Ins/rpl pm gen exist sgl lead at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$25,874.00
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.
$25,874.00
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 | ↓ -98% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -98% |
| Superior Health Plan | STARKids | $1,552.44 | ↓ -94% |
| Superior Health Plan | STARPLUS | $1,552.44 | ↓ -94% |
| Superior Health Plan | CHIP | $1,552.44 | ↓ -94% |
| Superior Health Plan | CHPFC | $1,552.44 | ↓ -94% |
| Superior Health Plan | STAR | $1,552.44 | ↓ -94% |
| Aetna | QHPExchange | $1,944.00 | ↓ -92% |
| Aetna | NBPOS | $2,580.00 | ↓ -90% |
| Aetna | NBHMO | $2,580.00 | ↓ -90% |
| Aetna | COMMHMO | $2,742.00 | ↓ -89% |
| Aetna | COMMPOS | $2,742.00 | ↓ -89% |
| Aetna | NBPPO | $2,986.00 | ↓ -88% |
| Aetna | COMMPPO | $3,174.00 | ↓ -88% |
| Aetna | OONPOS | $3,228.00 | ↓ -88% |
| Aetna | OONHMO | $3,228.00 | ↓ -88% |
| Aetna | ASAPOS | $3,486.00 | ↓ -87% |
| Aetna | ASAHMO | $3,486.00 | ↓ -87% |
| Amerigroup | MGMCD | $3,622.36 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $3,622.36 | ↓ -86% |
| Aetna | OONPPO | $3,732.00 | ↓ -86% |
| Aetna | ASAPPO | $4,034.00 | ↓ -84% |
| BCBS | MyBlueHealth | $4,217.46 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $4,295.08 | ↓ -83% |
| United | OptionsPPO | $4,346.83 | ↓ -83% |
| Fidelis SecureCare of TX | MGMCR | $4,505.00 | ↓ -83% |
| BCBS | BAV | $4,657.32 | ↓ -82% |
| Humana | PPO | $4,690.00 | ↓ -82% |
| Humana | HMO | $4,690.00 | ↓ -82% |
| Texas Health Network | MCD | $5,389.92 | ↓ -79% |
| BCBS | HMO | $5,821.65 | ↓ -78% |
| United | MGMCD | $5,901.64 | ↓ -77% |
| BCBS | EPOSOA | $5,951.02 | ↓ -77% |
| Molina Healthcare | STAR | $6,049.91 | ↓ -77% |
| Molina Healthcare | STARPLUS | $6,049.91 | ↓ -77% |
| Molina Healthcare | CHIP | $6,049.91 | ↓ -77% |
| Molina Healthcare | STARKIDS | $6,049.91 | ↓ -77% |
| Texas Childrens Health Plans | STAR | $6,132.14 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $6,132.14 | ↓ -76% |
| Community Health Choice MCD | CHIP | $6,159.91 | ↓ -76% |
| Community Health Choice MCD | CHIPPerinatal | $6,159.91 | ↓ -76% |
| Community Health Choice MCD | STAR | $6,159.91 | ↓ -76% |
| Community Health Choice MCD | STAR+PLUS | $6,159.91 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $6,209.76 | ↓ -76% |
| Humana | MCD | $6,874.90 | ↓ -73% |
| Aetna Better Health | MGMCD | $6,943.10 | ↓ -73% |
| WellMed | MGMCR | $8,354.67 | ↓ -68% |
| BCBS | Traditional | $9,055.90 | ↓ -65% |
| Cigna | CSN | $9,751.00 | ↓ -62% |
| Christus (USFHP) | TRICARE | $10,349.60 | ↓ -60% |
| Cigna | OpenAccessPlus | $10,565.00 | ↓ -59% |
| Healthcare Highways | NarrowNetwork | $10,949.00 | ↓ -58% |
| HealthSmart Preferred Care | ACCEL | $11,125.82 | ↓ -57% |
| United | GlobalAppendix | $11,643.30 | ↓ -55% |
| Evry Health | BroadNetwork | $12,193.00 | ↓ -53% |
| Cigna | PPO | $12,562.00 | ↓ -51% |
| Coventry National First Health | COMM | $13,790.84 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $14,230.70 | ↓ -45% |
| Rockport Workers Comp | COMM | $14,230.70 | ↓ -45% |
| SouthWest Medical | WORKERSCOMP | $15,524.40 | ↓ -40% |
| Triumph | COMM | $15,524.40 | ↓ -40% |
| National Healthcare Solutions | COMM | $15,524.40 | ↓ -40% |
| Independent Medical System | COMM | $15,524.40 | ↓ -40% |
| Coastal Comp | COMM | $16,818.10 | ↓ -35% |
| Oscar | HIX | $17,551.00 | ↓ -32% |
| BCBS | PPO | $18,951.79 | ↓ -27% |
| Multiplan | PHCSPrimaryNetwork | $19,405.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $20,699.20 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $21,216.68 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $21,992.90 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $21,992.90 | ↓ -15% |
| Physicians, INC | COMM | $21,992.90 | ↓ -15% |
| Affiliated PPO | COMM | $23,286.60 | ↓ -10% |
| Curative Administrators | COMM | $24,035.00 | ↓ -7% |
| United | NarrowNetworkIndivExchange | $27,575.00 | ↑ +7% |
| United | SmallGroup | $28,000.00 | ↑ +8% |
| United | AllPayerAppendix | $40,000.00 | ↑ +55% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $10,861.39 | $5,901.64 – $15,665.79 |
| Baylor St Luke's Medical Center | Houston | $8,704.15 | $1,609.00 – $24,869.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $8,704.15 | $1,609.00 – $24,869.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5,499.92 – $13,296.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |