Kit case 4.2mm spinejack 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.
$300.00 with Texas Athletic Network vs $85,603.50 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 |
|---|---|---|---|
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Superior Health Plan | CHPFC | $5,706.90 | — |
| Superior Health Plan | STARPLUS | $5,706.90 | — |
| Superior Health Plan | STARKids | $5,706.90 | — |
| Superior Health Plan | STAR | $5,706.90 | — |
| Superior Health Plan | CHIP | $5,706.90 | — |
| Aetna | MCR | $6,306.12 | — |
| Cigna | CSN | $10,740.00 | — |
| Cigna | OpenAccessPlus | $11,636.00 | — |
| Community Health Choice MCD | STAR+PLUS | $12,364.95 | — |
| Community Health Choice MCD | STAR | $12,364.95 | — |
| Community Health Choice MCD | CHIPPerinatal | $12,364.95 | — |
| Community Health Choice MCD | CHIP | $12,364.95 | — |
| Amerigroup | MGMCD | $13,316.10 | — |
| Amerigroup | MCDCHIPBH | $13,316.10 | — |
| Cigna | PPO | $13,835.00 | — |
| BCBS | MyBlueHealth | $15,503.75 | — |
| Texas Childrens Health Plans | CHIP | $15,789.09 | — |
| United | OptionsPPO | $15,979.32 | — |
| Superior | EPO | $16,645.13 | — |
| Superior | HMO | $16,645.13 | — |
| BCBS | BAV | $17,120.70 | — |
| Oscar | HIX | $18,547.42 | — |
| Superior | ValueHMO | $18,832.77 | — |
| BCBS | HMO | $21,400.88 | — |
| BCBS | EPOSOA | $21,876.45 | — |
| BCBS | PPO | $22,256.91 | — |
| Texas Childrens Health Plans | STAR | $22,542.26 | — |
| Texas Childrens Health Plans | STARKIDS | $22,542.26 | — |
| Texas Workforce Commission | WCOMP | $22,827.60 | — |
| Healthcare Highways | NarrowNetwork | $24,254.33 | — |
| Aetna | QHPExchange | $25,205.47 | — |
| Molina Healthcare | HIX | $25,681.05 | — |
| Evry Health | BroadNetwork | $25,966.40 | — |
| CHC Harris Health | Indigent | $28,534.50 | — |
| Humana | PPO | $30,351.20 | — |
| Humana | HMO | $30,351.20 | — |
| Aetna | NBHMO | $30,531.92 | — |
| Aetna | NBPPO | $30,531.92 | — |
| Aetna | NBPOS | $30,531.92 | — |
| Aetna | COMMHMO | $32,529.33 | — |
| Aetna | COMMPPO | $32,529.33 | — |
| Aetna | COMMPOS | $32,529.33 | — |
| BCBS | Traditional | $33,290.25 | — |
| Imagine Health | PPO | $33,290.25 | — |
| Curative Administrators | COMM | $38,046.00 | — |
| Christus (USFHP) | TRICARE | $38,046.00 | — |
| Aetna | OONPPO | $38,141.11 | — |
| Aetna | OONPOS | $38,141.11 | — |
| Aetna | OONHMO | $38,141.11 | — |
| HealthSmart Preferred Care | ACCEL | $40,899.45 | — |
| Aetna | ASAPPO | $41,184.79 | — |
| Aetna | ASAHMO | $41,184.79 | — |
| Aetna | ASAPOS | $41,184.79 | — |
| Fidelis SecureCare of TX | MGMCR | $42,801.75 | — |
| United | GlobalAppendix | $42,801.75 | — |
| Averde Health | Commercial | $42,801.75 | — |
| Coventry National First Health | COMM | $50,696.29 | — |
| Physicians Cooperative of Texas | WC | $52,313.25 | — |
| Rockport Workers Comp | COMM | $52,313.25 | — |
| Triumph | COMM | $57,069.00 | — |
| Independent Medical System | COMM | $57,069.00 | — |
| National Healthcare Solutions | COMM | $57,069.00 | — |
| SouthWest Medical | WORKERSCOMP | $57,069.00 | — |
| Coastal Comp | COMM | $61,824.75 | — |
| Multiplan | PHCSPrimaryNetwork | $71,336.25 | — |
| Cigna Behavioral Health | COMMBH | $76,092.00 | — |
| HealthSmart Preferred Care | PPO | $77,994.30 | — |
| Physicians, INC | COMM | $80,847.75 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $80,847.75 | — |
| Multiplan | ComplementaryNetwork | $80,847.75 | — |
| Affiliated PPO | COMM | $85,603.50 | — |
Visitor-reported prices
Comments
Kit case 4.2mm spinejack at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $13,775.74 | $2,846.99 – $13,557.08 |
| St. Luke's Health - The Vintage Hospital | Houston | $13,775.74 | $2,982.56 – $13,557.08 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $28,516.68 – $28,516.68 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $28,516.68 – $28,516.68 |
| St. Luke's Health - Patients Medical Center | Pasadena | $10,051.86 | $6,052.42 – $20,633.25 |
| St. Joseph Health Madison Hospital | Madisonville | $5,836.60 | $4,249.05 – $30,016.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $13,775.74 | $2,982.56 – $13,557.08 |