | $474.49 | — |
| Texas Childrens Health Plans | CHIP | $483.23 | — |
| United | OptionsPPO | $489.05 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| BCBS | BAV | $523.98 | — |
| Cigna | PPO | $553.09 | — |
| Oscar | HIX | $567.64 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| BCBS | HMO | $654.98 | — |
| BCBS | EPOSOA | $669.53 | — |
| BCBS | PPO | $681.17 | — |
| Texas Childrens Health Plans | STAR | $689.91 | — |
| Texas Childrens Health Plans | STARKIDS | $689.91 | — |
| Texas Workforce Commission | WCOMP | $698.64 | — |
| Healthcare Highways | NarrowNetwork | $742.30 | — |
| Aetna | QHPExchange | $771.41 | — |
| Evry Health | BroadNetwork | $794.70 | — |
| Humana | HMO | $825.37 | — |
| Humana | PPO | $825.37 | — |
| Aetna | NBHMO | $934.43 | — |
| Aetna | NBPOS | $934.43 | — |
| Aetna | NBPPO | $934.43 | — |
| Aetna | COMMPPO | $995.56 | — |
| Aetna | COMMHMO | $995.56 | — |
| Aetna | COMMPOS | $995.56 | — |
| BCBS | Traditional | $1,018.85 | — |
| Imagine Health | PPO | $1,018.85 | — |
| Curative Administrators | COMM | $1,164.40 | — |
| Christus (USFHP) | TRICARE | $1,164.40 | — |
| Aetna | OONPOS | $1,167.31 | — |
| Aetna | OONPPO | $1,167.31 | — |
| Aetna | OONHMO | $1,167.31 | — |
| HealthSmart Preferred Care | ACCEL | $1,251.73 | — |
| Aetna | ASAPOS | $1,260.46 | — |
| Aetna | ASAPPO | $1,260.46 | — |
| Aetna | ASAHMO | $1,260.46 | — |
| Averde Health | Commercial | $1,309.95 | — |
| United | GlobalAppendix | $1,309.95 | — |
| Fidelis SecureCare of TX | MGMCR | $1,309.95 | — |
| Coventry National First Health | COMM | $1,551.56 | — |
| Physicians Cooperative of Texas | WC | $1,601.05 | — |
| Rockport Workers Comp | COMM | $1,601.05 | — |
| Triumph | COMM | $1,746.60 | — |
| National Healthcare Solutions | COMM | $1,746.60 | — |
| SouthWest Medical | WORKERSCOMP | $1,746.60 | — |
| Independent Medical System | COMM | $1,746.60 | — |
| Coastal Comp | COMM | $1,892.15 | — |
| Multiplan | PHCSPrimaryNetwork | $2,183.25 | — |
| Cigna Behavioral Health | COMMBH | $2,328.80 | — |
| HealthSmart Preferred Care | PPO | $2,387.02 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $2,474.35 | — |
| Multiplan | ComplementaryNetwork | $2,474.35 | — |
| Physicians, INC | COMM | $2,474.35 | — |
| Affiliated PPO | COMM | $2,619.90 | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $776.30 | $100.00 – $2,218.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $776.30 | $100.00 – $2,218.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $825.37 – $825.37 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $825.37 – $825.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,775.84 | $398.20 – $2,219.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,775.84 | $365.53 – $2,663.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,775.84 | $355.17 – $2,219.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,775.84 | $398.20 – $2,219.80 |