Influenza virus vaccine, live trivalent intranasal 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.
$29.71 with TriWest Health Alliance vs $228.50 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 |
|---|---|---|---|
| TriWest Health Alliance | TRCR | $29.71 | — |
| Christus (USFHP) | TRICARE | $29.71 | — |
| United | SmallGroup | $49.02 | — |
| United | NarrowNetworkIndivExchange | $49.02 | — |
| United | AllPayerAppendix | $49.02 | — |
| Cigna | CSN | $68.97 | — |
| Cigna | OpenAccessPlus | $74.67 | — |
| Cigna | PPO | $88.92 | — |
| Humana | PPO | $228.50 | — |
| Humana | HMO | $228.50 | — |
| WellMed | MGMCR | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| BCBS | MedicareAdvantageHMO | not published by hospital | — |
Visitor-reported prices
Comments
Influenza virus vaccine, live trivalent intranasal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $8.70 | $2.87 – $24.83 |
| St. Luke's Health - The Vintage Hospital | Houston | $8.70 | $1.61 – $24.83 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $28.87 – $228.50 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $28.87 – $228.50 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8.70 | $1.97 – $24.83 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8.70 | $3.98 – $27.44 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $8.70 | $1.97 – $24.83 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $28.87 – $228.50 |