Established Patient Office Visit (level 2) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$32.28 with Superior Health Plan vs $600.00 with Texas Athletic Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $32.28 | — |
| Superior Health Plan | STARPLUS | $32.28 | — |
| Superior Health Plan | STARKids | $32.28 | — |
| Superior Health Plan | STAR | $32.28 | — |
| Superior Health Plan | CHPFC | $32.28 | — |
| Aetna | MCR | $35.67 | — |
| BCBS | MyBlueHealth | $60.72 | — |
| BCBS | BAV | $66.95 | — |
| Community Health Choice MCD | STAR+PLUS | $69.94 | — |
| Community Health Choice MCD | STAR | $69.94 | — |
| Community Health Choice MCD | CHIP | $69.94 | — |
| Community Health Choice MCD | CHIPPerinatal | $69.94 | — |
| Amerigroup | MCDCHIPBH | $75.32 | — |
| Amerigroup | MGMCD | $75.32 | — |
| BCBS | HMO | $83.82 | — |
| Texas Childrens Health Plans | CHIP | $89.31 | — |
| United | OptionsPPO | $90.38 | — |
| Superior | EPO | $94.15 | — |
| Superior | HMO | $94.15 | — |
| BCBS | EPOSOA | $94.20 | — |
| BCBS | PPO | $104.32 | — |
| Superior | ValueHMO | $106.52 | — |
| Texas Childrens Health Plans | STARKIDS | $127.51 | — |
| Texas Childrens Health Plans | STAR | $127.51 | — |
| Texas Workforce Commission | WCOMP | $129.12 | — |
| Healthcare Highways | NarrowNetwork | $137.19 | — |
| Molina Healthcare | HIX | $145.26 | — |
| Evry Health | BroadNetwork | $146.87 | — |
| CHC Harris Health | Indigent | $161.40 | — |
| Humana | PPO | $171.03 | — |
| Humana | HMO | $171.03 | — |
| Aetna | NBHMO | $172.70 | — |
| Aetna | NBPOS | $172.70 | — |
| Aetna | NBPPO | $172.70 | — |
| Aetna | COMMPPO | $184.00 | — |
| Aetna | COMMHMO | $184.00 | — |
| Aetna | COMMPOS | $184.00 | — |
| BCBS | Traditional | $188.30 | — |
| Imagine Health | PPO | $188.30 | — |
| Curative Administrators | COMM | $215.20 | — |
| Christus (USFHP) | TRICARE | $215.20 | — |
| Aetna | OONHMO | $215.74 | — |
| Aetna | OONPOS | $215.74 | — |
| Aetna | OONPPO | $215.74 | — |
| HealthSmart Preferred Care | ACCEL | $231.34 | — |
| Aetna | ASAPOS | $232.95 | — |
| Aetna | ASAPPO | $232.95 | — |
| Aetna | ASAHMO | $232.95 | — |
| Averde Health | Commercial | $242.10 | — |
| United | GlobalAppendix | $242.10 | — |
| Fidelis SecureCare of TX | MGMCR | $242.10 | — |
| Coventry National First Health | COMM | $286.75 | — |
| Rockport Workers Comp | COMM | $295.90 | — |
| Physicians Cooperative of Texas | WC | $295.90 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Triumph | COMM | $322.80 | — |
| National Healthcare Solutions | COMM | $322.80 | — |
| SouthWest Medical | WORKERSCOMP | $322.80 | — |
| Independent Medical System | COMM | $322.80 | — |
| Coastal Comp | COMM | $349.70 | — |
| Multiplan | PHCSPrimaryNetwork | $403.50 | — |
| Cigna Behavioral Health | COMMBH | $430.40 | — |
| HealthSmart Preferred Care | PPO | $441.16 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $457.30 | — |
| Physicians, INC | COMM | $457.30 | — |
| Multiplan | ComplementaryNetwork | $457.30 | — |
| Affiliated PPO | COMM | $484.20 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $118.65 | $30.62 – $339.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $118.65 | $37.89 – $339.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $60.72 – $171.03 |
| Adventhealth Rollins Brook | Lampasas | $314.35 | $99.91 – $99.91 |
| St. Joseph Health Madison Hospital | Madisonville | $190.05 | $9.18 – $104.64 |
| St. Luke's Health Memorial Lufkin | Lufkin | $57.53 | $50.95 – $305.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $118.65 | $37.89 – $339.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $118.65 | $37.89 – $339.00 |