Dialysis repeated eval 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.
$218.22 with Superior Health Plan vs $3,273.30 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 | CHIP | $218.22 | — |
| Superior Health Plan | STARPLUS | $218.22 | — |
| Superior Health Plan | STARKids | $218.22 | — |
| Superior Health Plan | STAR | $218.22 | — |
| Superior Health Plan | CHPFC | $218.22 | — |
| Aetna | MCR | $241.13 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Community Health Choice MCD | CHIP | $472.81 | — |
| Community Health Choice MCD | CHIPPerinatal | $472.81 | — |
| Community Health Choice MCD | STAR+PLUS | $472.81 | — |
| Community Health Choice MCD | STAR | $472.81 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Amerigroup | MGMCD | $509.18 | — |
| Amerigroup | MCDCHIPBH | $509.18 | — |
| Cigna | CSN | $538.28 | — |
| Cigna | OpenAccessPlus | $581.92 | — |
| BCBS | MyBlueHealth | $592.83 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Texas Childrens Health Plans | CHIP | $603.74 | — |
| United | OptionsPPO | $611.02 | — |
| Superior | EPO | $636.48 | — |
| Superior | HMO | $636.48 | — |
| BCBS | BAV | $654.66 | — |
| Cigna | PPO | $691.03 | — |
| Oscar | HIX | $709.22 | — |
| Superior | ValueHMO | $720.13 | — |
| BCBS | HMO | $818.33 | — |
| BCBS | EPOSOA | $836.51 | — |
| BCBS | PPO | $851.06 | — |
| Texas Childrens Health Plans | STARKIDS | $861.97 | — |
| Texas Childrens Health Plans | STAR | $861.97 | — |
| Texas Workforce Commission | WCOMP | $872.88 | — |
| Healthcare Highways | NarrowNetwork | $927.43 | — |
| Aetna | QHPExchange | $963.80 | — |
| Molina Healthcare | HIX | $981.99 | — |
| Evry Health | BroadNetwork | $992.90 | — |
| CHC Harris Health | Indigent | $1,091.10 | — |
| Aetna | NBPOS | $1,167.48 | — |
| Aetna | NBPPO | $1,167.48 | — |
| Aetna | NBHMO | $1,167.48 | — |
| Humana | HMO | $1,198.41 | — |
| Humana | PPO | $1,198.41 | — |
| Aetna | COMMPPO | $1,243.85 | — |
| Aetna | COMMHMO | $1,243.85 | — |
| Aetna | COMMPOS | $1,243.85 | — |
| BCBS | Traditional | $1,272.95 | — |
| Imagine Health | PPO | $1,272.95 | — |
| Christus (USFHP) | TRICARE | $1,454.80 | — |
| Curative Administrators | COMM | $1,454.80 | — |
| Aetna | OONPPO | $1,458.44 | — |
| Aetna | OONPOS | $1,458.44 | — |
| Aetna | OONHMO | $1,458.44 | — |
| HealthSmart Preferred Care | ACCEL | $1,563.91 | — |
| Aetna | ASAPPO | $1,574.82 | — |
| Aetna | ASAPOS | $1,574.82 | — |
| Aetna | ASAHMO | $1,574.82 | — |
| Averde Health | Commercial | $1,636.65 | — |
| United | GlobalAppendix | $1,636.65 | — |
| Fidelis SecureCare of TX | MGMCR | $1,636.65 | — |
| Coventry National First Health | COMM | $1,938.52 | — |
| Rockport Workers Comp | COMM | $2,000.35 | — |
| Physicians Cooperative of Texas | WC | $2,000.35 | — |
| Triumph | COMM | $2,182.20 | — |
| Independent Medical System | COMM | $2,182.20 | — |
| National Healthcare Solutions | COMM | $2,182.20 | — |
| SouthWest Medical | WORKERSCOMP | $2,182.20 | — |
| Coastal Comp | COMM | $2,364.05 | — |
| Multiplan | PHCSPrimaryNetwork | $2,727.75 | — |
| Cigna Behavioral Health | COMMBH | $2,909.60 | — |
| HealthSmart Preferred Care | PPO | $2,982.34 | — |
| Physicians, INC | COMM | $3,091.45 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $3,091.45 | — |
| Multiplan | ComplementaryNetwork | $3,091.45 | — |
| Affiliated PPO | COMM | $3,273.30 | — |
Visitor-reported prices
Comments
Dialysis repeated eval at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,198.41 – $1,198.41 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,198.41 – $1,198.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,087.50 | $308.12 – $1,540.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,523.40 | $313.57 – $2,285.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,523.40 | $304.68 – $1,904.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,087.50 | $290.00 – $1,540.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,523.40 | $489.01 – $2,285.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,523.40 | $787.09 – $2,285.10 |