Ercp biliary & pancreas at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$9,558.00
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.
$9,558.00
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.
$81.82 with BCBS vs $8,602.20 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $81.82 | ↓ -99% |
| BCBS | BAV | $88.33 | ↓ -99% |
| BCBS | HMO | $158.07 | ↓ -98% |
| BCBS | EPOSOA | $164.11 | ↓ -98% |
| BCBS | PPO | $169.69 | ↓ -98% |
| Aetna | QHPExchange | $457.08 | ↓ -95% |
| Superior Health Plan | STARKids | $573.48 | ↓ -94% |
| Superior Health Plan | STARPLUS | $573.48 | ↓ -94% |
| Superior Health Plan | STAR | $573.48 | ↓ -94% |
| Superior Health Plan | CHPFC | $573.48 | ↓ -94% |
| Superior Health Plan | CHIP | $573.48 | ↓ -94% |
| Aetna | NBPOS | $607.51 | ↓ -94% |
| Aetna | NBPPO | $607.51 | ↓ -94% |
| Aetna | NBHMO | $607.51 | ↓ -94% |
| Aetna | MCR | $633.70 | ↓ -93% |
| Aetna | COMMHMO | $646.25 | ↓ -93% |
| Aetna | COMMPOS | $646.25 | ↓ -93% |
| Aetna | COMMPPO | $646.25 | ↓ -93% |
| Aetna | OONHMO | $759.87 | ↓ -92% |
| Aetna | OONPOS | $759.87 | ↓ -92% |
| Aetna | OONPPO | $759.87 | ↓ -92% |
| Aetna | ASAPPO | $821.20 | ↓ -91% |
| Aetna | ASAHMO | $821.20 | ↓ -91% |
| Aetna | ASAPOS | $821.20 | ↓ -91% |
| Community Health Choice MCD | STAR+PLUS | $1,242.54 | ↓ -87% |
| Community Health Choice MCD | STAR | $1,242.54 | ↓ -87% |
| Community Health Choice MCD | CHIP | $1,242.54 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $1,242.54 | ↓ -87% |
| Amerigroup | MGMCD | $1,338.12 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $1,338.12 | ↓ -86% |
| Cigna | CSN | $1,414.58 | ↓ -85% |
| Cigna | OpenAccessPlus | $1,529.28 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $1,586.63 | ↓ -83% |
| United | OptionsPPO | $1,605.74 | ↓ -83% |
| Superior | HMO | $1,672.65 | ↓ -83% |
| Superior | EPO | $1,672.65 | ↓ -83% |
| Cigna | PPO | $1,816.02 | ↓ -81% |
| Superior | ValueHMO | $1,892.48 | ↓ -80% |
| Texas Childrens Health Plans | STAR | $2,265.25 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $2,265.25 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $2,293.92 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $2,437.29 | ↓ -75% |
| Humana | PPO | $2,542.33 | ↓ -73% |
| Humana | HMO | $2,542.33 | ↓ -73% |
| Molina Healthcare | HIX | $2,580.66 | ↓ -73% |
| Evry Health | BroadNetwork | $2,609.33 | ↓ -73% |
| CHC Harris Health | Indigent | $2,867.40 | ↓ -70% |
| BCBS | Traditional | $3,345.30 | ↓ -65% |
| Imagine Health | PPO | $3,345.30 | ↓ -65% |
| Curative Administrators | COMM | $3,823.20 | ↓ -60% |
| Christus (USFHP) | TRICARE | $3,823.20 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $4,109.94 | ↓ -57% |
| United | GlobalAppendix | $4,301.10 | ↓ -55% |
| Averde Health | Commercial | $4,301.10 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $4,301.10 | ↓ -55% |
| Coventry National First Health | COMM | $5,094.41 | ↓ -47% |
| Rockport Workers Comp | COMM | $5,256.90 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $5,256.90 | ↓ -45% |
| Triumph | COMM | $5,734.80 | ↓ -40% |
| Independent Medical System | COMM | $5,734.80 | ↓ -40% |
| National Healthcare Solutions | COMM | $5,734.80 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $5,734.80 | ↓ -40% |
| Coastal Comp | COMM | $6,212.70 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $7,168.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $7,646.40 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $7,837.56 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $8,124.30 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $8,124.30 | ↓ -15% |
| Physicians, INC | COMM | $8,124.30 | ↓ -15% |
| Affiliated PPO | COMM | $8,602.20 | ↓ -10% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $494.20 | $55.79 – $1,412.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $494.20 | $65.55 – $1,412.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $5,321.75 | $81.82 – $2,542.33 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $81.82 – $2,542.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $967.04 | $92.98 – $1,369.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,167.85 | $156.21 – $1,751.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,106.24 | $156.21 – $1,382.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $967.04 | $106.46 – $1,369.97 |