Fam adapt bhv tx gdn phy/qhp 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.
$63.93 with BCBS vs $165.56 with Aetna — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $63.93 | — |
| BCBS | BAV | $70.49 | — |
| BCBS | HMO | $88.24 | — |
| Aetna | QHPExchange | $92.37 | — |
| BCBS | EPOSOA | $99.17 | — |
| BCBS | PPO | $109.83 | — |
| Aetna | NBHMO | $122.70 | — |
| Aetna | NBPOS | $122.70 | — |
| Aetna | NBPPO | $122.70 | — |
| Aetna | COMMPOS | $130.14 | — |
| Aetna | COMMHMO | $130.14 | — |
| Aetna | COMMPPO | $130.14 | — |
| Aetna | OONHMO | $153.43 | — |
| Aetna | OONPOS | $153.43 | — |
| Aetna | OONPPO | $153.43 | — |
| Aetna | ASAHMO | $165.56 | — |
| Aetna | ASAPPO | $165.56 | — |
| Aetna | ASAPOS | $165.56 | — |
Visitor-reported prices
Comments
Fam adapt bhv tx gdn phy/qhp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $63.93 – $92.37 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $63.93 – $92.37 |
| Covenant Children's Hospital | Lubbock | $17.22 | $93.16 – $93.16 |
| Covenant Medical Center | Lubbock | $17.22 | $37.64 – $93.16 |
| Texas Health Hospital Mansfield | Mansfield | $289.26 | $37.46 – $75.28 |
| Adventhealth Rollins Brook | Lampasas | not published | $105.18 – $105.18 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $63.93 – $92.37 |
| HCA HOUSTON CONROE | CONROE | not published | $63.93 – $92.37 |