Jaw (Mandible) X-ray (complete) at HCA HOUSTON WEST

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

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 2026

$3,120.00

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.

Full explanation →

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

$3,120.00

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.

Full explanation →

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

$42.90 with Texas Health Network vs $2,808.00 with Affiliated PPO — same scan, same building. Share

Negotiated rates by payer
?

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 Health Network MCD $42.90 ↓ -99%
Community Health Choice MCD CHIP $43.44 ↓ -99%
Community Health Choice MCD STAR+PLUS $43.44 ↓ -99%
Community Health Choice MCD STAR $43.44 ↓ -99%
Community Health Choice MCD CHIPPerinatal $43.44 ↓ -99%
Amerigroup MGMCD $43.78 ↓ -99%
Amerigroup MCDCHIPBH $43.78 ↓ -99%
United MGMCD $44.31 ↓ -99%
Aetna Better Health MGMCD $46.92 ↓ -98%
Molina Healthcare STAR $48.16 ↓ -98%
Molina Healthcare CHIP $48.16 ↓ -98%
Molina Healthcare STARPLUS $48.16 ↓ -98%
Molina Healthcare STARKIDS $48.16 ↓ -98%
Humana MCD $54.73 ↓ -98%
Texas Childrens Health Plans STARKIDS $65.67 ↓ -98%
Texas Childrens Health Plans STAR $65.67 ↓ -98%
Texas Childrens Health Plans CHIP $65.67 ↓ -98%
Cigna CSN $115.06 ↓ -96%
Cigna OpenAccessPlus $124.52 ↓ -96%
Cigna PPO $148.02 ↓ -95%
Superior Health Plan STARPLUS $187.20 ↓ -94%
Superior Health Plan CHPFC $187.20 ↓ -94%
Superior Health Plan STAR $187.20 ↓ -94%
Superior Health Plan CHIP $187.20 ↓ -94%
Superior Health Plan STARKids $187.20 ↓ -94%
BCBS MyBlueHealth $197.26 ↓ -94%
United NarrowNetworkIndivExchange $207.04 ↓ -93%
BCBS BAV $212.95 ↓ -93%
United SmallGroup $245.18 ↓ -92%
United AllPayerAppendix $245.18 ↓ -92%
Aetna NBHMO $265.38 ↓ -91%
Aetna NBPOS $265.38 ↓ -91%
Aetna NBPPO $265.38 ↓ -91%
Aetna COMMPOS $282.38 ↓ -91%
Aetna COMMHMO $282.38 ↓ -91%
Aetna COMMPPO $282.38 ↓ -91%
Aetna OONHMO $332.00 ↓ -89%
Aetna OONPPO $332.00 ↓ -89%
Aetna OONPOS $332.00 ↓ -89%
Aetna ASAHMO $358.97 ↓ -88%
Aetna ASAPOS $358.97 ↓ -88%
Aetna ASAPPO $358.97 ↓ -88%
BCBS HMO $381.07 ↓ -88%
BCBS EPOSOA $395.64 ↓ -87%
BCBS PPO $409.09 ↓ -87%
United OptionsPPO $524.16 ↓ -83%
Texas Workforce Commission WCOMP $748.80 ↓ -76%
Healthcare Highways NarrowNetwork $795.60 ↓ -75%
Evry Health BroadNetwork $851.76 ↓ -73%
Humana HMO $1,033.66 ↓ -67%
Humana PPO $1,033.66 ↓ -67%
BCBS Traditional $1,092.00 ↓ -65%
Imagine Health PPO $1,092.00 ↓ -65%
Curative Administrators COMM $1,248.00 ↓ -60%
Christus (USFHP) TRICARE $1,248.00 ↓ -60%
HealthSmart Preferred Care ACCEL $1,341.60 ↓ -57%
United GlobalAppendix $1,404.00 ↓ -55%
Fidelis SecureCare of TX MGMCR $1,404.00 ↓ -55%
Averde Health Commercial $1,404.00 ↓ -55%
Coventry National First Health COMM $1,616.16 ↓ -48%
Rockport Workers Comp COMM $1,716.00 ↓ -45%
Physicians Cooperative of Texas WC $1,716.00 ↓ -45%
Triumph COMM $1,872.00 ↓ -40%
Independent Medical System COMM $1,872.00 ↓ -40%
SouthWest Medical WORKERSCOMP $1,872.00 ↓ -40%
National Healthcare Solutions COMM $1,872.00 ↓ -40%
Coastal Comp COMM $2,028.00 ↓ -35%
Multiplan PHCSPrimaryNetwork $2,340.00 ↓ -25%
Cigna Behavioral Health COMMBH $2,496.00 ↓ -20%
HealthSmart Preferred Care PPO $2,558.40 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $2,652.00 ↓ -15%
Multiplan ComplementaryNetwork $2,652.00 ↓ -15%
Physicians, INC COMM $2,652.00 ↓ -15%
Affiliated PPO COMM $2,808.00 ↓ -10%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Jaw (Mandible) X-ray (complete) at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $679.35 $43.44 – $1,941.00
St. Luke's Health - The Vintage Hospital Houston $679.35 $43.44 – $1,941.00
Houston Methodist Willowbrook Hospital Houston $855.50 $105.02 – $204.79
Houston Methodist Hospital Houston $560.00 $105.02 – $420.09
Houston Methodist West Hospital Houston $855.50 $105.02 – $420.09
HCA HOUSTON TOMBALL HOUSTON not published $43.44 – $265.38
HCA HOUSTON MEDICAL CENTER Houston not published $43.44 – $265.38
Adventhealth Rollins Brook Lampasas $654.13 $431.51 – $431.51

All Texas hospitals for this procedure →