Formoterol fumarate, inh 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

$33.00

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.

$33.00

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.

$1.98 with Superior Health Plan vs $106.95 with Humana — 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 CHIP $1.98 ↓ -94%
Superior Health Plan STARPLUS $1.98 ↓ -94%
Superior Health Plan STARKids $1.98 ↓ -94%
Superior Health Plan STAR $1.98 ↓ -94%
Superior Health Plan CHPFC $1.98 ↓ -94%
Aetna MCR $2.19 ↓ -93%
Christus (USFHP) TRICARE $2.20 ↓ -93%
TriWest Health Alliance TRCR $2.20 ↓ -93%
United SmallGroup $3.63 ↓ -89%
United NarrowNetworkIndivExchange $3.63 ↓ -89%
United AllPayerAppendix $3.63 ↓ -89%
Community Health Choice MCD STAR $4.29 ↓ -87%
Community Health Choice MCD CHIPPerinatal $4.29 ↓ -87%
Community Health Choice MCD STAR+PLUS $4.29 ↓ -87%
Community Health Choice MCD CHIP $4.29 ↓ -87%
Amerigroup MCDCHIPBH $4.62 ↓ -86%
Amerigroup MGMCD $4.62 ↓ -86%
Cigna CSN $4.77 ↓ -86%
Cigna OpenAccessPlus $5.16 ↓ -84%
Texas Childrens Health Plans CHIP $5.48 ↓ -83%
United OptionsPPO $5.54 ↓ -83%
Superior HMO $5.78 ↓ -82%
Superior EPO $5.78 ↓ -82%
Cigna PPO $6.15 ↓ -81%
Superior ValueHMO $6.53 ↓ -80%
Texas Childrens Health Plans STAR $7.82 ↓ -76%
Texas Childrens Health Plans STARKIDS $7.82 ↓ -76%
Texas Workforce Commission WCOMP $7.92 ↓ -76%
Molina Healthcare HIX $8.91 ↓ -73%
CHC Harris Health Indigent $9.90 ↓ -70%
BCBS Traditional $11.55 ↓ -65%
HealthSmart Preferred Care ACCEL $14.19 ↓ -57%
United GlobalAppendix $14.85 ↓ -55%
Coventry National First Health COMM $17.59 ↓ -47%
Physicians Cooperative of Texas WC $18.15 ↓ -45%
Rockport Workers Comp COMM $18.15 ↓ -45%
SouthWest Medical WORKERSCOMP $19.80 ↓ -40%
Triumph COMM $19.80 ↓ -40%
National Healthcare Solutions COMM $19.80 ↓ -40%
Independent Medical System COMM $19.80 ↓ -40%
Coastal Comp COMM $21.45 ↓ -35%
Multiplan PHCSPrimaryNetwork $24.75 ↓ -25%
Cigna Behavioral Health COMMBH $26.40 ↓ -20%
HealthSmart Preferred Care PPO $27.06 ↓ -18%
Physicians, INC COMM $28.05 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $28.05 ↓ -15%
Multiplan ComplementaryNetwork $28.05 ↓ -15%
Affiliated PPO COMM $29.70 ↓ -10%
BCBS MyBlueHealth $33.34 ↑ +1%
BCBS BAV $36.74 ↑ +11%
BCBS PPO $45.93 ↑ +39%
BCBS EPOSOA $45.93 ↑ +39%
BCBS HMO $45.93 ↑ +39%
Humana HMO $106.95 ↑ +224%
Humana PPO $106.95 ↑ +224%

Visitor-reported prices

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Formoterol fumarate, inh at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $14.09 $1.70 – $106.95
HCA HOUSTON TOMBALL HOUSTON $14.09 $1.70 – $106.95
Adventhealth Rollins Brook Lampasas $72.86 $65.49 – $65.49
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $18.14 $1.70 – $106.95
HCA HOUSTON CONROE CONROE $158.98 $2.20 – $106.95
HCA HOUSTON KINGWOOD HUMBLE $22.26 $2.20 – $106.95
HCA HOUSTON PEARLAND Pearland $104.49 $1.70 – $106.95
HCA HOUSTON SOUTHEAST PASADENA $107.78 $1.70 – $106.95

All Texas hospitals for this procedure →