Dipyridamole injection 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

$270.83

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.

$270.83

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.

$5.37 with BCBS vs $243.75 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
BCBS MyBlueHealth $5.37 ↓ -98%
BCBS BAV $5.92 ↓ -98%
BCBS HMO $7.40 ↓ -97%
BCBS PPO $7.40 ↓ -97%
BCBS EPOSOA $7.40 ↓ -97%
Humana HMO $8.38 ↓ -97%
Humana PPO $8.38 ↓ -97%
Christus (USFHP) TRICARE $8.41 ↓ -97%
TriWest Health Alliance TRCR $8.41 ↓ -97%
Cigna CSN $9.34 ↓ -97%
Cigna OpenAccessPlus $10.11 ↓ -96%
Cigna PPO $12.04 ↓ -96%
United SmallGroup $13.88 ↓ -95%
United NarrowNetworkIndivExchange $13.88 ↓ -95%
United AllPayerAppendix $13.88 ↓ -95%
Superior Health Plan CHPFC $16.25 ↓ -94%
Superior Health Plan STARKids $16.25 ↓ -94%
Superior Health Plan STARPLUS $16.25 ↓ -94%
Superior Health Plan CHIP $16.25 ↓ -94%
Superior Health Plan STAR $16.25 ↓ -94%
Aetna MCR $17.96 ↓ -93%
Community Health Choice MCD CHIPPerinatal $35.21 ↓ -87%
Community Health Choice MCD STAR $35.21 ↓ -87%
Community Health Choice MCD STAR+PLUS $35.21 ↓ -87%
Community Health Choice MCD CHIP $35.21 ↓ -87%
Amerigroup MCDCHIPBH $37.92 ↓ -86%
Amerigroup MGMCD $37.92 ↓ -86%
Texas Childrens Health Plans CHIP $44.96 ↓ -83%
United OptionsPPO $45.50 ↓ -83%
Superior HMO $47.40 ↓ -82%
Superior EPO $47.40 ↓ -82%
Superior ValueHMO $53.62 ↓ -80%
Texas Childrens Health Plans STARKIDS $64.19 ↓ -76%
Texas Childrens Health Plans STAR $64.19 ↓ -76%
Texas Workforce Commission WCOMP $65.00 ↓ -76%
Molina Healthcare HIX $73.12 ↓ -73%
CHC Harris Health Indigent $81.25 ↓ -70%
BCBS Traditional $94.79 ↓ -65%
HealthSmart Preferred Care ACCEL $116.46 ↓ -57%
United GlobalAppendix $121.87 ↓ -55%
Coventry National First Health COMM $144.35 ↓ -47%
Rockport Workers Comp COMM $148.96 ↓ -45%
Physicians Cooperative of Texas WC $148.96 ↓ -45%
Triumph COMM $162.50 ↓ -40%
National Healthcare Solutions COMM $162.50 ↓ -40%
SouthWest Medical WORKERSCOMP $162.50 ↓ -40%
Independent Medical System COMM $162.50 ↓ -40%
Coastal Comp COMM $176.04 ↓ -35%
Multiplan PHCSPrimaryNetwork $203.12 ↓ -25%
Cigna Behavioral Health COMMBH $216.66 ↓ -20%
HealthSmart Preferred Care PPO $222.08 ↓ -18%
Multiplan ComplementaryNetwork $230.21 ↓ -15%
Physicians, INC COMM $230.21 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $230.21 ↓ -15%
Affiliated PPO COMM $243.75 ↓ -10%

Visitor-reported prices

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Dipyridamole injection at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $44.49 $2.47 – $32.00
St. Luke's Health - The Vintage Hospital Houston $44.49 $2.99 – $32.00
HCA HOUSTON MEDICAL CENTER Houston not published $3.84 – $13.88
HCA HOUSTON TOMBALL HOUSTON not published $3.84 – $13.88
HCA HOUSTON KINGWOOD HUMBLE $197.22 $5.37 – $13.88
St. Joseph Health Madison Hospital Madisonville $24.50 $3.78 – $126.00
St. Luke's Health Memorial Lufkin Lufkin $4.40 $2.87 – $26.37
St. Luke's Health - Springwoods Village Hospital Spring $44.49 $2.99 – $32.00

All Texas hospitals for this procedure →