I-123 sod iodide diag per 100 uci 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

not published by hospital

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.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$67.56 with Superior Health Plan vs $2,113.77 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.

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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 STARPLUS $67.56
Superior Health Plan STARKids $67.56
Superior Health Plan STAR $67.56
Superior Health Plan CHPFC $67.56
Superior Health Plan CHIP $67.56
Aetna MCR $74.65
Community Health Choice MCD STAR $146.38
Community Health Choice MCD STAR+PLUS $146.38
Community Health Choice MCD CHIP $146.38
Community Health Choice MCD CHIPPerinatal $146.38
Amerigroup MCDCHIPBH $157.64
Amerigroup MGMCD $157.64
Texas Childrens Health Plans CHIP $186.92
United OptionsPPO $189.17
Superior HMO $197.05
Superior EPO $197.05
United SmallGroup $199.50
United AllPayerAppendix $199.50
United NarrowNetworkIndivExchange $199.50
Oscar HIX $219.57
Superior ValueHMO $222.95
Cigna CSN $262.23
Texas Childrens Health Plans STARKIDS $266.86
Texas Childrens Health Plans STAR $266.86
Texas Workforce Commission WCOMP $270.24
Cigna OpenAccessPlus $283.90
Healthcare Highways NarrowNetwork $287.13
Texas Athletic Network Premier $300.00
Molina Healthcare HIX $304.02
Evry Health BroadNetwork $307.40
CHC Harris Health Indigent $337.80
Cigna PPO $338.08
BCBS MyBlueHealth $353.05
Aetna NBPPO $361.45
Aetna NBHMO $361.45
Aetna NBPOS $361.45
Aetna COMMHMO $385.09
Aetna COMMPPO $385.09
Aetna COMMPOS $385.09
BCBS BAV $389.08
Imagine Health PPO $394.10
BCBS Traditional $394.10
Christus (USFHP) TRICARE $450.40
Curative Administrators COMM $450.40
Aetna OONHMO $451.53
Aetna OONPOS $451.53
Aetna OONPPO $451.53
HealthSmart Preferred Care ACCEL $484.18
BCBS EPOSOA $486.35
BCBS HMO $486.35
BCBS PPO $486.35
Aetna ASAPPO $487.56
Aetna ASAPOS $487.56
Aetna ASAHMO $487.56
Texas Athletic Network PremierPlus $500.00
Averde Health Commercial $506.70
United GlobalAppendix $506.70
Fidelis SecureCare of TX MGMCR $506.70
Texas Athletic Network TexasCustomUC $600.00
Coventry National First Health COMM $600.16
Rockport Workers Comp COMM $619.30
Physicians Cooperative of Texas WC $619.30
Triumph COMM $675.60
National Healthcare Solutions COMM $675.60
SouthWest Medical WORKERSCOMP $675.60
Independent Medical System COMM $675.60
Coastal Comp COMM $731.90
Multiplan PHCSPrimaryNetwork $844.50
Cigna Behavioral Health COMMBH $900.80
HealthSmart Preferred Care PPO $923.32
Multiplan ComplementaryNetwork $957.10
HealthSmart Preferred Care ACCOUNTABLEPPO $957.10
Physicians, INC COMM $957.10
Affiliated PPO COMM $1,013.40
Humana PPO $2,113.77
Humana HMO $2,113.77

Visitor-reported prices

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I-123 sod iodide diag per 100 uci at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $198.45 $100.00 – $567.00
St. Luke's Health - The Vintage Hospital Houston $198.45 $100.00 – $567.00
HCA HOUSTON MEDICAL CENTER Houston not published $199.50 – $2,113.77
HCA HOUSTON TOMBALL HOUSTON not published $199.50 – $2,113.77
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $1,026.00 $199.50 – $2,113.77
St. Luke's Health - Patients Medical Center Pasadena $198.60 $100.00 – $425.56
St. Joseph Health Madison Hospital Madisonville $92.93 $67.65 – $477.90
St. Luke's Health Memorial Lufkin Lufkin $21.00 $71.40 – $140.00

All Texas hospitals for this procedure →