Established Patient Office Visit (level 1) 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.
$21.93 with BCBS vs $600.00 with Texas Athletic Network — 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 | $21.93 | — |
| BCBS | BAV | $24.17 | — |
| Superior Health Plan | CHIP | $28.26 | — |
| Superior Health Plan | STARPLUS | $28.26 | — |
| Superior Health Plan | STARKids | $28.26 | — |
| Superior Health Plan | STAR | $28.26 | — |
| Superior Health Plan | CHPFC | $28.26 | — |
| BCBS | HMO | $30.27 | — |
| Aetna | MCR | $31.23 | — |
| BCBS | EPOSOA | $34.01 | — |
| BCBS | PPO | $37.67 | — |
| Community Health Choice MCD | STAR+PLUS | $61.23 | — |
| Community Health Choice MCD | STAR | $61.23 | — |
| Community Health Choice MCD | CHIP | $61.23 | — |
| Community Health Choice MCD | CHIPPerinatal | $61.23 | — |
| Amerigroup | MCDCHIPBH | $65.94 | — |
| Amerigroup | MGMCD | $65.94 | — |
| Texas Childrens Health Plans | CHIP | $78.19 | — |
| United | OptionsPPO | $79.13 | — |
| Superior | EPO | $82.42 | — |
| Superior | HMO | $82.42 | — |
| Superior | ValueHMO | $93.26 | — |
| Texas Childrens Health Plans | STARKIDS | $111.63 | — |
| Texas Childrens Health Plans | STAR | $111.63 | — |
| Texas Workforce Commission | WCOMP | $113.04 | — |
| Humana | HMO | $115.13 | — |
| Humana | PPO | $115.13 | — |
| Healthcare Highways | NarrowNetwork | $120.11 | — |
| Molina Healthcare | HIX | $127.17 | — |
| Evry Health | BroadNetwork | $128.58 | — |
| CHC Harris Health | Indigent | $141.30 | — |
| Aetna | NBPPO | $151.19 | — |
| Aetna | NBPOS | $151.19 | — |
| Aetna | NBHMO | $151.19 | — |
| Aetna | COMMPOS | $161.08 | — |
| Aetna | COMMHMO | $161.08 | — |
| Aetna | COMMPPO | $161.08 | — |
| BCBS | Traditional | $164.85 | — |
| Imagine Health | PPO | $164.85 | — |
| Curative Administrators | COMM | $188.40 | — |
| Christus (USFHP) | TRICARE | $188.40 | — |
| Aetna | OONHMO | $188.87 | — |
| Aetna | OONPPO | $188.87 | — |
| Aetna | OONPOS | $188.87 | — |
| HealthSmart Preferred Care | ACCEL | $202.53 | — |
| Aetna | ASAHMO | $203.94 | — |
| Aetna | ASAPOS | $203.94 | — |
| Aetna | ASAPPO | $203.94 | — |
| Averde Health | Commercial | $211.95 | — |
| United | GlobalAppendix | $211.95 | — |
| Fidelis SecureCare of TX | MGMCR | $211.95 | — |
| Coventry National First Health | COMM | $251.04 | — |
| Rockport Workers Comp | COMM | $259.05 | — |
| Physicians Cooperative of Texas | WC | $259.05 | — |
| Triumph | COMM | $282.60 | — |
| National Healthcare Solutions | COMM | $282.60 | — |
| SouthWest Medical | WORKERSCOMP | $282.60 | — |
| Independent Medical System | COMM | $282.60 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Coastal Comp | COMM | $306.15 | — |
| Multiplan | PHCSPrimaryNetwork | $353.25 | — |
| Cigna Behavioral Health | COMMBH | $376.80 | — |
| HealthSmart Preferred Care | PPO | $386.22 | — |
| Physicians, INC | COMM | $400.35 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $400.35 | — |
| Multiplan | ComplementaryNetwork | $400.35 | — |
| Affiliated PPO | COMM | $423.90 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $340.55 | $11.06 – $255.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $340.55 | $13.68 – $255.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $21.93 – $115.13 |
| Adventhealth Rollins Brook | Lampasas | $256.64 | $36.07 – $36.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |