Knee Arthroscopy (Meniscus Trimming) 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.
$1,066.50 with Texas Health Network vs $14,052.00 with Cigna — 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 Health Network | MCD | $1,066.50 | — |
| Amerigroup | MGMCD | $1,142.68 | — |
| United | MGMCD | $1,167.76 | — |
| Molina Healthcare | STARPLUS | $1,197.10 | — |
| Molina Healthcare | CHIP | $1,197.10 | — |
| Molina Healthcare | STAR | $1,197.10 | — |
| Molina Healthcare | STARKIDS | $1,197.10 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,218.86 | — |
| Community Health Choice MCD | STAR+PLUS | $1,218.86 | — |
| Community Health Choice MCD | STAR | $1,218.86 | — |
| Community Health Choice MCD | CHIP | $1,218.86 | — |
| Humana | MCD | $1,360.34 | — |
| Aetna Better Health | MGMCD | $1,373.83 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | CHPFC | $2,369.00 | — |
| Superior Health Plan | STAR | $2,369.00 | — |
| WellMed | MGMCR | $3,303.34 | — |
| Fidelis SecureCare of TX | MGMCR | $4,505.00 | — |
| United | SmallGroup | $4,760.00 | — |
| BCBS | MyBlueHealth | $4,763.16 | — |
| Healthcare Highways | NarrowNetwork | $4,988.00 | — |
| Aetna | NBPOS | $5,202.00 | — |
| Aetna | NBHMO | $5,202.00 | — |
| Aetna | NBPPO | $5,202.00 | — |
| BCBS | BAV | $5,365.40 | — |
| Aetna | COMMPOS | $5,527.00 | — |
| Aetna | COMMPPO | $5,527.00 | — |
| Aetna | COMMHMO | $5,527.00 | — |
| Texas Childrens Health Plans | STAR | $5,604.59 | — |
| Texas Childrens Health Plans | STARKIDS | $5,604.59 | — |
| Texas Childrens Health Plans | CHIP | $5,604.59 | — |
| BCBS | HMO | $5,666.52 | — |
| Curative Administrators | COMM | $5,849.00 | — |
| United | NarrowNetworkIndivExchange | $5,951.00 | — |
| Evry Health | BroadNetwork | $6,077.00 | — |
| BCBS | EPOSOA | $6,241.39 | — |
| Aetna | OONHMO | $6,503.00 | — |
| Aetna | OONPOS | $6,503.00 | — |
| Aetna | OONPPO | $6,503.00 | — |
| BCBS | PPO | $6,788.88 | — |
| United | AllPayerAppendix | $6,800.00 | — |
| Oscar | HIX | $7,014.00 | — |
| Aetna | ASAPOS | $7,026.00 | — |
| Aetna | ASAPPO | $7,026.00 | — |
| Aetna | ASAHMO | $7,026.00 | — |
| Averde Health | Commercial | $7,500.00 | — |
| Cigna | CSN | $10,908.00 | — |
| Cigna | OpenAccessPlus | $11,818.00 | — |
| Cigna | PPO | $14,052.00 | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Meniscus Trimming) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | not published | $1,929.00 – $1,929.00 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,929.00 – $1,929.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,142.68 – $5,604.59 |
| Houston Methodist Willowbrook Hospital | Houston | not published | $3,127.85 – $7,838.00 |
| Houston Methodist Hospital | Houston | not published | $3,286.91 – $13,147.64 |
| Houston Methodist West Hospital | Houston | not published | $3,127.85 – $13,147.64 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,142.68 – $5,611.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,896.44 | $71.00 – $8,844.66 |