Ivp w/wo kub w/wo tomography at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$132.62 with Texas Health Network vs $8,543.70 with Affiliated PPO — 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 →

Payer
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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
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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 Health Network MCD $132.62
Amerigroup MGMCD $135.33
Texas Childrens Health Plans STARKIDS $135.33
Texas Childrens Health Plans STAR $135.33
Amerigroup MCDCHIPBH $135.33
Community Health Choice MCD CHIP $137.00
Community Health Choice MCD STAR $137.00
Community Health Choice MCD CHIPPerinatal $137.00
Community Health Choice MCD STAR+PLUS $137.00
United MGMCD $139.74
Aetna Better Health MGMCD $147.96
Molina Healthcare STAR $148.86
Molina Healthcare STARPLUS $148.86
Molina Healthcare STARKIDS $148.86
Molina Healthcare CHIP $148.86
BCBS MyBlueHealth $168.71
Humana MCD $169.16
BCBS BAV $182.13
BCBS HMO $325.92
BCBS EPOSOA $338.39
United NarrowNetworkIndivExchange $339.25
BCBS PPO $349.89
United AllPayerAppendix $401.74
United SmallGroup $401.74
Cigna CSN $412.17
Cigna OpenAccessPlus $446.07
Cigna PPO $530.25
Superior Health Plan STAR $569.58
Superior Health Plan STARPLUS $569.58
Superior Health Plan STARKids $569.58
Superior Health Plan CHIP $569.58
Superior Health Plan CHPFC $569.58
Aetna QHPExchange $686.90
Aetna NBPOS $912.96
Aetna NBHMO $912.96
Aetna NBPPO $912.96
Aetna COMMPOS $971.17
Aetna COMMHMO $971.17
Aetna COMMPPO $971.17
Aetna OONPPO $1,141.93
Aetna OONPOS $1,141.93
Aetna OONHMO $1,141.93
Aetna ASAPPO $1,234.09
Aetna ASAHMO $1,234.09
Aetna ASAPOS $1,234.09
Humana PPO $1,490.22
Humana HMO $1,490.22
Texas Childrens Health Plans CHIP $1,575.84
United OptionsPPO $1,594.82
Texas Workforce Commission WCOMP $2,278.32
Healthcare Highways NarrowNetwork $2,420.72
Evry Health BroadNetwork $2,591.59
Imagine Health PPO $3,322.55
BCBS Traditional $3,322.55
Christus (USFHP) TRICARE $3,797.20
Curative Administrators COMM $3,797.20
HealthSmart Preferred Care ACCEL $4,081.99
Averde Health Commercial $4,271.85
United GlobalAppendix $4,271.85
Fidelis SecureCare of TX MGMCR $4,271.85
Coventry National First Health COMM $5,059.77
Rockport Workers Comp COMM $5,221.15
Physicians Cooperative of Texas WC $5,221.15
SouthWest Medical WORKERSCOMP $5,695.80
Triumph COMM $5,695.80
National Healthcare Solutions COMM $5,695.80
Independent Medical System COMM $5,695.80
Coastal Comp COMM $6,170.45
Multiplan PHCSPrimaryNetwork $7,119.75
Cigna Behavioral Health COMMBH $7,594.40
HealthSmart Preferred Care PPO $7,784.26
Multiplan ComplementaryNetwork $8,069.05
Physicians, INC COMM $8,069.05
HealthSmart Preferred Care ACCOUNTABLEPPO $8,069.05
Affiliated PPO COMM $8,543.70

Visitor-reported prices

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Ivp w/wo kub w/wo tomography at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $3,087.15 $137.00 – $686.90
Baylor St Luke's Medical Center Houston $881.30 $115.03 – $2,518.00
St. Luke's Health - The Vintage Hospital Houston $881.30 $135.16 – $2,518.00
HCA HOUSTON TOMBALL HOUSTON $5,184.36 $135.33 – $686.90
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $687.80 $135.33 – $859.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $823.10 $169.42 – $1,234.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $683.08 $135.33 – $853.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $687.80 $135.33 – $859.75

All Texas hospitals for this procedure →