Injection therapeutic/prophylactic/diagnostic subcutaneous/im 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.
$6.42 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 | $6.42 | — |
| Superior Health Plan | STARPLUS | $6.42 | — |
| Superior Health Plan | STARKids | $6.42 | — |
| Superior Health Plan | STAR | $6.42 | — |
| Superior Health Plan | CHPFC | $6.42 | — |
| Community Health Choice MCD | CHIP | $13.91 | — |
| Community Health Choice MCD | STAR+PLUS | $13.91 | — |
| Community Health Choice MCD | STAR | $13.91 | — |
| Community Health Choice MCD | CHIPPerinatal | $13.91 | — |
| Amerigroup | MCDCHIPBH | $14.98 | — |
| Amerigroup | MGMCD | $14.98 | — |
| Cigna | CSN | $15.84 | — |
| Cigna | OpenAccessPlus | $17.12 | — |
| Texas Childrens Health Plans | CHIP | $17.76 | — |
| United | OptionsPPO | $17.98 | — |
| Cigna | PPO | $20.33 | — |
| Oscar | HIX | $20.86 | — |
| Texas Childrens Health Plans | STARKIDS | $25.36 | — |
| Texas Childrens Health Plans | STAR | $25.36 | — |
| Texas Workforce Commission | WCOMP | $25.68 | — |
| Healthcare Highways | NarrowNetwork | $27.29 | — |
| Aetna | QHPExchange | $28.36 | — |
| Evry Health | BroadNetwork | $29.21 | — |
| Aetna | NBPOS | $34.35 | — |
| Aetna | NBPPO | $34.35 | — |
| Aetna | NBHMO | $34.35 | — |
| Aetna | COMMPOS | $36.59 | — |
| Aetna | COMMHMO | $36.59 | — |
| Aetna | COMMPPO | $36.59 | — |
| BCBS | Traditional | $37.45 | — |
| Imagine Health | PPO | $37.45 | — |
| Christus (USFHP) | TRICARE | $42.80 | — |
| Curative Administrators | COMM | $42.80 | — |
| Aetna | OONPPO | $42.91 | — |
| Aetna | OONPOS | $42.91 | — |
| Aetna | OONHMO | $42.91 | — |
| HealthSmart Preferred Care | ACCEL | $46.01 | — |
| Aetna | ASAPOS | $46.33 | — |
| Aetna | ASAHMO | $46.33 | — |
| Aetna | ASAPPO | $46.33 | — |
| Averde Health | Commercial | $48.15 | — |
| United | GlobalAppendix | $48.15 | — |
| Fidelis SecureCare of TX | MGMCR | $48.15 | — |
| Coventry National First Health | COMM | $57.03 | — |
| Physicians Cooperative of Texas | WC | $58.85 | — |
| Rockport Workers Comp | COMM | $58.85 | — |
| National Healthcare Solutions | COMM | $64.20 | — |
| SouthWest Medical | WORKERSCOMP | $64.20 | — |
| Triumph | COMM | $64.20 | — |
| Independent Medical System | COMM | $64.20 | — |
| Coastal Comp | COMM | $69.55 | — |
| Multiplan | PHCSPrimaryNetwork | $80.25 | — |
| Cigna Behavioral Health | COMMBH | $85.60 | — |
| HealthSmart Preferred Care | PPO | $87.74 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $90.95 | — |
| Physicians, INC | COMM | $90.95 | — |
| Multiplan | ComplementaryNetwork | $90.95 | — |
| Affiliated PPO | COMM | $96.30 | — |
| BCBS | MyBlueHealth | $141.50 | — |
| BCBS | BAV | $156.01 | — |
| Humana | PPO | $193.92 | — |
| Humana | HMO | $193.92 | — |
| BCBS | HMO | $195.32 | — |
| BCBS | EPOSOA | $219.51 | — |
| BCBS | PPO | $243.09 | — |
| 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 subcutaneous/im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $306.60 | $37.66 – $876.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $306.60 | $88.29 – $876.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $141.50 – $193.92 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $141.50 – $193.92 |
| Adventhealth Rollins Brook | Lampasas | $350.96 | $232.81 – $232.81 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $192.72 | $54.60 – $240.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $172.35 | $35.48 – $258.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $197.78 | $39.56 – $247.23 |