Infect ag ia optc obs influenza 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.
$13.62 with Texas Health Network vs $474.30 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 | $13.62 | — |
| Texas Childrens Health Plans | STAR | $13.90 | — |
| Community Health Choice MCD | CHIP | $13.90 | — |
| Community Health Choice MCD | CHIPPerinatal | $13.90 | — |
| Community Health Choice MCD | STAR | $13.90 | — |
| Community Health Choice MCD | STAR+PLUS | $13.90 | — |
| Amerigroup | MGMCD | $13.90 | — |
| Amerigroup | MCDCHIPBH | $13.90 | — |
| Texas Childrens Health Plans | STARKIDS | $13.90 | — |
| United | MGMCD | $14.18 | — |
| Aetna Better Health | MGMCD | $15.01 | — |
| Molina Healthcare | STARPLUS | $15.29 | — |
| Molina Healthcare | STAR | $15.29 | — |
| Molina Healthcare | STARKIDS | $15.29 | — |
| Molina Healthcare | CHIP | $15.29 | — |
| Oscar | MGMCR | $16.22 | — |
| WellMed | MGMCR | $16.47 | — |
| TriWest Healthcare Alliance | Veterans | $16.55 | — |
| Cigna HealthSpring | MCRSNP | $16.55 | — |
| Cigna HealthSpring | PFFS | $16.55 | — |
| Cigna HealthSpring | MMP | $16.55 | — |
| Cigna HealthSpring | MCRPPO | $16.55 | — |
| Humana | MedicareAdvantageHMO | $16.55 | — |
| Humana | MedicareAdvantagePPOPFFS | $16.55 | — |
| Renaissance IPA Radiology | MCR | $16.55 | — |
| Renaissance IPA Radiology | COMM | $16.55 | — |
| Kelsey Seybold | MGMCR | $16.55 | — |
| Devoted Health | MGMCR | $16.55 | — |
| CHC Harris Health | Indigent | $16.55 | — |
| United | AllPayerAppendix | $16.55 | — |
| BCBS | MedicareAdvantageHMO | $16.55 | — |
| United | NarrowNetworkIndivExchange | $16.55 | — |
| United | SmallGroup | $16.55 | — |
| Amerigroup | DualEligible | $16.55 | — |
| BCBS | MCRPPO | $16.55 | — |
| Cigna HealthSpring | MCRHMO | $16.55 | — |
| Aetna | MCR | $16.69 | — |
| Van Lang IPA | MCR | $16.72 | — |
| United | MCR | $16.88 | — |
| WellCare | PFFS | $17.05 | — |
| WellCare | POS | $17.05 | — |
| WellCare | SNP | $17.05 | — |
| WellCare | PPO | $17.05 | — |
| Integranet Amerigroup IPA | MCR | $17.05 | — |
| WellCare | MCRHMO | $17.05 | — |
| Shared Health | MGMCR | $17.38 | — |
| ProCare Advantage | MGMCR | $17.38 | — |
| Superior Health Plan | MCRHMO | $17.38 | — |
| Superior Health Plan | DualEligible | $17.38 | — |
| American Health Plan | MGMCR | $17.38 | — |
| Humana | MCD | $17.38 | — |
| Superior Health Plan | MCRPOS | $17.38 | — |
| Superior Health Plan | MCRPPO | $17.38 | — |
| Superior Health Plan | MCRSNP | $17.38 | — |
| Superior Health Plan | PFFS | $17.38 | — |
| Provider Partners Health Plan of Texas | POS | $17.54 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $17.54 | — |
| Provider Partners Health Plan of Texas | PPO | $17.54 | — |
| Provider Partners Health Plan of Texas | SNP | $17.54 | — |
| Provider Partners Health Plan of Texas | PFFS | $17.54 | — |
| Christus (USFHP) | TRICARE | $17.91 | — |
| TriWest Health Alliance | TRCR | $17.91 | — |
| Molina | MGMCR | $18.04 | — |
| Universal Healthcare Group | MCR | $19.86 | — |
| Verda Health Plan | MCR | $21.52 | — |
| Community Health Choice | HIX | $24.00 | — |
| Superior | ValueHMO | $24.00 | — |
| Superior | HMO | $25.65 | — |
| Superior | EPO | $25.65 | — |
| Superior Health Plan | STARPLUS | $31.62 | — |
| Superior Health Plan | CHIP | $31.62 | — |
| Superior Health Plan | CHPFC | $31.62 | — |
| Superior Health Plan | STAR | $31.62 | — |
| Superior Health Plan | STARKids | $31.62 | — |
| Corvel Corporation | WORKERSCOMP | $32.77 | — |
| BCBS | MyBlueHealth | $33.43 | — |
| OMNI Healthcare | WORKERSCOMP | $34.76 | — |
| Molina Healthcare | HIX | $35.58 | — |
| BCBS | BAV | $36.91 | — |
| Healthcare Highways | NarrowNetwork | $40.22 | — |
| BCBS | HMO | $46.17 | — |
| Oscar | HIX | $47.83 | — |
| BCBS | EPOSOA | $49.48 | — |
| BCBS | PPO | $52.79 | — |
| Aetna | QHPExchange | $60.64 | — |
| Cigna | CSN | $68.28 | — |
| Cigna | OpenAccessPlus | $73.96 | — |
| Aetna | NBPOS | $80.64 | — |
| Aetna | NBPPO | $80.64 | — |
| Aetna | NBHMO | $80.64 | — |
| Aetna | COMMPOS | $85.67 | — |
| Aetna | COMMHMO | $85.67 | — |
| Aetna | COMMPPO | $85.67 | — |
| Texas Childrens Health Plans | CHIP | $87.48 | — |
| Cigna | PPO | $88.00 | — |
| United | OptionsPPO | $88.54 | — |
| Aetna | OONHMO | $100.64 | — |
| Aetna | OONPPO | $100.64 | — |
| Aetna | OONPOS | $100.64 | — |
| Aetna | ASAPPO | $108.82 | — |
| Aetna | ASAHMO | $108.82 | — |
| Aetna | ASAPOS | $108.82 | — |
| Texas Workforce Commission | WCOMP | $126.48 | — |
| Evry Health | BroadNetwork | $143.87 | — |
| Humana | PPO | $179.07 | — |
| Humana | HMO | $179.07 | — |
| Imagine Health | PPO | $184.45 | — |
| BCBS | Traditional | $184.45 | — |
| HealthSmart Preferred Care | ACCEL | $226.61 | — |
| Averde Health | Commercial | $237.15 | — |
| Fidelis SecureCare of TX | MGMCR | $237.15 | — |
| United | GlobalAppendix | $237.15 | — |
| Coventry National First Health | COMM | $280.89 | — |
| Physicians Cooperative of Texas | WC | $289.85 | — |
| Rockport Workers Comp | COMM | $289.85 | — |
| Triumph | COMM | $316.20 | — |
| National Healthcare Solutions | COMM | $316.20 | — |
| Independent Medical System | COMM | $316.20 | — |
| SouthWest Medical | WORKERSCOMP | $316.20 | — |
| Coastal Comp | COMM | $342.55 | — |
| Multiplan | PHCSPrimaryNetwork | $395.25 | — |
| Cigna Behavioral Health | COMMBH | $421.60 | — |
| HealthSmart Preferred Care | PPO | $432.14 | — |
| Multiplan | ComplementaryNetwork | $447.95 | — |
| Physicians, INC | COMM | $447.95 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $447.95 | — |
| Affiliated PPO | COMM | $474.30 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Infect ag ia optc obs influenza at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $134.52 | $13.90 – $68.28 |
| Baylor St Luke's Medical Center | Houston | $51.10 | $11.92 – $146.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $51.10 | $11.92 – $146.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $13.90 – $68.28 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $93.18 | $10.00 – $116.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $95.32 | $12.00 – $142.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $114.50 | $12.00 – $143.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $93.18 | $10.00 – $116.47 |