Dup scan/ue art/graft/bilat/comp 93930 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.
$192.22 with Texas Health Network vs $5,427.00 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 |
|---|---|---|---|
| Texas Health Network | MCD | $192.22 | — |
| Amerigroup | MCDCHIPBH | $196.14 | — |
| Amerigroup | MGMCD | $196.14 | — |
| Community Health Choice MCD | CHIPPerinatal | $202.15 | — |
| Community Health Choice MCD | CHIP | $202.15 | — |
| Community Health Choice MCD | STAR+PLUS | $202.15 | — |
| Community Health Choice MCD | STAR | $202.15 | — |
| United | MGMCD | $206.19 | — |
| Molina Healthcare | STAR | $215.75 | — |
| Molina Healthcare | STARKIDS | $215.75 | — |
| Molina Healthcare | STARPLUS | $215.75 | — |
| Molina Healthcare | CHIP | $215.75 | — |
| Aetna Better Health | MGMCD | $218.32 | — |
| Humana | MCD | $245.17 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Superior Health Plan | STARPLUS | $361.80 | — |
| Superior Health Plan | STAR | $361.80 | — |
| Superior Health Plan | CHIP | $361.80 | — |
| Superior Health Plan | STARKids | $361.80 | — |
| Superior Health Plan | CHPFC | $361.80 | — |
| BCBS | MyBlueHealth | $395.51 | — |
| BCBS | BAV | $436.07 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| BCBS | HMO | $545.93 | — |
| Cigna | CSN | $575.53 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| BCBS | EPOSOA | $613.54 | — |
| Cigna | OpenAccessPlus | $622.85 | — |
| BCBS | PPO | $679.46 | — |
| Cigna | PPO | $740.40 | — |
| Texas Childrens Health Plans | CHIP | $1,000.98 | — |
| United | OptionsPPO | $1,013.04 | — |
| Oscar | HIX | $1,175.85 | — |
| Texas Childrens Health Plans | STARKIDS | $1,429.11 | — |
| Texas Childrens Health Plans | STAR | $1,429.11 | — |
| Texas Workforce Commission | WCOMP | $1,447.20 | — |
| Healthcare Highways | NarrowNetwork | $1,537.65 | — |
| Humana | PPO | $1,587.62 | — |
| Humana | HMO | $1,587.62 | — |
| Aetna | QHPExchange | $1,597.95 | — |
| Evry Health | BroadNetwork | $1,646.19 | — |
| Aetna | NBHMO | $1,935.63 | — |
| Aetna | NBPOS | $1,935.63 | — |
| Aetna | NBPPO | $1,935.63 | — |
| Aetna | COMMHMO | $2,062.26 | — |
| Aetna | COMMPOS | $2,062.26 | — |
| Aetna | COMMPPO | $2,062.26 | — |
| BCBS | Traditional | $2,110.50 | — |
| Imagine Health | PPO | $2,110.50 | — |
| Curative Administrators | COMM | $2,412.00 | — |
| Christus (USFHP) | TRICARE | $2,412.00 | — |
| Aetna | OONHMO | $2,418.03 | — |
| Aetna | OONPPO | $2,418.03 | — |
| Aetna | OONPOS | $2,418.03 | — |
| HealthSmart Preferred Care | ACCEL | $2,592.90 | — |
| Aetna | ASAPOS | $2,610.99 | — |
| Aetna | ASAHMO | $2,610.99 | — |
| Aetna | ASAPPO | $2,610.99 | — |
| United | GlobalAppendix | $2,713.50 | — |
| Averde Health | Commercial | $2,713.50 | — |
| Fidelis SecureCare of TX | MGMCR | $2,713.50 | — |
| Coventry National First Health | COMM | $3,213.99 | — |
| Rockport Workers Comp | COMM | $3,316.50 | — |
| Physicians Cooperative of Texas | WC | $3,316.50 | — |
| Triumph | COMM | $3,618.00 | — |
| National Healthcare Solutions | COMM | $3,618.00 | — |
| SouthWest Medical | WORKERSCOMP | $3,618.00 | — |
| Independent Medical System | COMM | $3,618.00 | — |
| Coastal Comp | COMM | $3,919.50 | — |
| Multiplan | PHCSPrimaryNetwork | $4,522.50 | — |
| Cigna Behavioral Health | COMMBH | $4,824.00 | — |
| HealthSmart Preferred Care | PPO | $4,944.60 | — |
| Multiplan | ComplementaryNetwork | $5,125.50 | — |
| Physicians, INC | COMM | $5,125.50 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $5,125.50 | — |
| Affiliated PPO | COMM | $5,427.00 | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,082.20 | $196.14 – $3,092.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,082.20 | $196.14 – $3,092.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $202.15 – $575.53 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $196.14 – $575.53 |
| Adventhealth Rollins Brook | Lampasas | $2,124.64 | $650.73 – $650.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $904.78 | $186.23 – $1,357.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $838.98 | $197.14 – $1,117.00 |