Endoluminl ivus oct c 1st at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$13,286.00
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.
$13,286.00
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.
$235.29 with BCBS 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $235.29 | ↓ -98% |
| BCBS | BAV | $259.42 | ↓ -98% |
| Texas Athletic Network | Premier | $300.00 | ↓ -98% |
| BCBS | HMO | $324.78 | ↓ -98% |
| BCBS | EPOSOA | $365.00 | ↓ -97% |
| BCBS | PPO | $404.21 | ↓ -97% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -96% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -95% |
| Aetna | MCR | $880.86 | ↓ -93% |
| United | SmallGroup | $1,120.00 | ↓ -92% |
| United | AllPayerAppendix | $1,600.00 | ↓ -88% |
| United | NarrowNetworkIndivExchange | $1,702.00 | ↓ -87% |
| Community Health Choice MCD | CHIP | $1,727.18 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $1,727.18 | ↓ -87% |
| Community Health Choice MCD | STAR | $1,727.18 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $1,727.18 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $1,860.04 | ↓ -86% |
| Amerigroup | MGMCD | $1,860.04 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $2,205.48 | ↓ -83% |
| United | OptionsPPO | $2,232.05 | ↓ -83% |
| Superior | HMO | $2,325.05 | ↓ -83% |
| Superior | EPO | $2,325.05 | ↓ -83% |
| Oscar | HIX | $2,358.00 | ↓ -82% |
| Superior | ValueHMO | $2,630.63 | ↓ -80% |
| Texas Childrens Health Plans | STAR | $3,148.78 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $3,148.78 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $3,188.64 | ↓ -76% |
| Molina Healthcare | HIX | $3,587.22 | ↓ -73% |
| CHC Harris Health | Indigent | $3,985.80 | ↓ -70% |
| BCBS | Traditional | $4,650.10 | ↓ -65% |
| Averde Health | Commercial | $5,000.00 | ↓ -62% |
| Christus (USFHP) | TRICARE | $5,314.40 | ↓ -60% |
| Superior Health Plan | CHPFC | $5,591.00 | ↓ -58% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -58% |
| Superior Health Plan | STAR | $5,591.00 | ↓ -58% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -58% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -58% |
| HealthSmart Preferred Care | ACCEL | $5,712.98 | ↓ -57% |
| United | GlobalAppendix | $5,978.70 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $5,978.70 | ↓ -55% |
| Coventry National First Health | COMM | $7,081.44 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $7,307.30 | ↓ -45% |
| Rockport Workers Comp | COMM | $7,307.30 | ↓ -45% |
| Imagine Health | PPO | $7,874.00 | ↓ -41% |
| Independent Medical System | COMM | $7,971.60 | ↓ -40% |
| National Healthcare Solutions | COMM | $7,971.60 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $7,971.60 | ↓ -40% |
| Triumph | COMM | $7,971.60 | ↓ -40% |
| Coastal Comp | COMM | $8,635.90 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $9,964.50 | ↓ -25% |
| Humana | PPO | $10,106.00 | ↓ -24% |
| Humana | HMO | $10,106.00 | ↓ -24% |
| Cigna Behavioral Health | COMMBH | $10,628.80 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $10,894.52 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $11,293.10 | ↓ -15% |
| Physicians, INC | COMM | $11,293.10 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $11,293.10 | ↓ -15% |
| Affiliated PPO | COMM | $11,957.40 | ↓ -10% |
| Healthcare Highways | NarrowNetwork | $21,231.00 | ↑ +60% |
| Evry Health | BroadNetwork | $29,288.00 | ↑ +120% |
| Curative Administrators | COMM | $43,890.00 | ↑ +230% |
Visitor-reported prices
Comments
Endoluminl ivus oct c 1st at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $12,100.00 | $235.29 – $235.29 |
| Baylor St Luke's Medical Center | Houston | $2,818.90 | $100.00 – $8,054.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,818.90 | $100.00 – $8,054.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $2,886.46 | $235.29 – $235.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,332.07 | $308.69 – $7,553.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,067.48 | $303.66 – $7,601.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,067.48 | $303.66 – $6,334.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,332.07 | $235.29 – $7,553.76 |