Exam pelvic add-on at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$18.00
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.
$18.00
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.
$1.08 with Superior Health Plan 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 |
|---|---|---|---|
| Superior Health Plan | CHPFC | $1.08 | ↓ -94% |
| Superior Health Plan | CHIP | $1.08 | ↓ -94% |
| Superior Health Plan | STARPLUS | $1.08 | ↓ -94% |
| Superior Health Plan | STARKids | $1.08 | ↓ -94% |
| Superior Health Plan | STAR | $1.08 | ↓ -94% |
| Aetna | MCR | $1.19 | ↓ -93% |
| Community Health Choice MCD | CHIP | $2.34 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $2.34 | ↓ -87% |
| Community Health Choice MCD | STAR | $2.34 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $2.34 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $2.52 | ↓ -86% |
| Amerigroup | MGMCD | $2.52 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $2.99 | ↓ -83% |
| United | OptionsPPO | $3.02 | ↓ -83% |
| Superior | EPO | $3.15 | ↓ -83% |
| Superior | HMO | $3.15 | ↓ -83% |
| Superior | ValueHMO | $3.56 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $4.27 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $4.27 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $4.32 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $4.59 | ↓ -75% |
| Molina Healthcare | HIX | $4.86 | ↓ -73% |
| Evry Health | BroadNetwork | $4.91 | ↓ -73% |
| CHC Harris Health | Indigent | $5.40 | ↓ -70% |
| Aetna | NBHMO | $5.78 | ↓ -68% |
| Aetna | NBPPO | $5.78 | ↓ -68% |
| Aetna | NBPOS | $5.78 | ↓ -68% |
| Aetna | COMMPOS | $6.16 | ↓ -66% |
| Aetna | COMMPPO | $6.16 | ↓ -66% |
| Aetna | COMMHMO | $6.16 | ↓ -66% |
| BCBS | Traditional | $6.30 | ↓ -65% |
| Imagine Health | PPO | $6.30 | ↓ -65% |
| Curative Administrators | COMM | $7.20 | ↓ -60% |
| Christus (USFHP) | TRICARE | $7.20 | ↓ -60% |
| Aetna | OONPOS | $7.22 | ↓ -60% |
| Aetna | OONHMO | $7.22 | ↓ -60% |
| Aetna | OONPPO | $7.22 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $7.74 | ↓ -57% |
| Aetna | ASAPPO | $7.79 | ↓ -57% |
| Aetna | ASAHMO | $7.79 | ↓ -57% |
| Aetna | ASAPOS | $7.79 | ↓ -57% |
| United | GlobalAppendix | $8.10 | ↓ -55% |
| Averde Health | Commercial | $8.10 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $8.10 | ↓ -55% |
| Coventry National First Health | COMM | $9.59 | ↓ -47% |
| Rockport Workers Comp | COMM | $9.90 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $9.90 | ↓ -45% |
| SouthWest Medical | WORKERSCOMP | $10.80 | ↓ -40% |
| National Healthcare Solutions | COMM | $10.80 | ↓ -40% |
| Independent Medical System | COMM | $10.80 | ↓ -40% |
| Triumph | COMM | $10.80 | ↓ -40% |
| Coastal Comp | COMM | $11.70 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $13.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $14.40 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $14.76 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $15.30 | ↓ -15% |
| Physicians, INC | COMM | $15.30 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $15.30 | ↓ -15% |
| Affiliated PPO | COMM | $16.20 | ↓ -10% |
| BCBS | MyBlueHealth | $53.91 | ↑ +200% |
| BCBS | BAV | $59.44 | ↑ +230% |
| BCBS | HMO | $74.42 | ↑ +313% |
| BCBS | EPOSOA | $83.64 | ↑ +365% |
| BCBS | PPO | $92.62 | ↑ +415% |
| Texas Athletic Network | Premier | $300.00 | ↑ +1567% |
| Texas Athletic Network | PremierPlus | $500.00 | ↑ +2678% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↑ +3233% |
Visitor-reported prices
Comments
Exam pelvic add-on at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $75.60 | $58.32 – $216.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $75.60 | $58.32 – $216.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $53.91 – $53.91 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $53.91 – $53.91 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $75.60 | $58.32 – $216.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $75.60 | $58.32 – $216.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $75.60 | $58.32 – $216.00 |
| Covenant Hospital Plainview | Plainview | $56.70 | $48.61 – $48.61 |