Gamunex-c/gammaked 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$49.08 with Christus (USFHP) vs $914.40 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 →
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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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $49.08 | — |
| TriWest Health Alliance | TRCR | $49.08 | — |
| Superior Health Plan | STAR | $60.96 | — |
| Superior Health Plan | CHIP | $60.96 | — |
| Superior Health Plan | CHPFC | $60.96 | — |
| Superior Health Plan | STARKids | $60.96 | — |
| Superior Health Plan | STARPLUS | $60.96 | — |
| United | AllPayerAppendix | $80.98 | — |
| United | SmallGroup | $80.98 | — |
| United | NarrowNetworkIndivExchange | $80.98 | — |
| BCBS | MyBlueHealth | $88.89 | — |
| BCBS | BAV | $97.96 | — |
| Cigna | CSN | $116.23 | — |
| BCBS | HMO | $122.45 | — |
| BCBS | PPO | $122.45 | — |
| BCBS | EPOSOA | $122.45 | — |
| Cigna | OpenAccessPlus | $125.84 | — |
| Community Health Choice MCD | CHIP | $132.08 | — |
| Community Health Choice MCD | STAR+PLUS | $132.08 | — |
| Community Health Choice MCD | STAR | $132.08 | — |
| Community Health Choice MCD | CHIPPerinatal | $132.08 | — |
| Amerigroup | MGMCD | $142.24 | — |
| Amerigroup | MCDCHIPBH | $142.24 | — |
| Cigna | PPO | $149.85 | — |
| Texas Childrens Health Plans | CHIP | $168.66 | — |
| United | OptionsPPO | $170.69 | — |
| Texas Childrens Health Plans | STAR | $240.79 | — |
| Texas Childrens Health Plans | STARKIDS | $240.79 | — |
| Texas Workforce Commission | WCOMP | $243.84 | — |
| BCBS | Traditional | $355.60 | — |
| Humana | PPO | $384.63 | — |
| Humana | HMO | $384.63 | — |
| HealthSmart Preferred Care | ACCEL | $436.88 | — |
| United | GlobalAppendix | $457.20 | — |
| Coventry National First Health | COMM | $541.53 | — |
| Rockport Workers Comp | COMM | $558.80 | — |
| Physicians Cooperative of Texas | WC | $558.80 | — |
| Triumph | COMM | $609.60 | — |
| National Healthcare Solutions | COMM | $609.60 | — |
| SouthWest Medical | WORKERSCOMP | $609.60 | — |
| Independent Medical System | COMM | $609.60 | — |
| Coastal Comp | COMM | $660.40 | — |
| Multiplan | PHCSPrimaryNetwork | $762.00 | — |
| Cigna Behavioral Health | COMMBH | $812.80 | — |
| HealthSmart Preferred Care | PPO | $833.12 | — |
| Physicians, INC | COMM | $863.60 | — |
| Multiplan | ComplementaryNetwork | $863.60 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $863.60 | — |
| Affiliated PPO | COMM | $914.40 | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $7,978.45 | $40.82 – $3,157.82 |
| St. Luke's Health - The Vintage Hospital | Houston | $7,978.45 | $49.43 – $3,157.82 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $48.35 – $384.63 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $48.35 – $384.63 |
| Adventhealth Rollins Brook | Lampasas | $15,365.19 | $174.60 – $174.60 |
| Covenant Children's Hospital | Lubbock | $17,168.14 | $168.11 – $189.20 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,962.09 | $49.43 – $4,204.47 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $7,978.45 | $49.43 – $3,157.82 |