Ins lv lead exist pm/icd at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$41,540.00
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.
$41,540.00
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 $40,000.00 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 | ↓ -99% |
| Aetna | QHPExchange | $1,944.00 | ↓ -95% |
| Fidelis SecureCare of TX | MGMCR | $2,115.00 | ↓ -95% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -94% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -94% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -94% |
| Superior Health Plan | STAR | $2,369.00 | ↓ -94% |
| Superior Health Plan | CHPFC | $2,369.00 | ↓ -94% |
| Aetna | NBPOS | $2,580.00 | ↓ -94% |
| Aetna | NBHMO | $2,580.00 | ↓ -94% |
| Aetna | COMMHMO | $2,742.00 | ↓ -93% |
| Aetna | COMMPOS | $2,742.00 | ↓ -93% |
| Aetna | NBPPO | $2,986.00 | ↓ -93% |
| Aetna | COMMPPO | $3,174.00 | ↓ -92% |
| Aetna | OONPOS | $3,228.00 | ↓ -92% |
| Aetna | OONHMO | $3,228.00 | ↓ -92% |
| Aetna | ASAPOS | $3,486.00 | ↓ -92% |
| Aetna | ASAHMO | $3,486.00 | ↓ -92% |
| Aetna | OONPPO | $3,732.00 | ↓ -91% |
| Aetna | ASAPPO | $4,034.00 | ↓ -90% |
| Humana | HMO | $4,690.00 | ↓ -89% |
| Humana | PPO | $4,690.00 | ↓ -89% |
| Amerigroup | MCDCHIPBH | $5,815.60 | ↓ -86% |
| Amerigroup | MGMCD | $5,815.60 | ↓ -86% |
| Texas Health Network | MCD | $6,127.46 | ↓ -85% |
| United | MGMCD | $6,709.19 | ↓ -84% |
| BCBS | MyBlueHealth | $6,771.02 | ↓ -84% |
| Molina Healthcare | STARKIDS | $6,877.76 | ↓ -83% |
| Molina Healthcare | CHIP | $6,877.76 | ↓ -83% |
| Molina Healthcare | STAR | $6,877.76 | ↓ -83% |
| Molina Healthcare | STARPLUS | $6,877.76 | ↓ -83% |
| Texas Childrens Health Plans | CHIP | $6,895.64 | ↓ -83% |
| United | OptionsPPO | $6,978.72 | ↓ -83% |
| Community Health Choice MCD | CHIP | $7,002.81 | ↓ -83% |
| Community Health Choice MCD | STAR | $7,002.81 | ↓ -83% |
| Community Health Choice MCD | CHIPPerinatal | $7,002.81 | ↓ -83% |
| Community Health Choice MCD | STAR+PLUS | $7,002.81 | ↓ -83% |
| BCBS | BAV | $7,477.20 | ↓ -82% |
| Humana | MCD | $7,815.64 | ↓ -81% |
| Aetna Better Health | MGMCD | $7,893.17 | ↓ -81% |
| BCBS | HMO | $9,346.50 | ↓ -78% |
| BCBS | EPOSOA | $9,554.20 | ↓ -77% |
| Texas Childrens Health Plans | STARKIDS | $9,844.98 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $9,844.98 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $9,969.60 | ↓ -76% |
| WellMed | MGMCR | $10,552.12 | ↓ -75% |
| Cigna | CSN | $10,740.00 | ↓ -74% |
| Healthcare Highways | NarrowNetwork | $10,949.00 | ↓ -74% |
| Cigna | OpenAccessPlus | $11,636.00 | ↓ -72% |
| Evry Health | BroadNetwork | $12,193.00 | ↓ -71% |
| Cigna | PPO | $13,835.00 | ↓ -67% |
| BCBS | Traditional | $14,539.00 | ↓ -65% |
| Christus (USFHP) | TRICARE | $16,616.00 | ↓ -60% |
| Oscar | HIX | $17,551.00 | ↓ -58% |
| HealthSmart Preferred Care | ACCEL | $17,862.20 | ↓ -57% |
| United | GlobalAppendix | $18,693.00 | ↓ -55% |
| Coventry National First Health | COMM | $22,140.82 | ↓ -47% |
| Rockport Workers Comp | COMM | $22,847.00 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $22,847.00 | ↓ -45% |
| Curative Administrators | COMM | $24,035.00 | ↓ -42% |
| Triumph | COMM | $24,924.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $24,924.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $24,924.00 | ↓ -40% |
| Independent Medical System | COMM | $24,924.00 | ↓ -40% |
| BCBS | PPO | $25,424.81 | ↓ -39% |
| Coastal Comp | COMM | $27,001.00 | ↓ -35% |
| United | NarrowNetworkIndivExchange | $27,575.00 | ↓ -34% |
| United | SmallGroup | $28,000.00 | ↓ -33% |
| Multiplan | PHCSPrimaryNetwork | $31,155.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $33,232.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $34,062.80 | ↓ -18% |
| Physicians, INC | COMM | $35,309.00 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $35,309.00 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $35,309.00 | ↓ -15% |
| Affiliated PPO | COMM | $37,386.00 | ↓ -10% |
| United | AllPayerAppendix | $40,000.00 | ↓ -4% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $60,657.97 | $6,709.19 – $21,016.48 |
| Baylor St Luke's Medical Center | Houston | $4,729.55 | $3,648.51 – $13,513.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $4,729.55 | $3,648.51 – $13,513.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $6,252.51 – $17,838.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20,536.56 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,236.95 | $5,400.44 – $39,355.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $17,299.23 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20,536.56 | $6,252.51 – $26,452.82 |