Ketorolac (Toradol) Pain Shot, 15 mg at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
not published by hospital
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.
not published by hospital
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.
$0.34 with TriWest Health Alliance vs $12.60 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 →
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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 |
|---|---|---|---|
| TriWest Health Alliance | TRCR | $0.34 | — |
| Christus (USFHP) | TRICARE | $0.34 | — |
| BCBS | MyBlueHealth | $0.35 | — |
| BCBS | BAV | $0.39 | — |
| BCBS | PPO | $0.49 | — |
| BCBS | EPOSOA | $0.49 | — |
| BCBS | HMO | $0.49 | — |
| United | SmallGroup | $0.56 | — |
| United | AllPayerAppendix | $0.56 | — |
| United | NarrowNetworkIndivExchange | $0.56 | — |
| Superior Health Plan | CHPFC | $0.84 | — |
| Superior Health Plan | STARPLUS | $0.84 | — |
| Superior Health Plan | STARKids | $0.84 | — |
| Superior Health Plan | STAR | $0.84 | — |
| Superior Health Plan | CHIP | $0.84 | — |
| Cigna | CSN | $0.85 | — |
| Cigna | OpenAccessPlus | $0.92 | — |
| Cigna | PPO | $1.09 | — |
| Community Health Choice MCD | CHIP | $1.82 | — |
| Community Health Choice MCD | STAR | $1.82 | — |
| Community Health Choice MCD | STAR+PLUS | $1.82 | — |
| Community Health Choice MCD | CHIPPerinatal | $1.82 | — |
| Amerigroup | MCDCHIPBH | $1.96 | — |
| Amerigroup | MGMCD | $1.96 | — |
| United | OptionsPPO | $2.35 | — |
| Texas Workforce Commission | WCOMP | $3.36 | — |
| Humana | PPO | $4.64 | — |
| Humana | HMO | $4.64 | — |
| BCBS | Traditional | $4.90 | — |
| HealthSmart Preferred Care | ACCEL | $6.02 | — |
| United | GlobalAppendix | $6.30 | — |
| Coventry National First Health | COMM | $7.25 | — |
| Rockport Workers Comp | COMM | $7.70 | — |
| Physicians Cooperative of Texas | WC | $7.70 | — |
| National Healthcare Solutions | COMM | $8.40 | — |
| SouthWest Medical | WORKERSCOMP | $8.40 | — |
| Triumph | COMM | $8.40 | — |
| Independent Medical System | COMM | $8.40 | — |
| Coastal Comp | COMM | $9.10 | — |
| Multiplan | PHCSPrimaryNetwork | $10.50 | — |
| Cigna Behavioral Health | COMMBH | $11.20 | — |
| HealthSmart Preferred Care | PPO | $11.48 | — |
| Multiplan | ComplementaryNetwork | $11.90 | — |
| Physicians, INC | COMM | $11.90 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $11.90 | — |
| Affiliated PPO | COMM | $12.60 | — |
Visitor-reported prices
Comments
Ketorolac (Toradol) Pain Shot, 15 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $26.86 | $0.16 – $53.86 |
| St. Luke's Health - The Vintage Hospital | Houston | $26.86 | $0.20 – $53.86 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.34 – $0.85 |
| Houston Methodist Willowbrook Hospital | Houston | not published | $0.30 – $0.59 |
| Houston Methodist Hospital | Houston | not published | $0.30 – $1.21 |
| Houston Methodist West Hospital | Houston | not published | $0.30 – $1.21 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.34 – $0.85 |
| Adventhealth Rollins Brook | Lampasas | $89.22 | $0.69 – $0.69 |