Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback 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.

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The hospital's undiscounted list price — almost no one pays this.

$2.16 with TriWest Health Alliance vs $494.10 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.

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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
TriWest Health Alliance TRCR $2.16
Christus (USFHP) TRICARE $2.16
BCBS MyBlueHealth $2.82
BCBS BAV $3.11
United AllPayerAppendix $3.56
United SmallGroup $3.56
United NarrowNetworkIndivExchange $3.56
BCBS PPO $3.89
BCBS EPOSOA $3.89
BCBS HMO $3.89
Cigna CSN $4.74
Cigna OpenAccessPlus $5.14
Cigna PPO $6.12
Humana HMO $13.64
Humana PPO $13.64
Superior Health Plan CHIP $32.94
Superior Health Plan STARPLUS $32.94
Superior Health Plan STARKids $32.94
Superior Health Plan STAR $32.94
Superior Health Plan CHPFC $32.94
Aetna MCR $36.40
Community Health Choice MCD STAR+PLUS $71.37
Community Health Choice MCD STAR $71.37
Community Health Choice MCD CHIP $71.37
Community Health Choice MCD CHIPPerinatal $71.37
Amerigroup MGMCD $76.86
Amerigroup MCDCHIPBH $76.86
Texas Childrens Health Plans CHIP $91.13
United OptionsPPO $92.23
Superior HMO $96.08
Superior EPO $96.08
Superior ValueHMO $108.70
Texas Childrens Health Plans STAR $130.11
Texas Childrens Health Plans STARKIDS $130.11
Texas Workforce Commission WCOMP $131.76
Molina Healthcare HIX $148.23
CHC Harris Health Indigent $164.70
BCBS Traditional $192.15
HealthSmart Preferred Care ACCEL $236.07
United GlobalAppendix $247.05
Coventry National First Health COMM $292.62
Rockport Workers Comp COMM $301.95
Physicians Cooperative of Texas WC $301.95
Triumph COMM $329.40
National Healthcare Solutions COMM $329.40
SouthWest Medical WORKERSCOMP $329.40
Independent Medical System COMM $329.40
Coastal Comp COMM $356.85
Multiplan PHCSPrimaryNetwork $411.75
Cigna Behavioral Health COMMBH $439.20
HealthSmart Preferred Care PPO $450.18
Multiplan ComplementaryNetwork $466.65
Physicians, INC COMM $466.65
HealthSmart Preferred Care ACCOUNTABLEPPO $466.65
Affiliated PPO COMM $494.10

Visitor-reported prices

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Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $371.48 $1.30 – $59.43
St. Luke's Health - The Vintage Hospital Houston $371.48 $1.57 – $59.43
HCA HOUSTON MEDICAL CENTER Houston not published $1.03 – $13.64
HCA HOUSTON TOMBALL HOUSTON not published $1.03 – $13.64
Adventhealth Rollins Brook Lampasas $190.78 $5.54 – $5.54
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $49.98 $2.38 – $34.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $49.98 $2.38 – $36.90
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $49.98 $2.38 – $30.75

All Texas hospitals for this procedure →