Exchange biliary drg cath at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$14,560.00
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.
$14,560.00
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.
$300.00 with Texas Athletic Network vs $15,059.00 with Cigna — 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 |
|---|---|---|---|
| Texas Athletic Network | Premier | $300.00 | ↓ -98% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -97% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -96% |
| Superior Health Plan | CHIP | $948.00 | ↓ -93% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -93% |
| Superior Health Plan | STARKids | $948.00 | ↓ -93% |
| Superior Health Plan | STAR | $948.00 | ↓ -93% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -93% |
| Texas Health Network | MCD | $1,128.51 | ↓ -92% |
| Amerigroup | MGMCD | $1,209.12 | ↓ -92% |
| United | MGMCD | $1,235.65 | ↓ -92% |
| Molina Healthcare | STARKIDS | $1,266.69 | ↓ -91% |
| Molina Healthcare | STARPLUS | $1,266.69 | ↓ -91% |
| Molina Healthcare | STAR | $1,266.69 | ↓ -91% |
| Molina Healthcare | CHIP | $1,266.69 | ↓ -91% |
| Community Health Choice MCD | CHIP | $1,289.72 | ↓ -91% |
| Community Health Choice MCD | STAR+PLUS | $1,289.72 | ↓ -91% |
| Community Health Choice MCD | STAR | $1,289.72 | ↓ -91% |
| Community Health Choice MCD | CHIPPerinatal | $1,289.72 | ↓ -91% |
| Humana | MCD | $1,439.42 | ↓ -90% |
| Aetna Better Health | MGMCD | $1,453.70 | ↓ -90% |
| Aetna | QHPExchange | $1,579.00 | ↓ -89% |
| Amerigroup | MCDCHIPBH | $2,038.40 | ↓ -86% |
| Aetna | NBHMO | $2,098.00 | ↓ -86% |
| Aetna | NBPOS | $2,098.00 | ↓ -86% |
| Fidelis SecureCare of TX | MGMCR | $2,115.00 | ↓ -85% |
| Aetna | COMMPOS | $2,229.00 | ↓ -85% |
| Aetna | COMMHMO | $2,229.00 | ↓ -85% |
| Aetna | NBPPO | $2,299.00 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $2,416.96 | ↓ -83% |
| Aetna | COMMPPO | $2,444.00 | ↓ -83% |
| United | OptionsPPO | $2,446.08 | ↓ -83% |
| Aetna | OONHMO | $2,623.00 | ↓ -82% |
| Aetna | OONPOS | $2,623.00 | ↓ -82% |
| Aetna | ASAHMO | $2,832.00 | ↓ -81% |
| Aetna | ASAPOS | $2,832.00 | ↓ -81% |
| Aetna | OONPPO | $2,876.00 | ↓ -80% |
| Aetna | ASAPPO | $3,106.00 | ↓ -79% |
| Texas Childrens Health Plans | STARKIDS | $3,450.72 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $3,450.72 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $3,494.40 | ↓ -76% |
| WellMed | MGMCR | $3,614.70 | ↓ -75% |
| Humana | PPO | $4,690.00 | ↓ -68% |
| Humana | HMO | $4,690.00 | ↓ -68% |
| United | SmallGroup | $4,760.00 | ↓ -67% |
| Healthcare Highways | NarrowNetwork | $4,988.00 | ↓ -66% |
| BCBS | Traditional | $5,096.00 | ↓ -65% |
| BCBS | MyBlueHealth | $5,410.25 | ↓ -63% |
| Christus (USFHP) | TRICARE | $5,824.00 | ↓ -60% |
| Curative Administrators | COMM | $5,849.00 | ↓ -60% |
| United | NarrowNetworkIndivExchange | $5,951.00 | ↓ -59% |
| Evry Health | BroadNetwork | $6,077.00 | ↓ -58% |
| BCBS | BAV | $6,094.31 | ↓ -58% |
| HealthSmart Preferred Care | ACCEL | $6,260.80 | ↓ -57% |
| BCBS | HMO | $6,436.33 | ↓ -56% |
| United | GlobalAppendix | $6,552.00 | ↓ -55% |
| United | AllPayerAppendix | $6,800.00 | ↓ -53% |
| Oscar | HIX | $7,014.00 | ↓ -52% |
| BCBS | EPOSOA | $7,089.30 | ↓ -51% |
| BCBS | PPO | $7,711.16 | ↓ -47% |
| Coventry National First Health | COMM | $7,760.48 | ↓ -47% |
| Rockport Workers Comp | COMM | $8,008.00 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $8,008.00 | ↓ -45% |
| Triumph | COMM | $8,736.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $8,736.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $8,736.00 | ↓ -40% |
| Independent Medical System | COMM | $8,736.00 | ↓ -40% |
| Coastal Comp | COMM | $9,464.00 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $10,920.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $11,648.00 | ↓ -20% |
| Cigna | CSN | $11,690.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $11,939.20 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $12,376.00 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $12,376.00 | ↓ -15% |
| Physicians, INC | COMM | $12,376.00 | ↓ -15% |
| Cigna | OpenAccessPlus | $12,665.00 | ↓ -13% |
| Affiliated PPO | COMM | $13,104.00 | ↓ -10% |
| Cigna | PPO | $15,059.00 | ↑ +3% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,525.90 | $2,719.98 – $10,074.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,525.90 | $2,719.98 – $10,074.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,235.65 – $6,374.15 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,151.54 – $5,410.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,738.58 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,631.78 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,278.56 | $1,151.54 – $8,570.48 |