Dmd dup/delet analysis 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.
$229.67 with Texas Health Network vs $3,018.78 with Humana — 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 | $229.67 | — |
| Texas Childrens Health Plans | STARKIDS | $234.36 | — |
| Community Health Choice MCD | CHIP | $234.36 | — |
| Texas Childrens Health Plans | STAR | $234.36 | — |
| Amerigroup | MGMCD | $234.36 | — |
| Amerigroup | MCDCHIPBH | $234.36 | — |
| Community Health Choice MCD | CHIPPerinatal | $234.36 | — |
| Community Health Choice MCD | STAR | $234.36 | — |
| Community Health Choice MCD | STAR+PLUS | $234.36 | — |
| United | MGMCD | $239.05 | — |
| Aetna Better Health | MGMCD | $253.11 | — |
| Molina Healthcare | STARKIDS | $257.80 | — |
| Molina Healthcare | CHIP | $257.80 | — |
| Molina Healthcare | STARPLUS | $257.80 | — |
| Molina Healthcare | STAR | $257.80 | — |
| Oscar | MGMCR | $273.42 | — |
| WellMed | MGMCR | $277.61 | — |
| Renaissance IPA Radiology | COMM | $279.00 | — |
| Amerigroup | DualEligible | $279.00 | — |
| Cigna HealthSpring | MCRSNP | $279.00 | — |
| Cigna HealthSpring | MCRPPO | $279.00 | — |
| Cigna HealthSpring | MCRHMO | $279.00 | — |
| Humana | MedicareAdvantageHMO | $279.00 | — |
| Humana | MedicareAdvantagePPOPFFS | $279.00 | — |
| Renaissance IPA Radiology | MCR | $279.00 | — |
| United | SmallGroup | $279.00 | — |
| Kelsey Seybold | MGMCR | $279.00 | — |
| CHC Harris Health | Indigent | $279.00 | — |
| BCBS | MedicareAdvantageHMO | $279.00 | — |
| BCBS | MCRPPO | $279.00 | — |
| Cigna HealthSpring | MMP | $279.00 | — |
| Devoted Health | MGMCR | $279.00 | — |
| TriWest Healthcare Alliance | Veterans | $279.00 | — |
| Cigna HealthSpring | PFFS | $279.00 | — |
| United | AllPayerAppendix | $279.00 | — |
| United | NarrowNetworkIndivExchange | $279.00 | — |
| Aetna | MCR | $281.37 | — |
| Van Lang IPA | MCR | $281.79 | — |
| United | MCR | $284.58 | — |
| WellCare | PFFS | $287.37 | — |
| WellCare | MCRHMO | $287.37 | — |
| Integranet Amerigroup IPA | MCR | $287.37 | — |
| WellCare | POS | $287.37 | — |
| WellCare | SNP | $287.37 | — |
| WellCare | PPO | $287.37 | — |
| Superior Health Plan | MCRPOS | $292.95 | — |
| Humana | MCD | $292.95 | — |
| American Health Plan | MGMCR | $292.95 | — |
| Superior Health Plan | DualEligible | $292.95 | — |
| Superior Health Plan | MCRHMO | $292.95 | — |
| Superior Health Plan | MCRPPO | $292.95 | — |
| Superior Health Plan | MCRSNP | $292.95 | — |
| Superior Health Plan | PFFS | $292.95 | — |
| ProCare Advantage | MGMCR | $292.95 | — |
| Shared Health | MGMCR | $292.95 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $295.74 | — |
| Provider Partners Health Plan of Texas | PPO | $295.74 | — |
| Provider Partners Health Plan of Texas | SNP | $295.74 | — |
| Provider Partners Health Plan of Texas | PFFS | $295.74 | — |
| Provider Partners Health Plan of Texas | POS | $295.74 | — |
| Molina | MGMCR | $304.11 | — |
| Universal Healthcare Group | MCR | $334.80 | — |
| Verda Health Plan | MCR | $362.70 | — |
| Superior | ValueHMO | $404.55 | — |
| Community Health Choice | HIX | $404.55 | — |
| Superior | HMO | $432.45 | — |
| Superior | EPO | $432.45 | — |
| Corvel Corporation | WORKERSCOMP | $552.42 | — |
| BCBS | MyBlueHealth | $563.58 | — |
| OMNI Healthcare | WORKERSCOMP | $585.90 | — |
| Molina Healthcare | HIX | $599.85 | — |
| BCBS | BAV | $622.17 | — |
| Healthcare Highways | NarrowNetwork | $677.97 | — |
| BCBS | HMO | $778.41 | — |
| Oscar | HIX | $806.31 | — |
| BCBS | EPOSOA | $834.21 | — |
| BCBS | PPO | $890.01 | — |
| Aetna | QHPExchange | $1,022.03 | — |
| Cigna | CSN | $1,147.23 | — |
| Cigna | OpenAccessPlus | $1,242.62 | — |
| Aetna | NBPPO | $1,359.18 | — |
| Aetna | NBHMO | $1,359.18 | — |
| Aetna | NBPOS | $1,359.18 | — |
| Aetna | COMMPOS | $1,443.99 | — |
| Aetna | COMMHMO | $1,443.99 | — |
| Aetna | COMMPPO | $1,443.99 | — |
| Cigna | PPO | $1,478.42 | — |
| Aetna | OONHMO | $1,696.32 | — |
| Aetna | OONPOS | $1,696.32 | — |
| Aetna | OONPPO | $1,696.32 | — |
| Aetna | ASAPPO | $1,834.15 | — |
| Aetna | ASAPOS | $1,834.15 | — |
| Aetna | ASAHMO | $1,834.15 | — |
| Humana | PPO | $3,018.78 | — |
| Humana | HMO | $3,018.78 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Dmd dup/delet analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $234.36 – $1,147.23 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $234.36 – $1,147.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,806.96 | $12.00 – $2,710.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,806.96 | $12.00 – $2,258.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,806.96 | $12.00 – $2,710.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,806.96 | $8.00 – $2,710.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,806.96 | $12.00 – $2,710.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,806.96 | $234.36 – $2,258.70 |