Doppler upper/lower extremity arteries limited bilateral 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.
$254.40 with Cigna vs $8,628.30 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 |
|---|---|---|---|
| Cigna | CSN | $254.40 | — |
| BCBS | MyBlueHealth | $255.13 | — |
| Cigna | OpenAccessPlus | $275.32 | — |
| BCBS | BAV | $281.30 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Cigna | PPO | $327.28 | — |
| BCBS | HMO | $352.17 | — |
| BCBS | EPOSOA | $395.78 | — |
| BCBS | PPO | $438.30 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Superior Health Plan | CHPFC | $575.22 | — |
| Superior Health Plan | CHIP | $575.22 | — |
| Superior Health Plan | STAR | $575.22 | — |
| Superior Health Plan | STARKids | $575.22 | — |
| Superior Health Plan | STARPLUS | $575.22 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Humana | HMO | $706.64 | — |
| Humana | PPO | $706.64 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,246.31 | — |
| Community Health Choice MCD | STAR+PLUS | $1,246.31 | — |
| Community Health Choice MCD | STAR | $1,246.31 | — |
| Community Health Choice MCD | CHIP | $1,246.31 | — |
| Amerigroup | MGMCD | $1,342.18 | — |
| Amerigroup | MCDCHIPBH | $1,342.18 | — |
| Texas Childrens Health Plans | CHIP | $1,591.44 | — |
| United | OptionsPPO | $1,610.62 | — |
| Oscar | HIX | $1,869.46 | — |
| Texas Childrens Health Plans | STARKIDS | $2,272.12 | — |
| Texas Childrens Health Plans | STAR | $2,272.12 | — |
| Texas Workforce Commission | WCOMP | $2,300.88 | — |
| Healthcare Highways | NarrowNetwork | $2,444.68 | — |
| Aetna | QHPExchange | $2,540.55 | — |
| Evry Health | BroadNetwork | $2,617.25 | — |
| Aetna | NBPOS | $3,077.43 | — |
| Aetna | NBHMO | $3,077.43 | — |
| Aetna | NBPPO | $3,077.43 | — |
| Aetna | COMMPPO | $3,278.75 | — |
| Aetna | COMMHMO | $3,278.75 | — |
| Aetna | COMMPOS | $3,278.75 | — |
| BCBS | Traditional | $3,355.45 | — |
| Imagine Health | PPO | $3,355.45 | — |
| Curative Administrators | COMM | $3,834.80 | — |
| Christus (USFHP) | TRICARE | $3,834.80 | — |
| Aetna | OONPOS | $3,844.39 | — |
| Aetna | OONPPO | $3,844.39 | — |
| Aetna | OONHMO | $3,844.39 | — |
| HealthSmart Preferred Care | ACCEL | $4,122.41 | — |
| Aetna | ASAPOS | $4,151.17 | — |
| Aetna | ASAPPO | $4,151.17 | — |
| Aetna | ASAHMO | $4,151.17 | — |
| Averde Health | Commercial | $4,314.15 | — |
| United | GlobalAppendix | $4,314.15 | — |
| Fidelis SecureCare of TX | MGMCR | $4,314.15 | — |
| Coventry National First Health | COMM | $5,109.87 | — |
| Physicians Cooperative of Texas | WC | $5,272.85 | — |
| Rockport Workers Comp | COMM | $5,272.85 | — |
| Triumph | COMM | $5,752.20 | — |
| National Healthcare Solutions | COMM | $5,752.20 | — |
| SouthWest Medical | WORKERSCOMP | $5,752.20 | — |
| Independent Medical System | COMM | $5,752.20 | — |
| Coastal Comp | COMM | $6,231.55 | — |
| Multiplan | PHCSPrimaryNetwork | $7,190.25 | — |
| Cigna Behavioral Health | COMMBH | $7,669.60 | — |
| HealthSmart Preferred Care | PPO | $7,861.34 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $8,148.95 | — |
| Multiplan | ComplementaryNetwork | $8,148.95 | — |
| Physicians, INC | COMM | $8,148.95 | — |
| Affiliated PPO | COMM | $8,628.30 | — |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries limited bilateral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $885.85 | $128.66 – $2,531.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $885.85 | $159.18 – $2,531.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $2,203.80 | $254.40 – $706.64 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $254.40 – $706.64 |
| Adventhealth Rollins Brook | Lampasas | $954.58 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $608.33 | $126.97 – $760.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $539.59 | $111.06 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $547.85 | $109.57 – $1,117.00 |