Inj nephrosto/ureterogram w/img exstng access 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

$7,795.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$7,795.00

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.

Full explanation →

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

$300.00 with Texas Athletic Network vs $12,562.00 with Cigna — 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 →

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
Texas Athletic Network Premier $300.00 ↓ -96%
Texas Athletic Network PremierPlus $500.00 ↓ -94%
Texas Athletic Network TexasCustomUC $600.00 ↓ -92%
WellMed MGMCR $703.98 ↓ -91%
Superior Health Plan CHIP $948.00 ↓ -88%
Superior Health Plan STARPLUS $948.00 ↓ -88%
Superior Health Plan STARKids $948.00 ↓ -88%
Superior Health Plan STAR $948.00 ↓ -88%
Superior Health Plan CHPFC $948.00 ↓ -88%
BCBS MyBlueHealth $968.36 ↓ -88%
Community Health Choice MCD STAR $1,013.35 ↓ -87%
Community Health Choice MCD STAR+PLUS $1,013.35 ↓ -87%
Community Health Choice MCD CHIPPerinatal $1,013.35 ↓ -87%
Community Health Choice MCD CHIP $1,013.35 ↓ -87%
BCBS BAV $1,090.80 ↓ -86%
Amerigroup MCDCHIPBH $1,091.30 ↓ -86%
Amerigroup MGMCD $1,091.30 ↓ -86%
BCBS HMO $1,152.02 ↓ -85%
BCBS EPOSOA $1,268.89 ↓ -84%
Texas Childrens Health Plans CHIP $1,293.97 ↓ -83%
United OptionsPPO $1,309.56 ↓ -83%
BCBS PPO $1,380.19 ↓ -82%
Aetna QHPExchange $1,430.00 ↓ -82%
United SmallGroup $1,534.00 ↓ -80%
United NarrowNetworkIndivExchange $1,732.00 ↓ -78%
Texas Childrens Health Plans STAR $1,847.41 ↓ -76%
Texas Childrens Health Plans STARKIDS $1,847.41 ↓ -76%
Texas Workforce Commission WCOMP $1,870.80 ↓ -76%
Aetna NBPOS $1,899.00 ↓ -76%
Aetna NBHMO $1,899.00 ↓ -76%
Curative Administrators COMM $2,012.00 ↓ -74%
Aetna COMMPOS $2,017.00 ↓ -74%
Aetna COMMHMO $2,017.00 ↓ -74%
Fidelis SecureCare of TX MGMCR $2,115.00 ↓ -73%
Oscar HIX $2,128.00 ↓ -73%
Aetna NBPPO $2,181.00 ↓ -72%
United AllPayerAppendix $2,191.00 ↓ -72%
Healthcare Highways NarrowNetwork $2,251.00 ↓ -71%
Evry Health BroadNetwork $2,315.00 ↓ -70%
Aetna COMMPPO $2,317.00 ↓ -70%
Aetna OONPOS $2,374.00 ↓ -70%
Aetna OONHMO $2,374.00 ↓ -70%
Aetna ASAHMO $2,564.00 ↓ -67%
Aetna ASAPOS $2,564.00 ↓ -67%
Aetna OONPPO $2,727.00 ↓ -65%
BCBS Traditional $2,728.25 ↓ -65%
Aetna ASAPPO $2,947.00 ↓ -62%
Christus (USFHP) TRICARE $3,118.00 ↓ -60%
HealthSmart Preferred Care ACCEL $3,351.85 ↓ -57%
United GlobalAppendix $3,507.75 ↓ -55%
Coventry National First Health COMM $4,154.73 ↓ -47%
Physicians Cooperative of Texas WC $4,287.25 ↓ -45%
Rockport Workers Comp COMM $4,287.25 ↓ -45%
SouthWest Medical WORKERSCOMP $4,677.00 ↓ -40%
Independent Medical System COMM $4,677.00 ↓ -40%
National Healthcare Solutions COMM $4,677.00 ↓ -40%
Triumph COMM $4,677.00 ↓ -40%
Humana PPO $4,690.00 ↓ -40%
Humana HMO $4,690.00 ↓ -40%
Coastal Comp COMM $5,066.75 ↓ -35%
Multiplan PHCSPrimaryNetwork $5,846.25 ↓ -25%
Cigna Behavioral Health COMMBH $6,236.00 ↓ -20%
HealthSmart Preferred Care PPO $6,391.90 ↓ -18%
Multiplan ComplementaryNetwork $6,625.75 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $6,625.75 ↓ -15%
Physicians, INC COMM $6,625.75 ↓ -15%
Affiliated PPO COMM $7,015.50 ↓ -10%
Cigna CSN $9,751.00 ↑ +25%
Cigna OpenAccessPlus $10,565.00 ↑ +36%
Cigna PPO $12,562.00 ↑ +61%

Visitor-reported prices

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Inj nephrosto/ureterogram w/img exstng access at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $751.45 $579.69 – $2,147.00
St. Luke's Health - The Vintage Hospital Houston $751.45 $579.69 – $2,147.00
HCA HOUSTON MEDICAL CENTER Houston not published $1,140.89 – $1,140.89
HCA HOUSTON TOMBALL HOUSTON not published $968.36 – $968.36
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,569.23 $444.62 – $1,961.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $2,177.23 $71.00 – $3,265.84
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,884.14 $71.00 – $2,355.17
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,569.23 $418.46 – $1,961.54

All Texas hospitals for this procedure →