Ghs fish hybrid in situ 100-300 at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,609.00
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.
$1,609.00
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.
$42.14 with Texas Health Network vs $1,448.10 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 |
|---|---|---|---|
| Texas Health Network | MCD | $42.14 | ↓ -97% |
| Texas Childrens Health Plans | STAR | $43.00 | ↓ -97% |
| Community Health Choice MCD | CHIP | $43.00 | ↓ -97% |
| Community Health Choice MCD | CHIPPerinatal | $43.00 | ↓ -97% |
| Community Health Choice MCD | STAR | $43.00 | ↓ -97% |
| Community Health Choice MCD | STAR+PLUS | $43.00 | ↓ -97% |
| Amerigroup | MGMCD | $43.00 | ↓ -97% |
| Amerigroup | MCDCHIPBH | $43.00 | ↓ -97% |
| Texas Childrens Health Plans | STARKIDS | $43.00 | ↓ -97% |
| United | MGMCD | $43.86 | ↓ -97% |
| Aetna Better Health | MGMCD | $46.44 | ↓ -97% |
| Molina Healthcare | STARPLUS | $47.30 | ↓ -97% |
| Molina Healthcare | STAR | $47.30 | ↓ -97% |
| Molina Healthcare | STARKIDS | $47.30 | ↓ -97% |
| Molina Healthcare | CHIP | $47.30 | ↓ -97% |
| Oscar | MGMCR | $50.17 | ↓ -97% |
| WellMed | MGMCR | $50.93 | ↓ -97% |
| TriWest Healthcare Alliance | Veterans | $51.19 | ↓ -97% |
| Cigna HealthSpring | MCRSNP | $51.19 | ↓ -97% |
| Cigna HealthSpring | PFFS | $51.19 | ↓ -97% |
| Cigna HealthSpring | MMP | $51.19 | ↓ -97% |
| Cigna HealthSpring | MCRPPO | $51.19 | ↓ -97% |
| Humana | MedicareAdvantageHMO | $51.19 | ↓ -97% |
| Humana | MedicareAdvantagePPOPFFS | $51.19 | ↓ -97% |
| Renaissance IPA Radiology | MCR | $51.19 | ↓ -97% |
| Renaissance IPA Radiology | COMM | $51.19 | ↓ -97% |
| Kelsey Seybold | MGMCR | $51.19 | ↓ -97% |
| Devoted Health | MGMCR | $51.19 | ↓ -97% |
| CHC Harris Health | Indigent | $51.19 | ↓ -97% |
| United | AllPayerAppendix | $51.19 | ↓ -97% |
| BCBS | MedicareAdvantageHMO | $51.19 | ↓ -97% |
| United | NarrowNetworkIndivExchange | $51.19 | ↓ -97% |
| United | SmallGroup | $51.19 | ↓ -97% |
| Amerigroup | DualEligible | $51.19 | ↓ -97% |
| BCBS | MCRPPO | $51.19 | ↓ -97% |
| Cigna HealthSpring | MCRHMO | $51.19 | ↓ -97% |
| Aetna | MCR | $51.63 | ↓ -97% |
| Van Lang IPA | MCR | $51.70 | ↓ -97% |
| United | MCR | $52.21 | ↓ -97% |
| WellCare | PFFS | $52.73 | ↓ -97% |
| WellCare | POS | $52.73 | ↓ -97% |
| WellCare | SNP | $52.73 | ↓ -97% |
| WellCare | PPO | $52.73 | ↓ -97% |
| Integranet Amerigroup IPA | MCR | $52.73 | ↓ -97% |
| WellCare | MCRHMO | $52.73 | ↓ -97% |
| Shared Health | MGMCR | $53.75 | ↓ -97% |
| ProCare Advantage | MGMCR | $53.75 | ↓ -97% |
| Superior Health Plan | MCRHMO | $53.75 | ↓ -97% |
| Superior Health Plan | DualEligible | $53.75 | ↓ -97% |
| American Health Plan | MGMCR | $53.75 | ↓ -97% |
| Humana | MCD | $53.75 | ↓ -97% |
| Superior Health Plan | MCRPOS | $53.75 | ↓ -97% |
| Superior Health Plan | MCRPPO | $53.75 | ↓ -97% |
| Superior Health Plan | MCRSNP | $53.75 | ↓ -97% |
| Superior Health Plan | PFFS | $53.75 | ↓ -97% |
| Provider Partners Health Plan of Texas | POS | $54.26 | ↓ -97% |
| Provider Partners Health Plan of Texas | MCRHMO | $54.26 | ↓ -97% |
| Provider Partners Health Plan of Texas | PPO | $54.26 | ↓ -97% |
| Provider Partners Health Plan of Texas | SNP | $54.26 | ↓ -97% |
| Provider Partners Health Plan of Texas | PFFS | $54.26 | ↓ -97% |
| Christus (USFHP) | TRICARE | $55.40 | ↓ -97% |
| TriWest Health Alliance | TRCR | $55.40 | ↓ -97% |
| Molina | MGMCR | $55.80 | ↓ -97% |
| Universal Healthcare Group | MCR | $61.43 | ↓ -96% |
| Verda Health Plan | MCR | $66.55 | ↓ -96% |
| Community Health Choice | HIX | $74.23 | ↓ -95% |
| Superior | ValueHMO | $74.23 | ↓ -95% |
| Superior | HMO | $79.34 | ↓ -95% |
| Superior | EPO | $79.34 | ↓ -95% |
| Superior Health Plan | STARPLUS | $96.54 | ↓ -94% |
| Superior Health Plan | CHIP | $96.54 | ↓ -94% |
| Superior Health Plan | CHPFC | $96.54 | ↓ -94% |
| Superior Health Plan | STAR | $96.54 | ↓ -94% |
| Superior Health Plan | STARKids | $96.54 | ↓ -94% |
| Corvel Corporation | WORKERSCOMP | $101.36 | ↓ -94% |
| BCBS | MyBlueHealth | $103.40 | ↓ -94% |
| OMNI Healthcare | WORKERSCOMP | $107.50 | ↓ -93% |
| Molina Healthcare | HIX | $110.06 | ↓ -93% |
| BCBS | BAV | $114.15 | ↓ -93% |
| Healthcare Highways | NarrowNetwork | $124.39 | ↓ -92% |
| BCBS | HMO | $142.82 | ↓ -91% |
| Oscar | HIX | $147.94 | ↓ -91% |
| BCBS | EPOSOA | $153.06 | ↓ -90% |
| BCBS | PPO | $163.30 | ↓ -90% |
| Aetna | QHPExchange | $187.50 | ↓ -88% |
| Cigna | CSN | $210.48 | ↓ -87% |
| Cigna | OpenAccessPlus | $227.98 | ↓ -86% |
| Aetna | NBPOS | $249.35 | ↓ -85% |
| Aetna | NBPPO | $249.35 | ↓ -85% |
| Aetna | NBHMO | $249.35 | ↓ -85% |
| Aetna | COMMPOS | $264.91 | ↓ -84% |
| Aetna | COMMHMO | $264.91 | ↓ -84% |
| Aetna | COMMPPO | $264.91 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $267.09 | ↓ -83% |
| United | OptionsPPO | $270.31 | ↓ -83% |
| Cigna | PPO | $271.24 | ↓ -83% |
| Aetna | OONHMO | $311.20 | ↓ -81% |
| Aetna | OONPPO | $311.20 | ↓ -81% |
| Aetna | OONPOS | $311.20 | ↓ -81% |
| Aetna | ASAPPO | $336.49 | ↓ -79% |
| Aetna | ASAHMO | $336.49 | ↓ -79% |
| Aetna | ASAPOS | $336.49 | ↓ -79% |
| Texas Workforce Commission | WCOMP | $386.16 | ↓ -76% |
| Evry Health | BroadNetwork | $439.26 | ↓ -73% |
| Humana | PPO | $553.88 | ↓ -66% |
| Humana | HMO | $553.88 | ↓ -66% |
| Imagine Health | PPO | $563.15 | ↓ -65% |
| BCBS | Traditional | $563.15 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $691.87 | ↓ -57% |
| Averde Health | Commercial | $724.05 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $724.05 | ↓ -55% |
| United | GlobalAppendix | $724.05 | ↓ -55% |
| Coventry National First Health | COMM | $857.60 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $884.95 | ↓ -45% |
| Rockport Workers Comp | COMM | $884.95 | ↓ -45% |
| Triumph | COMM | $965.40 | ↓ -40% |
| National Healthcare Solutions | COMM | $965.40 | ↓ -40% |
| Independent Medical System | COMM | $965.40 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $965.40 | ↓ -40% |
| Coastal Comp | COMM | $1,045.85 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $1,206.75 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $1,287.20 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,319.38 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $1,367.65 | ↓ -15% |
| Physicians, INC | COMM | $1,367.65 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,367.65 | ↓ -15% |
| Affiliated PPO | COMM | $1,448.10 | ↓ -10% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Ghs fish hybrid in situ 100-300 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $26.60 | $20.52 – $166.37 |
| St. Luke's Health - The Vintage Hospital | Houston | $26.60 | $20.52 – $166.37 |
| HCA HOUSTON TOMBALL | HOUSTON | $60.48 | $43.00 – $210.48 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $43.00 – $210.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $492.77 | $23.57 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $492.77 | $8.08 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $492.77 | $30.37 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $492.77 | $30.77 – $122.86 |