Established Patient Office Visit (level 4) 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.

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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.

$49.20 with Superior Health Plan vs $738.00 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
Superior Health Plan CHPFC $49.20
Superior Health Plan CHIP $49.20
Superior Health Plan STARPLUS $49.20
Superior Health Plan STARKids $49.20
Superior Health Plan STAR $49.20
Aetna MCR $54.37
Community Health Choice MCD CHIPPerinatal $106.60
Community Health Choice MCD STAR+PLUS $106.60
Community Health Choice MCD STAR $106.60
Community Health Choice MCD CHIP $106.60
Amerigroup MCDCHIPBH $114.80
Amerigroup MGMCD $114.80
Texas Childrens Health Plans CHIP $136.12
United OptionsPPO $137.76
Superior EPO $143.50
Superior HMO $143.50
Superior ValueHMO $162.36
BCBS MyBlueHealth $187.22
Texas Childrens Health Plans STAR $194.34
Texas Childrens Health Plans STARKIDS $194.34
Texas Workforce Commission WCOMP $196.80
BCBS BAV $206.43
Healthcare Highways NarrowNetwork $209.10
Molina Healthcare HIX $221.40
Evry Health BroadNetwork $223.86
CHC Harris Health Indigent $246.00
BCBS HMO $258.43
Aetna NBPPO $263.22
Aetna NBPOS $263.22
Aetna NBHMO $263.22
Humana PPO $269.70
Humana HMO $269.70
Aetna COMMHMO $280.44
Aetna COMMPOS $280.44
Aetna COMMPPO $280.44
Imagine Health PPO $287.00
BCBS Traditional $287.00
BCBS EPOSOA $290.44
Texas Athletic Network Premier $300.00
BCBS PPO $321.64
Curative Administrators COMM $328.00
Christus (USFHP) TRICARE $328.00
Aetna OONPPO $328.82
Aetna OONPOS $328.82
Aetna OONHMO $328.82
HealthSmart Preferred Care ACCEL $352.60
Aetna ASAHMO $355.06
Aetna ASAPOS $355.06
Aetna ASAPPO $355.06
Averde Health Commercial $369.00
United GlobalAppendix $369.00
Fidelis SecureCare of TX MGMCR $369.00
Coventry National First Health COMM $437.06
Rockport Workers Comp COMM $451.00
Physicians Cooperative of Texas WC $451.00
Independent Medical System COMM $492.00
SouthWest Medical WORKERSCOMP $492.00
National Healthcare Solutions COMM $492.00
Triumph COMM $492.00
Texas Athletic Network PremierPlus $500.00
Coastal Comp COMM $533.00
Texas Athletic Network TexasCustomUC $600.00
Multiplan PHCSPrimaryNetwork $615.00
Cigna Behavioral Health COMMBH $656.00
HealthSmart Preferred Care PPO $672.40
Multiplan ComplementaryNetwork $697.00
Physicians, INC COMM $697.00
HealthSmart Preferred Care ACCOUNTABLEPPO $697.00
Affiliated PPO COMM $738.00

Visitor-reported prices

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Established Patient Office Visit (level 4) at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $168.70 $82.00 – $482.00
St. Luke's Health - The Vintage Hospital Houston $168.70 $74.00 – $482.00
HCA HOUSTON MEDICAL CENTER Houston not published $187.22 – $269.70
Adventhealth Rollins Brook Lampasas $439.04 $308.04 – $308.04
St. Joseph Health Madison Hospital Madisonville $148.58 $22.68 – $160.20
St. Luke's Health Memorial Lufkin Lufkin $83.39 $73.75 – $442.48
St. Luke's Health - Springwoods Village Hospital Spring $168.70 $74.00 – $482.00
St. Luke's Health - Sugar Land Hospital Sugar Land $168.70 $74.00 – $482.00

All Texas hospitals for this procedure →