Initiation & management bipap/cpap initial day 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.
$78.90 with Superior Health Plan vs $1,183.50 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $78.90 | — |
| Superior Health Plan | STARPLUS | $78.90 | — |
| Superior Health Plan | STARKids | $78.90 | — |
| Superior Health Plan | STAR | $78.90 | — |
| Superior Health Plan | CHPFC | $78.90 | — |
| Community Health Choice MCD | CHIP | $170.95 | — |
| Community Health Choice MCD | STAR | $170.95 | — |
| Community Health Choice MCD | STAR+PLUS | $170.95 | — |
| Community Health Choice MCD | CHIPPerinatal | $170.95 | — |
| Amerigroup | MCDCHIPBH | $184.10 | — |
| Amerigroup | MGMCD | $184.10 | — |
| Texas Childrens Health Plans | CHIP | $218.29 | — |
| United | OptionsPPO | $220.92 | — |
| Oscar | HIX | $256.43 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Childrens Health Plans | STAR | $311.65 | — |
| Texas Childrens Health Plans | STARKIDS | $311.65 | — |
| Texas Workforce Commission | WCOMP | $315.60 | — |
| Aetna | QHPExchange | $348.48 | — |
| Aetna | NBPOS | $422.12 | — |
| Aetna | NBHMO | $422.12 | — |
| Aetna | NBPPO | $422.12 | — |
| BCBS | MyBlueHealth | $430.47 | — |
| Aetna | COMMPOS | $449.73 | — |
| Aetna | COMMPPO | $449.73 | — |
| Aetna | COMMHMO | $449.73 | — |
| BCBS | Traditional | $460.25 | — |
| BCBS | BAV | $474.62 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Christus (USFHP) | TRICARE | $526.00 | — |
| Aetna | OONPPO | $527.32 | — |
| Aetna | OONPOS | $527.32 | — |
| Aetna | OONHMO | $527.32 | — |
| HealthSmart Preferred Care | ACCEL | $565.45 | — |
| Aetna | ASAHMO | $569.39 | — |
| Aetna | ASAPOS | $569.39 | — |
| Aetna | ASAPPO | $569.39 | — |
| Averde Health | Commercial | $591.75 | — |
| United | GlobalAppendix | $591.75 | — |
| Fidelis SecureCare of TX | MGMCR | $591.75 | — |
| BCBS | HMO | $594.19 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Humana | PPO | $618.68 | — |
| Humana | HMO | $618.68 | — |
| BCBS | EPOSOA | $667.77 | — |
| Coventry National First Health | COMM | $700.89 | — |
| Rockport Workers Comp | COMM | $723.25 | — |
| Physicians Cooperative of Texas | WC | $723.25 | — |
| BCBS | PPO | $739.52 | — |
| National Healthcare Solutions | COMM | $789.00 | — |
| SouthWest Medical | WORKERSCOMP | $789.00 | — |
| Independent Medical System | COMM | $789.00 | — |
| Triumph | COMM | $789.00 | — |
| Coastal Comp | COMM | $854.75 | — |
| Multiplan | PHCSPrimaryNetwork | $986.25 | — |
| Cigna Behavioral Health | COMMBH | $1,052.00 | — |
| HealthSmart Preferred Care | PPO | $1,078.30 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,117.75 | — |
| Multiplan | ComplementaryNetwork | $1,117.75 | — |
| Physicians, INC | COMM | $1,117.75 | — |
| Affiliated PPO | COMM | $1,183.50 | — |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $754.60 | $100.00 – $2,156.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $754.60 | $100.00 – $2,156.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $768.85 | $430.47 – $618.68 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $430.47 – $618.68 |
| Adventhealth Rollins Brook | Lampasas | $2,597.51 | $708.25 – $708.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $927.61 | $208.97 – $1,159.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $927.61 | $190.93 – $1,391.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $927.61 | $185.52 – $1,159.51 |