Graft impl ult thck 6x12cm -cost per sq cm at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$906.00
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.
$906.00
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.
$51.33 with United vs $815.40 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 |
|---|---|---|---|
| United | SmallGroup | $51.33 | ↓ -94% |
| United | AllPayerAppendix | $51.33 | ↓ -94% |
| Superior Health Plan | STARPLUS | $54.36 | ↓ -94% |
| Superior Health Plan | CHIP | $54.36 | ↓ -94% |
| Superior Health Plan | CHPFC | $54.36 | ↓ -94% |
| Superior Health Plan | STAR | $54.36 | ↓ -94% |
| Superior Health Plan | STARKids | $54.36 | ↓ -94% |
| Aetna | MCR | $60.07 | ↓ -93% |
| BCBS | MyBlueHealth | $69.17 | ↓ -92% |
| Cigna | CSN | $75.29 | ↓ -92% |
| BCBS | BAV | $76.23 | ↓ -92% |
| Cigna | OpenAccessPlus | $81.51 | ↓ -91% |
| BCBS | EPOSOA | $95.28 | ↓ -89% |
| BCBS | PPO | $95.28 | ↓ -89% |
| BCBS | HMO | $95.28 | ↓ -89% |
| Cigna | PPO | $97.06 | ↓ -89% |
| Community Health Choice MCD | STAR | $117.78 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $117.78 | ↓ -87% |
| Community Health Choice MCD | CHIP | $117.78 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $117.78 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $126.84 | ↓ -86% |
| Amerigroup | MGMCD | $126.84 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $150.40 | ↓ -83% |
| United | OptionsPPO | $152.21 | ↓ -83% |
| Superior | EPO | $158.55 | ↓ -83% |
| Superior | HMO | $158.55 | ↓ -83% |
| Superior | ValueHMO | $179.39 | ↓ -80% |
| United | NarrowNetworkIndivExchange | $209.78 | ↓ -77% |
| Texas Childrens Health Plans | STARKIDS | $214.72 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $214.72 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $217.44 | ↓ -76% |
| Molina Healthcare | HIX | $244.62 | ↓ -73% |
| CHC Harris Health | Indigent | $271.80 | ↓ -70% |
| Humana | HMO | $303.01 | ↓ -67% |
| Humana | PPO | $303.01 | ↓ -67% |
| BCBS | Traditional | $317.10 | ↓ -65% |
| Christus (USFHP) | TRICARE | $362.40 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $389.58 | ↓ -57% |
| United | GlobalAppendix | $407.70 | ↓ -55% |
| Coventry National First Health | COMM | $482.90 | ↓ -47% |
| Rockport Workers Comp | COMM | $498.30 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $498.30 | ↓ -45% |
| Triumph | COMM | $543.60 | ↓ -40% |
| Independent Medical System | COMM | $543.60 | ↓ -40% |
| National Healthcare Solutions | COMM | $543.60 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $543.60 | ↓ -40% |
| Coastal Comp | COMM | $588.90 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $679.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $724.80 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $742.92 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $770.10 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $770.10 | ↓ -15% |
| Physicians, INC | COMM | $770.10 | ↓ -15% |
| Affiliated PPO | COMM | $815.40 | ↓ -10% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $40,917.45 | $31.76 – $1,554.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $40,917.45 | $38.47 – $1,554.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $2,526.00 | $51.33 – $303.01 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $51.33 – $303.01 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,603.28 | $12.30 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,603.28 | $8.94 – $65.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,603.28 | $8.68 – $131.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,603.28 | $11.58 – $268.77 |