Inj, lidocaine w epinephrine 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.
$0.02 with BCBS vs $21.60 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $0.02 | — |
| BCBS | BAV | $0.02 | — |
| Cigna | CSN | $0.02 | — |
| BCBS | EPOSOA | $0.03 | — |
| Cigna | PPO | $0.03 | — |
| Cigna | OpenAccessPlus | $0.03 | — |
| BCBS | PPO | $0.03 | — |
| BCBS | HMO | $0.03 | — |
| United | SmallGroup | $0.07 | — |
| United | NarrowNetworkIndivExchange | $0.07 | — |
| United | AllPayerAppendix | $0.07 | — |
| Superior Health Plan | STARPLUS | $1.44 | — |
| Superior Health Plan | CHPFC | $1.44 | — |
| Superior Health Plan | STAR | $1.44 | — |
| Superior Health Plan | STARKids | $1.44 | — |
| Superior Health Plan | CHIP | $1.44 | — |
| Aetna | MCR | $1.59 | — |
| Community Health Choice MCD | CHIP | $3.12 | — |
| Community Health Choice MCD | CHIPPerinatal | $3.12 | — |
| Community Health Choice MCD | STAR+PLUS | $3.12 | — |
| Community Health Choice MCD | STAR | $3.12 | — |
| Amerigroup | MGMCD | $3.36 | — |
| Amerigroup | MCDCHIPBH | $3.36 | — |
| Texas Childrens Health Plans | CHIP | $3.98 | — |
| United | OptionsPPO | $4.03 | — |
| Superior | HMO | $4.20 | — |
| Superior | EPO | $4.20 | — |
| Superior | ValueHMO | $4.75 | — |
| Texas Childrens Health Plans | STARKIDS | $5.69 | — |
| Texas Childrens Health Plans | STAR | $5.69 | — |
| Texas Workforce Commission | WCOMP | $5.76 | — |
| Molina Healthcare | HIX | $6.48 | — |
| CHC Harris Health | Indigent | $7.20 | — |
| Humana | HMO | $7.66 | — |
| Humana | PPO | $7.66 | — |
| BCBS | Traditional | $8.40 | — |
| Christus (USFHP) | TRICARE | $9.60 | — |
| HealthSmart Preferred Care | ACCEL | $10.32 | — |
| United | GlobalAppendix | $10.80 | — |
| Coventry National First Health | COMM | $12.79 | — |
| Rockport Workers Comp | COMM | $13.20 | — |
| Physicians Cooperative of Texas | WC | $13.20 | — |
| Triumph | COMM | $14.40 | — |
| Independent Medical System | COMM | $14.40 | — |
| National Healthcare Solutions | COMM | $14.40 | — |
| SouthWest Medical | WORKERSCOMP | $14.40 | — |
| Coastal Comp | COMM | $15.60 | — |
| Multiplan | PHCSPrimaryNetwork | $18.00 | — |
| Cigna Behavioral Health | COMMBH | $19.20 | — |
| HealthSmart Preferred Care | PPO | $19.68 | — |
| Multiplan | ComplementaryNetwork | $20.40 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $20.40 | — |
| Physicians, INC | COMM | $20.40 | — |
| Affiliated PPO | COMM | $21.60 | — |
Visitor-reported prices
Comments
Inj, lidocaine w epinephrine at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.02 – $0.07 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.02 – $0.07 |
| Adventhealth Rollins Brook | Lampasas | $347.64 | $0.04 – $0.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $48.60 | $0.08 – $0.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48.60 | $0.06 – $0.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $48.60 | $0.06 – $0.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $48.60 | $0.07 – $0.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $48.60 | $0.09 – $0.41 |