Lung Function Test (Spirometry) at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,920.00
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.
$1,920.00
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.
$115.20 with Superior Health Plan vs $1,728.00 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 |
|---|---|---|---|
| Superior Health Plan | STAR | $115.20 | ↓ -94% |
| Superior Health Plan | STARPLUS | $115.20 | ↓ -94% |
| Superior Health Plan | STARKids | $115.20 | ↓ -94% |
| Superior Health Plan | CHIP | $115.20 | ↓ -94% |
| Superior Health Plan | CHPFC | $115.20 | ↓ -94% |
| Community Health Choice MCD | STAR+PLUS | $249.60 | ↓ -87% |
| Community Health Choice MCD | STAR | $249.60 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $249.60 | ↓ -87% |
| Community Health Choice MCD | CHIP | $249.60 | ↓ -87% |
| Humana | HMO | $256.06 | ↓ -87% |
| Humana | PPO | $256.06 | ↓ -87% |
| Amerigroup | MGMCD | $268.80 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $268.80 | ↓ -86% |
| Cigna | CSN | $284.16 | ↓ -85% |
| Texas Athletic Network | Premier | $300.00 | ↓ -84% |
| Cigna | OpenAccessPlus | $307.20 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $318.72 | ↓ -83% |
| United | OptionsPPO | $322.56 | ↓ -83% |
| BCBS | MyBlueHealth | $323.74 | ↓ -83% |
| BCBS | BAV | $356.94 | ↓ -81% |
| Cigna | PPO | $364.80 | ↓ -81% |
| Oscar | HIX | $374.40 | ↓ -81% |
| BCBS | HMO | $446.87 | ↓ -77% |
| Texas Childrens Health Plans | STAR | $455.04 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $455.04 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $460.80 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $489.60 | ↓ -75% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -74% |
| BCBS | EPOSOA | $502.21 | ↓ -74% |
| Aetna | QHPExchange | $508.80 | ↓ -74% |
| Evry Health | BroadNetwork | $524.16 | ↓ -73% |
| BCBS | PPO | $556.17 | ↓ -71% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -69% |
| Aetna | NBHMO | $616.32 | ↓ -68% |
| Aetna | NBPOS | $616.32 | ↓ -68% |
| Aetna | NBPPO | $616.32 | ↓ -68% |
| Aetna | COMMPPO | $656.64 | ↓ -66% |
| Aetna | COMMHMO | $656.64 | ↓ -66% |
| Aetna | COMMPOS | $656.64 | ↓ -66% |
| BCBS | Traditional | $672.00 | ↓ -65% |
| Imagine Health | PPO | $672.00 | ↓ -65% |
| Curative Administrators | COMM | $768.00 | ↓ -60% |
| Christus (USFHP) | TRICARE | $768.00 | ↓ -60% |
| Aetna | OONPOS | $769.92 | ↓ -60% |
| Aetna | OONPPO | $769.92 | ↓ -60% |
| Aetna | OONHMO | $769.92 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $825.60 | ↓ -57% |
| Aetna | ASAPOS | $831.36 | ↓ -57% |
| Aetna | ASAPPO | $831.36 | ↓ -57% |
| Aetna | ASAHMO | $831.36 | ↓ -57% |
| Averde Health | Commercial | $864.00 | ↓ -55% |
| United | GlobalAppendix | $864.00 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $864.00 | ↓ -55% |
| Coventry National First Health | COMM | $1,023.36 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $1,056.00 | ↓ -45% |
| Rockport Workers Comp | COMM | $1,056.00 | ↓ -45% |
| Triumph | COMM | $1,152.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $1,152.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $1,152.00 | ↓ -40% |
| Independent Medical System | COMM | $1,152.00 | ↓ -40% |
| Coastal Comp | COMM | $1,248.00 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $1,440.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $1,536.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,574.40 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,632.00 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,632.00 | ↓ -15% |
| Physicians, INC | COMM | $1,632.00 | ↓ -15% |
| Affiliated PPO | COMM | $1,728.00 | ↓ -10% |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $1,879.99 | $256.06 – $323.74 |
| Baylor St Luke's Medical Center | Houston | $339.50 | $100.00 – $970.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $339.50 | $100.00 – $970.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,897.77 | $256.06 – $323.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $405.67 | $114.94 – $507.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $539.93 | $111.14 – $809.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $600.80 | $120.16 – $751.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $405.67 | $108.18 – $507.09 |