Epstein barr viral capsid antigen antibody igm 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

not published by hospital

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.

not published by hospital

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.

$14.94 with Texas Health Network vs $260.10 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 $14.94
Amerigroup MGMCD $15.24
Community Health Choice MCD STAR+PLUS $15.24
Amerigroup MCDCHIPBH $15.24
Texas Childrens Health Plans STARKIDS $15.24
Texas Childrens Health Plans STAR $15.24
Community Health Choice MCD CHIP $15.24
Community Health Choice MCD CHIPPerinatal $15.24
Community Health Choice MCD STAR $15.24
United MGMCD $15.54
Aetna Better Health MGMCD $16.46
Molina Healthcare CHIP $16.76
Molina Healthcare STAR $16.76
Molina Healthcare STARKIDS $16.76
Molina Healthcare STARPLUS $16.76
Superior Health Plan STAR $17.34
Superior Health Plan STARPLUS $17.34
Superior Health Plan STARKids $17.34
Superior Health Plan CHPFC $17.34
Superior Health Plan CHIP $17.34
Oscar MGMCR $17.78
WellMed MGMCR $18.05
Cigna HealthSpring MCRPPO $18.14
TriWest Healthcare Alliance Veterans $18.14
United AllPayerAppendix $18.14
Cigna HealthSpring MMP $18.14
Cigna HealthSpring PFFS $18.14
Cigna HealthSpring MCRSNP $18.14
Renaissance IPA Radiology COMM $18.14
Kelsey Seybold MGMCR $18.14
Humana MedicareAdvantagePPOPFFS $18.14
Humana MedicareAdvantageHMO $18.14
CHC Harris Health Indigent $18.14
Cigna HealthSpring MCRHMO $18.14
Devoted Health MGMCR $18.14
Amerigroup DualEligible $18.14
United NarrowNetworkIndivExchange $18.14
United SmallGroup $18.14
Renaissance IPA Radiology MCR $18.14
BCBS MedicareAdvantageHMO $18.14
BCBS MCRPPO $18.14
Aetna MCR $18.29
Van Lang IPA MCR $18.32
United MCR $18.50
WellCare MCRHMO $18.68
WellCare PPO $18.68
WellCare POS $18.68
WellCare SNP $18.68
Integranet Amerigroup IPA MCR $18.68
WellCare PFFS $18.68
ProCare Advantage MGMCR $19.05
Shared Health MGMCR $19.05
Superior Health Plan DualEligible $19.05
Superior Health Plan MCRHMO $19.05
Superior Health Plan MCRPOS $19.05
Superior Health Plan MCRPPO $19.05
Superior Health Plan MCRSNP $19.05
Superior Health Plan PFFS $19.05
American Health Plan MGMCR $19.05
Humana MCD $19.05
Provider Partners Health Plan of Texas SNP $19.23
Provider Partners Health Plan of Texas PPO $19.23
Provider Partners Health Plan of Texas POS $19.23
Provider Partners Health Plan of Texas MCRHMO $19.23
Provider Partners Health Plan of Texas PFFS $19.23
TriWest Health Alliance TRCR $19.63
Christus (USFHP) TRICARE $19.63
Molina MGMCR $19.77
Universal Healthcare Group MCR $21.77
Verda Health Plan MCR $23.58
Superior ValueHMO $26.30
Community Health Choice HIX $26.30
Superior HMO $28.12
Superior EPO $28.12
Corvel Corporation WORKERSCOMP $35.92
BCBS MyBlueHealth $36.64
OMNI Healthcare WORKERSCOMP $38.09
Molina Healthcare HIX $39.00
BCBS BAV $40.45
Texas Childrens Health Plans CHIP $47.97
United OptionsPPO $48.55
BCBS HMO $50.61
Oscar HIX $52.42
BCBS EPOSOA $54.24
Healthcare Highways NarrowNetwork $54.44
BCBS PPO $57.87
Aetna QHPExchange $66.47
Texas Workforce Commission WCOMP $69.36
Cigna CSN $75.26
Evry Health BroadNetwork $78.90
Cigna OpenAccessPlus $81.51
Aetna NBPOS $88.39
Aetna NBPPO $88.39
Aetna NBHMO $88.39
Aetna COMMHMO $93.91
Aetna COMMPPO $93.91
Aetna COMMPOS $93.91
Cigna PPO $96.98
Imagine Health PPO $101.15
BCBS Traditional $101.15
Aetna OONPPO $110.32
Aetna OONHMO $110.32
Aetna OONPOS $110.32
Aetna ASAHMO $119.28
Aetna ASAPPO $119.28
Aetna ASAPOS $119.28
HealthSmart Preferred Care ACCEL $124.27
Averde Health Commercial $130.05
Fidelis SecureCare of TX MGMCR $130.05
United GlobalAppendix $130.05
Coventry National First Health COMM $154.04
Rockport Workers Comp COMM $158.95
Physicians Cooperative of Texas WC $158.95
National Healthcare Solutions COMM $173.40
Triumph COMM $173.40
Independent Medical System COMM $173.40
SouthWest Medical WORKERSCOMP $173.40
Coastal Comp COMM $187.85
Multiplan PHCSPrimaryNetwork $216.75
Cigna Behavioral Health COMMBH $231.20
HealthSmart Preferred Care PPO $236.98
Humana HMO $242.37
Humana PPO $242.37
HealthSmart Preferred Care ACCOUNTABLEPPO $245.65
Physicians, INC COMM $245.65
Multiplan ComplementaryNetwork $245.65
Affiliated PPO COMM $260.10
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Epstein barr viral capsid antigen antibody igm at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $107.10 $13.06 – $306.00
St. Luke's Health - The Vintage Hospital Houston $107.10 $13.06 – $306.00
HCA HOUSTON MEDICAL CENTER Houston not published $15.24 – $75.26
HCA HOUSTON TOMBALL HOUSTON not published $15.24 – $75.26
Adventhealth Rollins Brook Lampasas $236.46 $16.33 – $69.84
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $132.49 $7.20 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $132.49 $2.47 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $117.77 $9.28 – $43.54

All Texas hospitals for this procedure →