Electrophysiology evaluation at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$4,183.00
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.
$4,183.00
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.
$277.33 with Aetna vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Aetna | MCR | $277.33 | ↓ -93% |
| BCBS | MyBlueHealth | $285.88 | ↓ -93% |
| Texas Athletic Network | Premier | $300.00 | ↓ -93% |
| BCBS | BAV | $315.20 | ↓ -92% |
| BCBS | HMO | $394.61 | ↓ -91% |
| BCBS | EPOSOA | $443.48 | ↓ -89% |
| BCBS | PPO | $491.12 | ↓ -88% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -88% |
| Community Health Choice MCD | STAR | $543.79 | ↓ -87% |
| Community Health Choice MCD | CHIP | $543.79 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $543.79 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $543.79 | ↓ -87% |
| Amerigroup | MGMCD | $585.62 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $585.62 | ↓ -86% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $694.38 | ↓ -83% |
| United | OptionsPPO | $702.74 | ↓ -83% |
| Superior | HMO | $732.02 | ↓ -83% |
| Superior | EPO | $732.02 | ↓ -83% |
| Superior | ValueHMO | $828.23 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $991.37 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $991.37 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $1,003.92 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,066.66 | ↓ -75% |
| Molina Healthcare | HIX | $1,129.41 | ↓ -73% |
| CHC Harris Health | Indigent | $1,254.90 | ↓ -70% |
| BCBS | Traditional | $1,464.05 | ↓ -65% |
| Christus (USFHP) | TRICARE | $1,673.20 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $1,798.69 | ↓ -57% |
| United | GlobalAppendix | $1,882.35 | ↓ -55% |
| Coventry National First Health | COMM | $2,229.54 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $2,300.65 | ↓ -45% |
| Rockport Workers Comp | COMM | $2,300.65 | ↓ -45% |
| Triumph | COMM | $2,509.80 | ↓ -40% |
| Independent Medical System | COMM | $2,509.80 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $2,509.80 | ↓ -40% |
| National Healthcare Solutions | COMM | $2,509.80 | ↓ -40% |
| Aetna | QHPExchange | $2,643.00 | ↓ -37% |
| Coastal Comp | COMM | $2,718.95 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $3,137.25 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $3,346.40 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $3,430.06 | ↓ -18% |
| Aetna | NBHMO | $3,511.00 | ↓ -16% |
| Aetna | NBPOS | $3,511.00 | ↓ -16% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $3,555.55 | ↓ -15% |
| Physicians, INC | COMM | $3,555.55 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $3,555.55 | ↓ -15% |
| Aetna | COMMHMO | $3,730.00 | ↓ -11% |
| Aetna | COMMPOS | $3,730.00 | ↓ -11% |
| Affiliated PPO | COMM | $3,764.70 | ↓ -10% |
| Aetna | NBPPO | $3,792.00 | ↓ -9% |
| Aetna | COMMPPO | $4,028.00 | ↓ -4% |
| Aetna | OONPOS | $4,390.00 | ↑ +5% |
| Aetna | OONHMO | $4,390.00 | ↑ +5% |
| Aetna | OONPPO | $4,740.00 | ↑ +13% |
| Aetna | ASAPOS | $4,742.00 | ↑ +13% |
| Aetna | ASAHMO | $4,742.00 | ↑ +13% |
| Averde Health | Commercial | $5,000.00 | ↑ +20% |
| Aetna | ASAPPO | $5,120.00 | ↑ +22% |
| Superior Health Plan | STAR | $5,591.00 | ↑ +34% |
| Superior Health Plan | STARKids | $5,591.00 | ↑ +34% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↑ +34% |
| Superior Health Plan | CHIP | $5,591.00 | ↑ +34% |
| Superior Health Plan | CHPFC | $5,591.00 | ↑ +34% |
| Imagine Health | PPO | $7,874.00 | ↑ +88% |
| Fidelis SecureCare of TX | MGMCR | $8,798.00 | ↑ +110% |
| Humana | HMO | $10,106.00 | ↑ +142% |
| Humana | PPO | $10,106.00 | ↑ +142% |
| United | SmallGroup | $15,400.00 | ↑ +268% |
| United | NarrowNetworkIndivExchange | $17,742.00 | ↑ +324% |
| United | AllPayerAppendix | $22,000.00 | ↑ +426% |
| Evry Health | BroadNetwork | $29,288.00 | ↑ +600% |
| Oscar | HIX | $37,284.00 | ↑ +791% |
| Curative Administrators | COMM | $43,890.00 | ↑ +949% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $38,486.54 | $285.88 – $285.88 |
| Baylor St Luke's Medical Center | Houston | $1,584.10 | $100.00 – $4,526.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,584.10 | $100.00 – $4,526.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $19,354.36 | $285.88 – $285.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,605.71 | $375.06 – $12,191.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,157.17 | $368.95 – $15,235.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,304.10 | $368.95 – $14,130.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,605.71 | $285.88 – $12,191.42 |