Lipase 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.
$5.67 with Texas Health Network vs $591.30 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 | $5.67 | — |
| Amerigroup | MCDCHIPBH | $5.79 | — |
| Texas Childrens Health Plans | STAR | $5.79 | — |
| Texas Childrens Health Plans | STARKIDS | $5.79 | — |
| Community Health Choice MCD | CHIPPerinatal | $5.79 | — |
| Community Health Choice MCD | STAR+PLUS | $5.79 | — |
| Amerigroup | MGMCD | $5.79 | — |
| Community Health Choice MCD | CHIP | $5.79 | — |
| Community Health Choice MCD | STAR | $5.79 | — |
| United | MGMCD | $5.91 | — |
| Aetna Better Health | MGMCD | $6.25 | — |
| Molina Healthcare | STAR | $6.37 | — |
| Molina Healthcare | STARPLUS | $6.37 | — |
| Molina Healthcare | STARKIDS | $6.37 | — |
| Molina Healthcare | CHIP | $6.37 | — |
| Oscar | MGMCR | $6.75 | — |
| WellMed | MGMCR | $6.86 | — |
| Humana | MedicareAdvantagePPOPFFS | $6.89 | — |
| Devoted Health | MGMCR | $6.89 | — |
| Humana | MedicareAdvantageHMO | $6.89 | — |
| CHC Harris Health | Indigent | $6.89 | — |
| TriWest Healthcare Alliance | Veterans | $6.89 | — |
| Renaissance IPA Radiology | MCR | $6.89 | — |
| Renaissance IPA Radiology | COMM | $6.89 | — |
| Kelsey Seybold | MGMCR | $6.89 | — |
| United | AllPayerAppendix | $6.89 | — |
| United | NarrowNetworkIndivExchange | $6.89 | — |
| United | SmallGroup | $6.89 | — |
| Amerigroup | DualEligible | $6.89 | — |
| Cigna HealthSpring | MCRHMO | $6.89 | — |
| Cigna HealthSpring | MCRPPO | $6.89 | — |
| Cigna HealthSpring | MCRSNP | $6.89 | — |
| Cigna HealthSpring | PFFS | $6.89 | — |
| Cigna HealthSpring | MMP | $6.89 | — |
| BCBS | MCRPPO | $6.89 | — |
| BCBS | MedicareAdvantageHMO | $6.89 | — |
| Aetna | MCR | $6.95 | — |
| Van Lang IPA | MCR | $6.96 | — |
| United | MCR | $7.03 | — |
| WellCare | SNP | $7.10 | — |
| WellCare | POS | $7.10 | — |
| WellCare | PFFS | $7.10 | — |
| WellCare | PPO | $7.10 | — |
| Integranet Amerigroup IPA | MCR | $7.10 | — |
| WellCare | MCRHMO | $7.10 | — |
| ProCare Advantage | MGMCR | $7.23 | — |
| American Health Plan | MGMCR | $7.23 | — |
| Superior Health Plan | DualEligible | $7.23 | — |
| Superior Health Plan | MCRHMO | $7.23 | — |
| Shared Health | MGMCR | $7.23 | — |
| Superior Health Plan | MCRPOS | $7.23 | — |
| Superior Health Plan | MCRPPO | $7.23 | — |
| Superior Health Plan | MCRSNP | $7.23 | — |
| Superior Health Plan | PFFS | $7.23 | — |
| Humana | MCD | $7.24 | — |
| Provider Partners Health Plan of Texas | SNP | $7.30 | — |
| Provider Partners Health Plan of Texas | POS | $7.30 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $7.30 | — |
| Provider Partners Health Plan of Texas | PFFS | $7.30 | — |
| Provider Partners Health Plan of Texas | PPO | $7.30 | — |
| Christus (USFHP) | TRICARE | $7.46 | — |
| TriWest Health Alliance | TRCR | $7.46 | — |
| Molina | MGMCR | $7.51 | — |
| Universal Healthcare Group | MCR | $8.27 | — |
| Verda Health Plan | MCR | $8.96 | — |
| Superior | ValueHMO | $9.99 | — |
| Community Health Choice | HIX | $9.99 | — |
| Superior | HMO | $10.68 | — |
| Superior | EPO | $10.68 | — |
| Corvel Corporation | WORKERSCOMP | $13.64 | — |
| BCBS | MyBlueHealth | $13.92 | — |
| OMNI Healthcare | WORKERSCOMP | $14.47 | — |
| Molina Healthcare | HIX | $14.81 | — |
| BCBS | BAV | $15.36 | — |
| BCBS | HMO | $19.22 | — |
| Oscar | HIX | $19.91 | — |
| BCBS | EPOSOA | $20.60 | — |
| Healthcare Highways | NarrowNetwork | $20.68 | — |
| BCBS | PPO | $21.98 | — |
| Aetna | QHPExchange | $25.26 | — |
| Cigna | CSN | $27.89 | — |
| Cigna | OpenAccessPlus | $30.20 | — |
| Aetna | NBHMO | $33.59 | — |
| Aetna | NBPOS | $33.59 | — |
| Aetna | NBPPO | $33.59 | — |
| Aetna | COMMPOS | $35.68 | — |
| Aetna | COMMHMO | $35.68 | — |
| Aetna | COMMPPO | $35.68 | — |
| Cigna | PPO | $35.94 | — |
| Superior Health Plan | STARPLUS | $39.42 | — |
| Superior Health Plan | CHIP | $39.42 | — |
| Superior Health Plan | CHPFC | $39.42 | — |
| Superior Health Plan | STAR | $39.42 | — |
| Superior Health Plan | STARKids | $39.42 | — |
| Aetna | OONPPO | $41.92 | — |
| Aetna | OONHMO | $41.92 | — |
| Aetna | OONPOS | $41.92 | — |
| Aetna | ASAHMO | $45.33 | — |
| Aetna | ASAPPO | $45.33 | — |
| Aetna | ASAPOS | $45.33 | — |
| Humana | PPO | $92.08 | — |
| Humana | HMO | $92.08 | — |
| Texas Childrens Health Plans | CHIP | $109.06 | — |
| United | OptionsPPO | $110.38 | — |
| Texas Workforce Commission | WCOMP | $157.68 | — |
| Evry Health | BroadNetwork | $179.36 | — |
| Imagine Health | PPO | $229.95 | — |
| BCBS | Traditional | $229.95 | — |
| HealthSmart Preferred Care | ACCEL | $282.51 | — |
| United | GlobalAppendix | $295.65 | — |
| Fidelis SecureCare of TX | MGMCR | $295.65 | — |
| Averde Health | Commercial | $295.65 | — |
| Coventry National First Health | COMM | $350.18 | — |
| Physicians Cooperative of Texas | WC | $361.35 | — |
| Rockport Workers Comp | COMM | $361.35 | — |
| Independent Medical System | COMM | $394.20 | — |
| Triumph | COMM | $394.20 | — |
| SouthWest Medical | WORKERSCOMP | $394.20 | — |
| National Healthcare Solutions | COMM | $394.20 | — |
| Coastal Comp | COMM | $427.05 | — |
| Multiplan | PHCSPrimaryNetwork | $492.75 | — |
| Cigna Behavioral Health | COMMBH | $525.60 | — |
| HealthSmart Preferred Care | PPO | $538.74 | — |
| Physicians, INC | COMM | $558.45 | — |
| Multiplan | ComplementaryNetwork | $558.45 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $558.45 | — |
| Affiliated PPO | COMM | $591.30 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Lipase at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $160.65 | $4.96 – $459.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $160.65 | $4.96 – $459.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5.79 – $27.89 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5.79 – $27.89 |
| Adventhealth Rollins Brook | Lampasas | $326.49 | $6.20 – $26.53 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $130.62 | $5.79 – $16.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $93.58 | $2.32 – $16.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $93.58 | $5.79 – $16.54 |