Legion pneumo dna quant at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,088.00
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.
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What you pay up front if you don't use insurance.
$1,088.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$34.38 with Texas Health Network vs $979.20 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 Health Network | MCD | $34.38 | ↓ -97% |
| Texas Childrens Health Plans | STAR | $35.08 | ↓ -97% |
| Community Health Choice MCD | CHIP | $35.08 | ↓ -97% |
| Community Health Choice MCD | CHIPPerinatal | $35.08 | ↓ -97% |
| Community Health Choice MCD | STAR | $35.08 | ↓ -97% |
| Community Health Choice MCD | STAR+PLUS | $35.08 | ↓ -97% |
| Amerigroup | MGMCD | $35.08 | ↓ -97% |
| Amerigroup | MCDCHIPBH | $35.08 | ↓ -97% |
| Texas Childrens Health Plans | STARKIDS | $35.08 | ↓ -97% |
| United | MGMCD | $35.78 | ↓ -97% |
| Aetna Better Health | MGMCD | $37.89 | ↓ -97% |
| Molina Healthcare | STARPLUS | $38.59 | ↓ -96% |
| Molina Healthcare | STAR | $38.59 | ↓ -96% |
| Molina Healthcare | STARKIDS | $38.59 | ↓ -96% |
| Molina Healthcare | CHIP | $38.59 | ↓ -96% |
| Oscar | MGMCR | $40.92 | ↓ -96% |
| WellMed | MGMCR | $41.55 | ↓ -96% |
| TriWest Healthcare Alliance | Veterans | $41.76 | ↓ -96% |
| Cigna HealthSpring | MCRSNP | $41.76 | ↓ -96% |
| Cigna HealthSpring | PFFS | $41.76 | ↓ -96% |
| Cigna HealthSpring | MMP | $41.76 | ↓ -96% |
| Cigna HealthSpring | MCRPPO | $41.76 | ↓ -96% |
| Humana | MedicareAdvantageHMO | $41.76 | ↓ -96% |
| Humana | MedicareAdvantagePPOPFFS | $41.76 | ↓ -96% |
| Renaissance IPA Radiology | MCR | $41.76 | ↓ -96% |
| Renaissance IPA Radiology | COMM | $41.76 | ↓ -96% |
| Kelsey Seybold | MGMCR | $41.76 | ↓ -96% |
| Devoted Health | MGMCR | $41.76 | ↓ -96% |
| CHC Harris Health | Indigent | $41.76 | ↓ -96% |
| United | AllPayerAppendix | $41.76 | ↓ -96% |
| BCBS | MedicareAdvantageHMO | $41.76 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $41.76 | ↓ -96% |
| United | SmallGroup | $41.76 | ↓ -96% |
| Amerigroup | DualEligible | $41.76 | ↓ -96% |
| BCBS | MCRPPO | $41.76 | ↓ -96% |
| Cigna HealthSpring | MCRHMO | $41.76 | ↓ -96% |
| Aetna | MCR | $42.11 | ↓ -96% |
| Van Lang IPA | MCR | $42.18 | ↓ -96% |
| United | MCR | $42.60 | ↓ -96% |
| WellCare | PFFS | $43.01 | ↓ -96% |
| WellCare | POS | $43.01 | ↓ -96% |
| WellCare | SNP | $43.01 | ↓ -96% |
| WellCare | PPO | $43.01 | ↓ -96% |
| Integranet Amerigroup IPA | MCR | $43.01 | ↓ -96% |
| WellCare | MCRHMO | $43.01 | ↓ -96% |
| Shared Health | MGMCR | $43.85 | ↓ -96% |
| ProCare Advantage | MGMCR | $43.85 | ↓ -96% |
| Superior Health Plan | MCRHMO | $43.85 | ↓ -96% |
| Superior Health Plan | DualEligible | $43.85 | ↓ -96% |
| American Health Plan | MGMCR | $43.85 | ↓ -96% |
| Humana | MCD | $43.85 | ↓ -96% |
| Superior Health Plan | MCRPOS | $43.85 | ↓ -96% |
| Superior Health Plan | MCRPPO | $43.85 | ↓ -96% |
| Superior Health Plan | MCRSNP | $43.85 | ↓ -96% |
| Superior Health Plan | PFFS | $43.85 | ↓ -96% |
| Provider Partners Health Plan of Texas | POS | $44.27 | ↓ -96% |
| Provider Partners Health Plan of Texas | MCRHMO | $44.27 | ↓ -96% |
| Provider Partners Health Plan of Texas | PPO | $44.27 | ↓ -96% |
| Provider Partners Health Plan of Texas | SNP | $44.27 | ↓ -96% |
| Provider Partners Health Plan of Texas | PFFS | $44.27 | ↓ -96% |
| Christus (USFHP) | TRICARE | $45.20 | ↓ -96% |
| TriWest Health Alliance | TRCR | $45.20 | ↓ -96% |
| Molina | MGMCR | $45.52 | ↓ -96% |
| Universal Healthcare Group | MCR | $50.11 | ↓ -95% |
| Verda Health Plan | MCR | $54.29 | ↓ -95% |
| Community Health Choice | HIX | $60.55 | ↓ -94% |
| Superior | ValueHMO | $60.55 | ↓ -94% |
| Superior | HMO | $64.73 | ↓ -94% |
| Superior | EPO | $64.73 | ↓ -94% |
| Superior Health Plan | STARPLUS | $65.28 | ↓ -94% |
| Superior Health Plan | CHIP | $65.28 | ↓ -94% |
| Superior Health Plan | CHPFC | $65.28 | ↓ -94% |
| Superior Health Plan | STAR | $65.28 | ↓ -94% |
| Superior Health Plan | STARKids | $65.28 | ↓ -94% |
| Corvel Corporation | WORKERSCOMP | $82.68 | ↓ -92% |
| BCBS | MyBlueHealth | $84.36 | ↓ -92% |
| OMNI Healthcare | WORKERSCOMP | $87.70 | ↓ -92% |
| Molina Healthcare | HIX | $89.78 | ↓ -92% |
| BCBS | BAV | $93.12 | ↓ -91% |
| BCBS | HMO | $116.51 | ↓ -89% |
| Oscar | HIX | $120.69 | ↓ -89% |
| BCBS | EPOSOA | $124.86 | ↓ -89% |
| Healthcare Highways | NarrowNetwork | $125.27 | ↓ -88% |
| BCBS | PPO | $133.21 | ↓ -88% |
| Aetna | QHPExchange | $152.99 | ↓ -86% |
| Cigna | CSN | $171.47 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $180.61 | ↓ -83% |
| United | OptionsPPO | $182.78 | ↓ -83% |
| Cigna | OpenAccessPlus | $185.72 | ↓ -83% |
| Aetna | NBPOS | $203.45 | ↓ -81% |
| Aetna | NBHMO | $203.45 | ↓ -81% |
| Aetna | NBPPO | $203.45 | ↓ -81% |
| Aetna | COMMPPO | $216.15 | ↓ -80% |
| Aetna | COMMHMO | $216.15 | ↓ -80% |
| Aetna | COMMPOS | $216.15 | ↓ -80% |
| Cigna | PPO | $220.97 | ↓ -80% |
| Aetna | OONHMO | $253.92 | ↓ -77% |
| Aetna | OONPPO | $253.92 | ↓ -77% |
| Aetna | OONPOS | $253.92 | ↓ -77% |
| Texas Workforce Commission | WCOMP | $261.12 | ↓ -76% |
| Aetna | ASAPPO | $274.55 | ↓ -75% |
| Aetna | ASAHMO | $274.55 | ↓ -75% |
| Aetna | ASAPOS | $274.55 | ↓ -75% |
| Evry Health | BroadNetwork | $297.02 | ↓ -73% |
| Imagine Health | PPO | $380.80 | ↓ -65% |
| BCBS | Traditional | $380.80 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $467.84 | ↓ -57% |
| Averde Health | Commercial | $489.60 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $489.60 | ↓ -55% |
| United | GlobalAppendix | $489.60 | ↓ -55% |
| Humana | HMO | $557.77 | ↓ -49% |
| Humana | PPO | $557.77 | ↓ -49% |
| Coventry National First Health | COMM | $579.90 | ↓ -47% |
| Rockport Workers Comp | COMM | $598.40 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $598.40 | ↓ -45% |
| Independent Medical System | COMM | $652.80 | ↓ -40% |
| National Healthcare Solutions | COMM | $652.80 | ↓ -40% |
| Triumph | COMM | $652.80 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $652.80 | ↓ -40% |
| Coastal Comp | COMM | $707.20 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $816.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $870.40 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $892.16 | ↓ -18% |
| Physicians, INC | COMM | $924.80 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $924.80 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $924.80 | ↓ -15% |
| Affiliated PPO | COMM | $979.20 | ↓ -10% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Legion pneumo dna quant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $35.08 – $171.47 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $35.08 – $171.47 |
| Adventhealth Rollins Brook | Lampasas | not published | $37.58 – $160.78 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $34.38 – $171.47 |
| Covenant Children's Hospital | Lubbock | not published | $91.20 – $182.07 |
| HCA HOUSTON CONROE | CONROE | not published | $34.38 – $171.47 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $34.38 – $171.47 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $35.08 – $171.47 |