Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$464.00
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.
$464.00
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.
$0.01 with Christus (USFHP) vs $417.60 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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $0.01 | ↓ -100% |
| TriWest Health Alliance | TRCR | $0.01 | ↓ -100% |
| BCBS | BAV | $0.02 | ↓ -100% |
| United | AllPayerAppendix | $0.02 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $0.02 | ↓ -100% |
| United | SmallGroup | $0.02 | ↓ -100% |
| Cigna | CSN | $0.02 | ↓ -100% |
| BCBS | MyBlueHealth | $0.02 | ↓ -100% |
| BCBS | EPOSOA | $0.03 | ↓ -100% |
| Cigna | PPO | $0.03 | ↓ -100% |
| BCBS | HMO | $0.03 | ↓ -100% |
| BCBS | PPO | $0.03 | ↓ -100% |
| Cigna | OpenAccessPlus | $0.03 | ↓ -100% |
| Superior Health Plan | CHPFC | $27.84 | ↓ -94% |
| Superior Health Plan | STAR | $27.84 | ↓ -94% |
| Superior Health Plan | STARKids | $27.84 | ↓ -94% |
| Superior Health Plan | STARPLUS | $27.84 | ↓ -94% |
| Superior Health Plan | CHIP | $27.84 | ↓ -94% |
| Aetna | MCR | $30.76 | ↓ -93% |
| Community Health Choice MCD | CHIPPerinatal | $60.32 | ↓ -87% |
| Community Health Choice MCD | STAR | $60.32 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $60.32 | ↓ -87% |
| Community Health Choice MCD | CHIP | $60.32 | ↓ -87% |
| Amerigroup | MGMCD | $64.96 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $64.96 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $77.02 | ↓ -83% |
| United | OptionsPPO | $77.95 | ↓ -83% |
| Superior | EPO | $81.20 | ↓ -83% |
| Superior | HMO | $81.20 | ↓ -83% |
| Superior | ValueHMO | $91.87 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $109.97 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $109.97 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $111.36 | ↓ -76% |
| Molina Healthcare | HIX | $125.28 | ↓ -73% |
| CHC Harris Health | Indigent | $139.20 | ↓ -70% |
| Humana | PPO | $148.06 | ↓ -68% |
| Humana | HMO | $148.06 | ↓ -68% |
| BCBS | Traditional | $162.40 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $199.52 | ↓ -57% |
| United | GlobalAppendix | $208.80 | ↓ -55% |
| Coventry National First Health | COMM | $247.31 | ↓ -47% |
| Rockport Workers Comp | COMM | $255.20 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $255.20 | ↓ -45% |
| Triumph | COMM | $278.40 | ↓ -40% |
| Independent Medical System | COMM | $278.40 | ↓ -40% |
| National Healthcare Solutions | COMM | $278.40 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $278.40 | ↓ -40% |
| Coastal Comp | COMM | $301.60 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $348.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $371.20 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $380.48 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $394.40 | ↓ -15% |
| Physicians, INC | COMM | $394.40 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $394.40 | ↓ -15% |
| Affiliated PPO | COMM | $417.60 | ↓ -10% |
Visitor-reported prices
Comments
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $32.39 | $0.01 – $0.02 |
| Baylor St Luke's Medical Center | Houston | $27.97 | $17.58 – $79.90 |
| St. Luke's Health - The Vintage Hospital | Houston | $27.97 | $17.58 – $79.90 |
| HCA HOUSTON TOMBALL | HOUSTON | $32.09 | $0.01 – $0.02 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $28.80 | $0.00 – $35.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28.80 | $0.00 – $37.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28.80 | $0.00 – $31.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $28.80 | $0.00 – $35.70 |