General health panel 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.
$45.36 with United vs $482.25 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 →
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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 |
|---|---|---|---|
| United | AllPayerAppendix | $45.36 | — |
| United | SmallGroup | $45.36 | — |
| United | NarrowNetworkIndivExchange | $45.36 | — |
| TriWest Health Alliance | TRCR | $71.03 | — |
| Christus (USFHP) | TRICARE | $71.03 | — |
| BCBS | MyBlueHealth | $71.35 | — |
| BCBS | BAV | $78.76 | — |
| BCBS | HMO | $98.54 | — |
| BCBS | EPOSOA | $105.61 | — |
| BCBS | PPO | $112.67 | — |
| Aetna | QHPExchange | $155.25 | — |
| Cigna | CSN | $167.27 | — |
| Cigna | OpenAccessPlus | $181.17 | — |
| Aetna | NBPPO | $206.47 | — |
| Aetna | NBPOS | $206.47 | — |
| Aetna | NBHMO | $206.47 | — |
| Cigna | PPO | $215.56 | — |
| Aetna | COMMPOS | $219.35 | — |
| Aetna | COMMPPO | $219.35 | — |
| Aetna | COMMHMO | $219.35 | — |
| Aetna | OONPOS | $257.68 | — |
| Aetna | OONHMO | $257.68 | — |
| Aetna | OONPPO | $257.68 | — |
| Aetna | ASAHMO | $278.62 | — |
| Aetna | ASAPPO | $278.62 | — |
| Aetna | ASAPOS | $278.62 | — |
| Humana | PPO | $482.25 | — |
| Humana | HMO | $482.25 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
General health panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $45.36 – $482.25 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $45.36 – $482.25 |
| Adventhealth Rollins Brook | Lampasas | $531.10 | $135.98 – $135.98 |
| Covenant Children's Hospital | Lubbock | $1,695.54 | $99.05 – $154.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,952.91 | $45.36 – $482.25 |
| St. Joseph Health Madison Hospital | Madisonville | $296.45 | $26.84 – $1,524.60 |
| St. Joseph Health College Station Hospital | College Station | $296.45 | $26.84 – $1,439.90 |
| St. Joseph Health Grimes Hospital | Navasota | $296.45 | $26.84 – $1,880.34 |