Dna probe gc 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.
$22.13 with Texas Health Network vs $290.84 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 | $22.13 | — |
| Texas Childrens Health Plans | STARKIDS | $22.58 | — |
| Community Health Choice MCD | CHIP | $22.58 | — |
| Texas Childrens Health Plans | STAR | $22.58 | — |
| Amerigroup | MGMCD | $22.58 | — |
| Amerigroup | MCDCHIPBH | $22.58 | — |
| Community Health Choice MCD | CHIPPerinatal | $22.58 | — |
| Community Health Choice MCD | STAR | $22.58 | — |
| Community Health Choice MCD | STAR+PLUS | $22.58 | — |
| United | MGMCD | $23.03 | — |
| Aetna Better Health | MGMCD | $24.39 | — |
| Molina Healthcare | STARKIDS | $24.84 | — |
| Molina Healthcare | CHIP | $24.84 | — |
| Molina Healthcare | STARPLUS | $24.84 | — |
| Molina Healthcare | STAR | $24.84 | — |
| Oscar | MGMCR | $26.34 | — |
| WellMed | MGMCR | $26.75 | — |
| Renaissance IPA Radiology | COMM | $26.88 | — |
| Amerigroup | DualEligible | $26.88 | — |
| Cigna HealthSpring | MCRSNP | $26.88 | — |
| Cigna HealthSpring | MCRPPO | $26.88 | — |
| Cigna HealthSpring | MCRHMO | $26.88 | — |
| Humana | MedicareAdvantageHMO | $26.88 | — |
| Humana | MedicareAdvantagePPOPFFS | $26.88 | — |
| Renaissance IPA Radiology | MCR | $26.88 | — |
| United | SmallGroup | $26.88 | — |
| Kelsey Seybold | MGMCR | $26.88 | — |
| CHC Harris Health | Indigent | $26.88 | — |
| BCBS | MedicareAdvantageHMO | $26.88 | — |
| BCBS | MCRPPO | $26.88 | — |
| Cigna HealthSpring | MMP | $26.88 | — |
| Devoted Health | MGMCR | $26.88 | — |
| TriWest Healthcare Alliance | Veterans | $26.88 | — |
| Cigna HealthSpring | PFFS | $26.88 | — |
| United | AllPayerAppendix | $26.88 | — |
| United | NarrowNetworkIndivExchange | $26.88 | — |
| Aetna | MCR | $27.11 | — |
| Van Lang IPA | MCR | $27.15 | — |
| United | MCR | $27.42 | — |
| WellCare | PFFS | $27.69 | — |
| WellCare | MCRHMO | $27.69 | — |
| Integranet Amerigroup IPA | MCR | $27.69 | — |
| WellCare | POS | $27.69 | — |
| WellCare | SNP | $27.69 | — |
| WellCare | PPO | $27.69 | — |
| Superior Health Plan | MCRPPO | $28.22 | — |
| Humana | MCD | $28.22 | — |
| American Health Plan | MGMCR | $28.22 | — |
| Superior Health Plan | DualEligible | $28.22 | — |
| Superior Health Plan | MCRHMO | $28.22 | — |
| Superior Health Plan | MCRPOS | $28.22 | — |
| Superior Health Plan | MCRSNP | $28.22 | — |
| Superior Health Plan | PFFS | $28.22 | — |
| ProCare Advantage | MGMCR | $28.22 | — |
| Shared Health | MGMCR | $28.22 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $28.49 | — |
| Provider Partners Health Plan of Texas | POS | $28.49 | — |
| Provider Partners Health Plan of Texas | PPO | $28.49 | — |
| Provider Partners Health Plan of Texas | SNP | $28.49 | — |
| Provider Partners Health Plan of Texas | PFFS | $28.49 | — |
| TriWest Health Alliance | TRCR | $29.09 | — |
| Christus (USFHP) | TRICARE | $29.09 | — |
| Molina | MGMCR | $29.30 | — |
| Universal Healthcare Group | MCR | $32.26 | — |
| Verda Health Plan | MCR | $34.94 | — |
| Community Health Choice | HIX | $38.98 | — |
| Superior | ValueHMO | $38.98 | — |
| Superior | HMO | $41.66 | — |
| Superior | EPO | $41.66 | — |
| Corvel Corporation | WORKERSCOMP | $53.22 | — |
| BCBS | MyBlueHealth | $54.30 | — |
| OMNI Healthcare | WORKERSCOMP | $56.45 | — |
| Molina Healthcare | HIX | $57.79 | — |
| BCBS | BAV | $59.94 | — |
| Healthcare Highways | NarrowNetwork | $65.32 | — |
| BCBS | HMO | $75.00 | — |
| Oscar | HIX | $77.68 | — |
| BCBS | EPOSOA | $80.37 | — |
| BCBS | PPO | $85.75 | — |
| Aetna | QHPExchange | $98.47 | — |
| Cigna | CSN | $110.11 | — |
| Cigna | OpenAccessPlus | $119.27 | — |
| Aetna | NBHMO | $130.96 | — |
| Aetna | NBPOS | $130.96 | — |
| Aetna | NBPPO | $130.96 | — |
| Aetna | COMMHMO | $139.13 | — |
| Aetna | COMMPOS | $139.13 | — |
| Aetna | COMMPPO | $139.13 | — |
| Cigna | PPO | $141.90 | — |
| Aetna | OONPPO | $163.44 | — |
| Aetna | OONPOS | $163.44 | — |
| Aetna | OONHMO | $163.44 | — |
| Aetna | ASAHMO | $176.72 | — |
| Aetna | ASAPOS | $176.72 | — |
| Aetna | ASAPPO | $176.72 | — |
| Humana | HMO | $290.84 | — |
| Humana | PPO | $290.84 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Dna probe gc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $22.58 – $110.11 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $22.58 – $110.11 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $101.97 | $10.00 – $127.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $88.67 | $12.00 – $133.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $88.67 | $12.00 – $110.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $101.97 | $10.00 – $127.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $88.67 | $12.00 – $133.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $88.67 | $8.00 – $133.00 |