Kidney (Retroperitoneal) Ultrasound (complete) 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.

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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.

$102.66 with Texas Health Network vs $4,627.80 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 $102.66
Amerigroup MCDCHIPBH $104.75
Amerigroup MGMCD $104.75
Texas Childrens Health Plans STAR $104.75
Texas Childrens Health Plans STARKIDS $104.75
Community Health Choice MCD CHIP $106.88
Community Health Choice MCD STAR+PLUS $106.88
Community Health Choice MCD STAR $106.88
Community Health Choice MCD CHIPPerinatal $106.88
United MGMCD $109.02
Molina Healthcare CHIP $115.23
Molina Healthcare STARKIDS $115.23
Molina Healthcare STARPLUS $115.23
Molina Healthcare STAR $115.23
Aetna Better Health MGMCD $115.43
Humana MCD $130.94
BCBS MyBlueHealth $197.26
United NarrowNetworkIndivExchange $207.04
BCBS BAV $212.95
Healthcare Highways NarrowNetwork $213.00
United SmallGroup $245.18
United AllPayerAppendix $245.18
Texas Athletic Network Premier $300.00
Superior Health Plan STARKids $308.52
Superior Health Plan CHIP $308.52
Superior Health Plan CHPFC $308.52
Superior Health Plan STAR $308.52
Superior Health Plan STARPLUS $308.52
BCBS HMO $381.07
BCBS EPOSOA $395.64
BCBS PPO $409.09
Aetna QHPExchange $443.92
Texas Athletic Network PremierPlus $500.00
Aetna NBPPO $590.01
Aetna NBPOS $590.01
Aetna NBHMO $590.01
Texas Athletic Network TexasCustomUC $600.00
Aetna COMMPPO $627.63
Aetna COMMPOS $627.63
Aetna COMMHMO $627.63
Aetna OONHMO $737.98
Aetna OONPPO $737.98
Aetna OONPOS $737.98
Aetna ASAHMO $797.54
Aetna ASAPPO $797.54
Aetna ASAPOS $797.54
Texas Childrens Health Plans CHIP $853.57
United OptionsPPO $863.86
Texas Workforce Commission WCOMP $1,234.08
Humana HMO $1,353.69
Humana PPO $1,353.69
Evry Health BroadNetwork $1,403.77
Imagine Health PPO $1,799.70
BCBS Traditional $1,799.70
Christus (USFHP) TRICARE $2,056.80
Curative Administrators COMM $2,056.80
HealthSmart Preferred Care ACCEL $2,211.06
United GlobalAppendix $2,313.90
Fidelis SecureCare of TX MGMCR $2,313.90
Averde Health Commercial $2,313.90
Coventry National First Health COMM $2,740.69
Physicians Cooperative of Texas WC $2,828.10
Rockport Workers Comp COMM $2,828.10
Triumph COMM $3,085.20
National Healthcare Solutions COMM $3,085.20
SouthWest Medical WORKERSCOMP $3,085.20
Independent Medical System COMM $3,085.20
Coastal Comp COMM $3,342.30
Multiplan PHCSPrimaryNetwork $3,856.50
Cigna Behavioral Health COMMBH $4,113.60
HealthSmart Preferred Care PPO $4,216.44
HealthSmart Preferred Care ACCOUNTABLEPPO $4,370.70
Multiplan ComplementaryNetwork $4,370.70
Physicians, INC COMM $4,370.70
Affiliated PPO COMM $4,627.80

Visitor-reported prices

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Kidney (Retroperitoneal) Ultrasound (complete) at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $1,124.20 $104.75 – $3,212.00
St. Luke's Health - The Vintage Hospital Houston $1,124.20 $104.75 – $3,212.00
HCA HOUSTON MEDICAL CENTER Houston not published $106.88 – $443.92
HCA HOUSTON TOMBALL HOUSTON not published $104.75 – $443.92
Adventhealth Rollins Brook Lampasas $1,161.71 $431.51 – $431.51
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $691.73 $99.77 – $864.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $673.36 $138.60 – $1,010.03
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $673.36 $99.77 – $841.70

All Texas hospitals for this procedure →