Ins icd gen exist sgl lead at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$35,665.00
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.
$35,665.00
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.
$300.00 with Texas Athletic Network vs $95,000.00 with United — 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 |
|---|---|---|---|
| Texas Athletic Network | Premier | $300.00 | ↓ -99% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -99% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -98% |
| Superior Health Plan | STAR | $2,139.90 | ↓ -94% |
| Superior Health Plan | STARPLUS | $2,139.90 | ↓ -94% |
| Superior Health Plan | CHIP | $2,139.90 | ↓ -94% |
| Superior Health Plan | STARKids | $2,139.90 | ↓ -94% |
| Superior Health Plan | CHPFC | $2,139.90 | ↓ -94% |
| Aetna | QHPExchange | $2,643.00 | ↓ -93% |
| Aetna | NBHMO | $3,511.00 | ↓ -90% |
| Aetna | NBPOS | $3,511.00 | ↓ -90% |
| Aetna | COMMPOS | $3,730.00 | ↓ -90% |
| Aetna | COMMHMO | $3,730.00 | ↓ -90% |
| Aetna | NBPPO | $3,792.00 | ↓ -89% |
| Aetna | COMMPPO | $4,028.00 | ↓ -89% |
| Aetna | OONPOS | $4,390.00 | ↓ -88% |
| Aetna | OONHMO | $4,390.00 | ↓ -88% |
| Fidelis SecureCare of TX | MGMCR | $4,505.00 | ↓ -87% |
| Humana | HMO | $4,690.00 | ↓ -87% |
| Humana | PPO | $4,690.00 | ↓ -87% |
| Aetna | OONPPO | $4,740.00 | ↓ -87% |
| Aetna | ASAPOS | $4,742.00 | ↓ -87% |
| Aetna | ASAHMO | $4,742.00 | ↓ -87% |
| Amerigroup | MGMCD | $4,993.10 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $4,993.10 | ↓ -86% |
| Aetna | ASAPPO | $5,120.00 | ↓ -86% |
| BCBS | MyBlueHealth | $5,813.40 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $5,920.39 | ↓ -83% |
| United | OptionsPPO | $5,991.72 | ↓ -83% |
| BCBS | BAV | $6,419.70 | ↓ -82% |
| BCBS | HMO | $8,024.63 | ↓ -77% |
| BCBS | EPOSOA | $8,202.95 | ↓ -77% |
| Texas Childrens Health Plans | STARKIDS | $8,452.60 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $8,452.60 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $8,559.60 | ↓ -76% |
| Cigna | CSN | $10,740.00 | ↓ -70% |
| Cigna | OpenAccessPlus | $11,636.00 | ↓ -67% |
| Healthcare Highways | NarrowNetwork | $12,167.00 | ↓ -66% |
| Evry Health | BroadNetwork | $12,193.00 | ↓ -66% |
| BCBS | Traditional | $12,482.75 | ↓ -65% |
| Cigna | PPO | $13,835.00 | ↓ -61% |
| Christus (USFHP) | TRICARE | $14,266.00 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $15,335.95 | ↓ -57% |
| United | GlobalAppendix | $16,049.25 | ↓ -55% |
| Texas Health Network | MCD | $16,321.11 | ↓ -54% |
| Oscar | HIX | $17,551.00 | ↓ -51% |
| United | MGMCD | $17,870.61 | ↓ -50% |
| Molina Healthcare | STARPLUS | $18,319.61 | ↓ -49% |
| Molina Healthcare | STAR | $18,319.61 | ↓ -49% |
| Molina Healthcare | STARKIDS | $18,319.61 | ↓ -49% |
| Molina Healthcare | CHIP | $18,319.61 | ↓ -49% |
| Community Health Choice MCD | CHIPPerinatal | $18,652.69 | ↓ -48% |
| Community Health Choice MCD | STAR | $18,652.69 | ↓ -48% |
| Community Health Choice MCD | STAR+PLUS | $18,652.69 | ↓ -48% |
| Community Health Choice MCD | CHIP | $18,652.69 | ↓ -48% |
| Coventry National First Health | COMM | $19,009.44 | ↓ -47% |
| Rockport Workers Comp | COMM | $19,615.75 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $19,615.75 | ↓ -45% |
| Humana | MCD | $20,817.74 | ↓ -42% |
| Aetna Better Health | MGMCD | $21,024.25 | ↓ -41% |
| Triumph | COMM | $21,399.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $21,399.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $21,399.00 | ↓ -40% |
| Independent Medical System | COMM | $21,399.00 | ↓ -40% |
| WellMed | MGMCR | $22,456.66 | ↓ -37% |
| Coastal Comp | COMM | $23,182.25 | ↓ -35% |
| Curative Administrators | COMM | $24,035.00 | ↓ -33% |
| Multiplan | PHCSPrimaryNetwork | $26,748.75 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $28,532.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $29,245.30 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $30,315.25 | ↓ -15% |
| Physicians, INC | COMM | $30,315.25 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $30,315.25 | ↓ -15% |
| Affiliated PPO | COMM | $32,098.50 | ↓ -10% |
| BCBS | PPO | $56,327.97 | ↑ +58% |
| United | NarrowNetworkIndivExchange | $64,880.00 | ↑ +82% |
| United | SmallGroup | $66,500.00 | ↑ +86% |
| United | AllPayerAppendix | $95,000.00 | ↑ +166% |
Visitor-reported prices
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Ins icd gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $6,593.22 | $17,870.61 – $46,561.42 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $16,654.19 – $39,520.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $31,662.03 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,532.62 | $5,461.30 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,661.55 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $31,662.03 | $16,654.19 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,532.62 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,532.62 | $13,462.00 – $58,392.49 |