Lymphocyte transformation mitogen 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.
$40.37 with Texas Health Network vs $654.93 with Humana — 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 | $40.37 | — |
| Texas Childrens Health Plans | STAR | $41.19 | — |
| Community Health Choice MCD | CHIP | $41.19 | — |
| Amerigroup | MCDCHIPBH | $41.19 | — |
| Community Health Choice MCD | STAR | $41.19 | — |
| Amerigroup | MGMCD | $41.19 | — |
| Texas Childrens Health Plans | STARKIDS | $41.19 | — |
| Community Health Choice MCD | CHIPPerinatal | $41.19 | — |
| Community Health Choice MCD | STAR+PLUS | $41.19 | — |
| United | MGMCD | $42.01 | — |
| Aetna Better Health | MGMCD | $44.49 | — |
| Molina Healthcare | STARKIDS | $45.31 | — |
| Molina Healthcare | CHIP | $45.31 | — |
| Molina Healthcare | STARPLUS | $45.31 | — |
| Molina Healthcare | STAR | $45.31 | — |
| Oscar | MGMCR | $48.05 | — |
| WellMed | MGMCR | $48.78 | — |
| United | NarrowNetworkIndivExchange | $49.03 | — |
| Amerigroup | DualEligible | $49.03 | — |
| Cigna HealthSpring | MCRPPO | $49.03 | — |
| Cigna HealthSpring | MCRHMO | $49.03 | — |
| Humana | MedicareAdvantageHMO | $49.03 | — |
| Humana | MedicareAdvantagePPOPFFS | $49.03 | — |
| Renaissance IPA Radiology | MCR | $49.03 | — |
| Renaissance IPA Radiology | COMM | $49.03 | — |
| Kelsey Seybold | MGMCR | $49.03 | — |
| BCBS | MedicareAdvantageHMO | $49.03 | — |
| BCBS | MCRPPO | $49.03 | — |
| Cigna HealthSpring | MMP | $49.03 | — |
| Cigna HealthSpring | PFFS | $49.03 | — |
| Devoted Health | MGMCR | $49.03 | — |
| TriWest Healthcare Alliance | Veterans | $49.03 | — |
| Cigna HealthSpring | MCRSNP | $49.03 | — |
| United | AllPayerAppendix | $49.03 | — |
| United | SmallGroup | $49.03 | — |
| CHC Harris Health | Indigent | $49.03 | — |
| Aetna | MCR | $49.45 | — |
| Van Lang IPA | MCR | $49.52 | — |
| United | MCR | $50.01 | — |
| WellCare | POS | $50.50 | — |
| Integranet Amerigroup IPA | MCR | $50.50 | — |
| WellCare | SNP | $50.50 | — |
| WellCare | PPO | $50.50 | — |
| WellCare | PFFS | $50.50 | — |
| WellCare | MCRHMO | $50.50 | — |
| Superior Health Plan | MCRPPO | $51.48 | — |
| American Health Plan | MGMCR | $51.48 | — |
| Superior Health Plan | DualEligible | $51.48 | — |
| Superior Health Plan | MCRHMO | $51.48 | — |
| Superior Health Plan | MCRPOS | $51.48 | — |
| Superior Health Plan | MCRSNP | $51.48 | — |
| Superior Health Plan | PFFS | $51.48 | — |
| ProCare Advantage | MGMCR | $51.48 | — |
| Shared Health | MGMCR | $51.48 | — |
| Humana | MCD | $51.49 | — |
| Provider Partners Health Plan of Texas | PPO | $51.97 | — |
| Provider Partners Health Plan of Texas | PFFS | $51.97 | — |
| Provider Partners Health Plan of Texas | SNP | $51.97 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $51.97 | — |
| Provider Partners Health Plan of Texas | POS | $51.97 | — |
| TriWest Health Alliance | TRCR | $53.07 | — |
| Christus (USFHP) | TRICARE | $53.07 | — |
| Molina | MGMCR | $53.44 | — |
| Universal Healthcare Group | MCR | $58.84 | — |
| Verda Health Plan | MCR | $63.74 | — |
| Community Health Choice | HIX | $71.09 | — |
| Superior | ValueHMO | $71.09 | — |
| Superior | HMO | $76.00 | — |
| Superior | EPO | $76.00 | — |
| Corvel Corporation | WORKERSCOMP | $97.08 | — |
| BCBS | MyBlueHealth | $99.04 | — |
| OMNI Healthcare | WORKERSCOMP | $102.96 | — |
| Molina Healthcare | HIX | $105.41 | — |
| BCBS | BAV | $109.34 | — |
| BCBS | HMO | $136.79 | — |
| Oscar | HIX | $141.70 | — |
| BCBS | EPOSOA | $146.60 | — |
| Healthcare Highways | NarrowNetwork | $147.09 | — |
| BCBS | PPO | $156.41 | — |
| Aetna | QHPExchange | $179.59 | — |
| Cigna | CSN | $202.12 | — |
| Cigna | OpenAccessPlus | $218.93 | — |
| Aetna | NBPOS | $238.84 | — |
| Aetna | NBPPO | $238.84 | — |
| Aetna | NBHMO | $238.84 | — |
| Aetna | COMMPOS | $253.74 | — |
| Aetna | COMMHMO | $253.74 | — |
| Aetna | COMMPPO | $253.74 | — |
| Cigna | PPO | $260.47 | — |
| Aetna | OONPOS | $298.08 | — |
| Aetna | OONPPO | $298.08 | — |
| Aetna | OONHMO | $298.08 | — |
| Aetna | ASAPOS | $322.30 | — |
| Aetna | ASAHMO | $322.30 | — |
| Aetna | ASAPPO | $322.30 | — |
| Humana | HMO | $654.93 | — |
| Humana | PPO | $654.93 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Lymphocyte transformation mitogen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $44.45 | $34.29 – $159.35 |
| St. Luke's Health - The Vintage Hospital | Houston | $44.45 | $34.29 – $159.35 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $41.19 – $202.12 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $41.19 – $202.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,239.31 | $10.00 – $497.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $463.13 | $12.00 – $497.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $463.13 | $12.00 – $414.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,239.31 | $10.00 – $497.31 |