Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug 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.
$5.04 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 | $5.04 | — |
| Superior Health Plan | STARPLUS | $5.04 | — |
| Superior Health Plan | STARKids | $5.04 | — |
| Superior Health Plan | STAR | $5.04 | — |
| Superior Health Plan | CHPFC | $5.04 | — |
| Community Health Choice MCD | CHIP | $10.92 | — |
| Community Health Choice MCD | STAR+PLUS | $10.92 | — |
| Community Health Choice MCD | STAR | $10.92 | — |
| Community Health Choice MCD | CHIPPerinatal | $10.92 | — |
| Amerigroup | MCDCHIPBH | $11.76 | — |
| Amerigroup | MGMCD | $11.76 | — |
| Cigna | CSN | $12.43 | — |
| Cigna | OpenAccessPlus | $13.44 | — |
| Texas Childrens Health Plans | CHIP | $13.94 | — |
| United | OptionsPPO | $14.11 | — |
| Cigna | PPO | $15.96 | — |
| Oscar | HIX | $16.38 | — |
| Texas Childrens Health Plans | STARKIDS | $19.91 | — |
| Texas Childrens Health Plans | STAR | $19.91 | — |
| Texas Workforce Commission | WCOMP | $20.16 | — |
| Healthcare Highways | NarrowNetwork | $21.42 | — |
| Aetna | QHPExchange | $22.26 | — |
| Evry Health | BroadNetwork | $22.93 | — |
| Aetna | NBPOS | $26.96 | — |
| Aetna | NBPPO | $26.96 | — |
| Aetna | NBHMO | $26.96 | — |
| Aetna | COMMPOS | $28.73 | — |
| Aetna | COMMHMO | $28.73 | — |
| Aetna | COMMPPO | $28.73 | — |
| BCBS | Traditional | $29.40 | — |
| Imagine Health | PPO | $29.40 | — |
| Christus (USFHP) | TRICARE | $33.60 | — |
| Curative Administrators | COMM | $33.60 | — |
| Aetna | OONPPO | $33.68 | — |
| Aetna | OONPOS | $33.68 | — |
| Aetna | OONHMO | $33.68 | — |
| HealthSmart Preferred Care | ACCEL | $36.12 | — |
| Aetna | ASAPOS | $36.37 | — |
| Aetna | ASAHMO | $36.37 | — |
| Aetna | ASAPPO | $36.37 | — |
| Averde Health | Commercial | $37.80 | — |
| United | GlobalAppendix | $37.80 | — |
| Fidelis SecureCare of TX | MGMCR | $37.80 | — |
| BCBS | MyBlueHealth | $39.64 | — |
| BCBS | BAV | $43.71 | — |
| Coventry National First Health | COMM | $44.77 | — |
| Rockport Workers Comp | COMM | $46.20 | — |
| Physicians Cooperative of Texas | WC | $46.20 | — |
| National Healthcare Solutions | COMM | $50.40 | — |
| SouthWest Medical | WORKERSCOMP | $50.40 | — |
| Triumph | COMM | $50.40 | — |
| Independent Medical System | COMM | $50.40 | — |
| Coastal Comp | COMM | $54.60 | — |
| BCBS | HMO | $54.72 | — |
| BCBS | EPOSOA | $61.49 | — |
| Multiplan | PHCSPrimaryNetwork | $63.00 | — |
| Cigna Behavioral Health | COMMBH | $67.20 | — |
| BCBS | PPO | $68.10 | — |
| HealthSmart Preferred Care | PPO | $68.88 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $71.40 | — |
| Multiplan | ComplementaryNetwork | $71.40 | — |
| Physicians, INC | COMM | $71.40 | — |
| Affiliated PPO | COMM | $75.60 | — |
| Humana | HMO | $169.38 | — |
| Humana | PPO | $169.38 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $306.60 | $19.99 – $876.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $306.60 | $24.73 – $876.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $39.64 – $169.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $39.64 – $169.38 |
| Adventhealth Rollins Brook | Lampasas | $429.30 | $65.22 – $65.22 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $235.24 | $44.69 – $294.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.88 | $49.58 – $361.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $255.96 | $44.69 – $319.95 |