Dup scan/hemodialysis access 93990 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

$4,185.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$4,185.00

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.

$104.74 with Texas Health Network vs $3,766.50 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
Texas Health Network MCD $104.74 ↓ -97%
Amerigroup MCDCHIPBH $106.88 ↓ -97%
Amerigroup MGMCD $106.88 ↓ -97%
Community Health Choice MCD STAR+PLUS $108.97 ↓ -97%
Community Health Choice MCD CHIP $108.97 ↓ -97%
Community Health Choice MCD CHIPPerinatal $108.97 ↓ -97%
Community Health Choice MCD STAR $108.97 ↓ -97%
United MGMCD $111.15 ↓ -97%
Molina Healthcare STAR $117.57 ↓ -97%
Molina Healthcare STARKIDS $117.57 ↓ -97%
Molina Healthcare STARPLUS $117.57 ↓ -97%
Molina Healthcare CHIP $117.57 ↓ -97%
Aetna Better Health MGMCD $117.69 ↓ -97%
Humana MCD $133.60 ↓ -97%
Superior Health Plan STARKids $251.10 ↓ -94%
Superior Health Plan STARPLUS $251.10 ↓ -94%
Superior Health Plan STAR $251.10 ↓ -94%
Superior Health Plan CHIP $251.10 ↓ -94%
Superior Health Plan CHPFC $251.10 ↓ -94%
BCBS MyBlueHealth $262.27 ↓ -94%
BCBS BAV $289.17 ↓ -93%
Texas Athletic Network Premier $300.00 ↓ -93%
BCBS HMO $362.02 ↓ -91%
BCBS EPOSOA $406.85 ↓ -90%
Cigna CSN $448.55 ↓ -89%
BCBS PPO $450.56 ↓ -89%
Cigna OpenAccessPlus $485.44 ↓ -88%
Texas Athletic Network PremierPlus $500.00 ↓ -88%
Cigna PPO $577.05 ↓ -86%
Texas Athletic Network TexasCustomUC $600.00 ↓ -86%
Texas Childrens Health Plans CHIP $694.71 ↓ -83%
United OptionsPPO $703.08 ↓ -83%
Oscar HIX $816.08 ↓ -80%
Texas Childrens Health Plans STARKIDS $991.85 ↓ -76%
Texas Childrens Health Plans STAR $991.85 ↓ -76%
Texas Workforce Commission WCOMP $1,004.40 ↓ -76%
Healthcare Highways NarrowNetwork $1,067.17 ↓ -75%
Aetna QHPExchange $1,109.03 ↓ -73%
Evry Health BroadNetwork $1,142.51 ↓ -73%
Humana PPO $1,265.32 ↓ -70%
Humana HMO $1,265.32 ↓ -70%
Aetna NBHMO $1,343.38 ↓ -68%
Aetna NBPOS $1,343.38 ↓ -68%
Aetna NBPPO $1,343.38 ↓ -68%
Aetna COMMHMO $1,431.27 ↓ -66%
Aetna COMMPOS $1,431.27 ↓ -66%
Aetna COMMPPO $1,431.27 ↓ -66%
BCBS Traditional $1,464.75 ↓ -65%
Imagine Health PPO $1,464.75 ↓ -65%
Curative Administrators COMM $1,674.00 ↓ -60%
Christus (USFHP) TRICARE $1,674.00 ↓ -60%
Aetna OONHMO $1,678.18 ↓ -60%
Aetna OONPPO $1,678.18 ↓ -60%
Aetna OONPOS $1,678.18 ↓ -60%
HealthSmart Preferred Care ACCEL $1,799.55 ↓ -57%
Aetna ASAPOS $1,812.11 ↓ -57%
Aetna ASAHMO $1,812.11 ↓ -57%
Aetna ASAPPO $1,812.11 ↓ -57%
United GlobalAppendix $1,883.25 ↓ -55%
Averde Health Commercial $1,883.25 ↓ -55%
Fidelis SecureCare of TX MGMCR $1,883.25 ↓ -55%
Coventry National First Health COMM $2,230.61 ↓ -47%
Rockport Workers Comp COMM $2,301.75 ↓ -45%
Physicians Cooperative of Texas WC $2,301.75 ↓ -45%
Triumph COMM $2,511.00 ↓ -40%
National Healthcare Solutions COMM $2,511.00 ↓ -40%
SouthWest Medical WORKERSCOMP $2,511.00 ↓ -40%
Independent Medical System COMM $2,511.00 ↓ -40%
Coastal Comp COMM $2,720.25 ↓ -35%
Multiplan PHCSPrimaryNetwork $3,138.75 ↓ -25%
Cigna Behavioral Health COMMBH $3,348.00 ↓ -20%
HealthSmart Preferred Care PPO $3,431.70 ↓ -18%
Multiplan ComplementaryNetwork $3,557.25 ↓ -15%
Physicians, INC COMM $3,557.25 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $3,557.25 ↓ -15%
Affiliated PPO COMM $3,766.50 ↓ -10%

Visitor-reported prices

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Dup scan/hemodialysis access 93990 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $1,874.49 $108.97 – $448.55
Baylor St Luke's Medical Center Houston $249.20 $78.32 – $712.00
St. Luke's Health - The Vintage Hospital Houston $249.20 $56.96 – $712.00
HCA HOUSTON TOMBALL HOUSTON not published $106.88 – $448.55
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $499.72 $99.77 – $624.65
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $499.38 $102.79 – $1,117.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $467.33 $99.77 – $1,117.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $499.72 $99.77 – $1,117.00

All Texas hospitals for this procedure →