ER Visit (level 1, minor) 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.
$50.33 with Texas Health Network vs $1,641.00 with Aetna — 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 | $50.33 | — |
| Texas Childrens Health Plans | STAR | $51.36 | — |
| Amerigroup | MCDCHIPBH | $51.36 | — |
| Texas Childrens Health Plans | STARKIDS | $51.36 | — |
| United | MGMCD | $52.39 | — |
| Humana | MCD | $64.20 | — |
| Aetna Better Health | MGMCD | $77.04 | — |
| Texas Childrens Health Plans | CHIP | $91.47 | — |
| United | OptionsPPO | $92.57 | — |
| Texas Workforce Commission | WCOMP | $132.24 | — |
| Molina Healthcare | STARPLUS | $140.00 | — |
| Molina Healthcare | CHIP | $140.00 | — |
| Molina Healthcare | STARKIDS | $140.00 | — |
| Molina Healthcare | STAR | $140.00 | — |
| BCBS | Traditional | $192.85 | — |
| Christus (USFHP) | TRICARE | $220.40 | — |
| HealthSmart Preferred Care | ACCEL | $236.93 | — |
| United | GlobalAppendix | $247.95 | — |
| BCBS | MyBlueHealth | $292.00 | — |
| Coventry National First Health | COMM | $293.68 | — |
| Community Health Choice MCD | STAR+PLUS | $300.00 | — |
| Community Health Choice MCD | STAR | $300.00 | — |
| Community Health Choice MCD | CHIPPerinatal | $300.00 | — |
| Community Health Choice MCD | CHIP | $300.00 | — |
| Rockport Workers Comp | COMM | $303.05 | — |
| Physicians Cooperative of Texas | WC | $303.05 | — |
| Imagine Health | PPO | $315.00 | — |
| Oscar | HIX | $318.00 | — |
| SouthWest Medical | WORKERSCOMP | $330.60 | — |
| National Healthcare Solutions | COMM | $330.60 | — |
| Triumph | COMM | $330.60 | — |
| Independent Medical System | COMM | $330.60 | — |
| BCBS | BAV | $338.00 | — |
| Coastal Comp | COMM | $358.15 | — |
| Amerigroup | MGMCD | $363.00 | — |
| Multiplan | PHCSPrimaryNetwork | $413.25 | — |
| BCBS | EPOSOA | $422.00 | — |
| BCBS | PPO | $422.00 | — |
| BCBS | HMO | $422.00 | — |
| Cigna Behavioral Health | COMMBH | $440.80 | — |
| HealthSmart Preferred Care | PPO | $451.82 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $468.35 | — |
| Physicians, INC | COMM | $468.35 | — |
| Multiplan | ComplementaryNetwork | $468.35 | — |
| United | NarrowNetworkIndivExchange | $491.00 | — |
| Affiliated PPO | COMM | $495.90 | — |
| United | SmallGroup | $508.00 | — |
| Curative Administrators | COMM | $575.00 | — |
| Healthcare Highways | NarrowNetwork | $609.00 | — |
| Evry Health | BroadNetwork | $632.00 | — |
| Cigna | CSN | $646.00 | — |
| Aetna | QHPExchange | $661.00 | — |
| Cigna | OpenAccessPlus | $700.00 | — |
| United | AllPayerAppendix | $725.00 | — |
| Averde Health | Commercial | $750.00 | — |
| Humana | HMO | $773.00 | — |
| Humana | PPO | $773.00 | — |
| Cigna | PPO | $832.00 | — |
| Aetna | NBHMO | $877.00 | — |
| Aetna | NBPOS | $877.00 | — |
| Aetna | COMMPOS | $932.00 | — |
| Aetna | COMMHMO | $932.00 | — |
| Aetna | OONPOS | $1,097.00 | — |
| Aetna | OONHMO | $1,097.00 | — |
| Aetna | ASAHMO | $1,186.00 | — |
| Aetna | ASAPOS | $1,186.00 | — |
| Aetna | NBPPO | $1,215.00 | — |
| Aetna | COMMPPO | $1,293.00 | — |
| Aetna | OONPPO | $1,520.00 | — |
| Aetna | ASAPPO | $1,641.00 | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $252.35 | $30.82 – $1,240.20 |
| St. Luke's Health - The Vintage Hospital | Houston | $252.35 | $30.82 – $1,240.20 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $52.39 – $77.04 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $51.36 – $77.04 |
| Adventhealth Rollins Brook | Lampasas | $409.49 | $268.04 – $268.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |