M/phmtrc alys ishquant/semiq at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$699.00
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.
$699.00
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.
$41.94 with Superior Health Plan vs $629.10 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.
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 | CHIP | $41.94 | ↓ -94% |
| Superior Health Plan | STARPLUS | $41.94 | ↓ -94% |
| Superior Health Plan | STARKids | $41.94 | ↓ -94% |
| Superior Health Plan | STAR | $41.94 | ↓ -94% |
| Superior Health Plan | CHPFC | $41.94 | ↓ -94% |
| Aetna | MCR | $46.34 | ↓ -93% |
| United | AllPayerAppendix | $47.11 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $47.11 | ↓ -93% |
| United | SmallGroup | $47.11 | ↓ -93% |
| Community Health Choice MCD | STAR+PLUS | $90.87 | ↓ -87% |
| Community Health Choice MCD | STAR | $90.87 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $90.87 | ↓ -87% |
| Community Health Choice MCD | CHIP | $90.87 | ↓ -87% |
| BCBS | MyBlueHealth | $96.82 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $97.86 | ↓ -86% |
| Amerigroup | MGMCD | $97.86 | ↓ -86% |
| BCBS | BAV | $106.88 | ↓ -85% |
| Texas Childrens Health Plans | CHIP | $116.03 | ↓ -83% |
| United | OptionsPPO | $117.43 | ↓ -83% |
| Superior | HMO | $122.33 | ↓ -82% |
| Superior | EPO | $122.33 | ↓ -82% |
| BCBS | HMO | $133.72 | ↓ -81% |
| Oscar | HIX | $136.31 | ↓ -80% |
| Superior | ValueHMO | $138.40 | ↓ -80% |
| BCBS | EPOSOA | $143.31 | ↓ -79% |
| BCBS | PPO | $152.90 | ↓ -78% |
| Texas Childrens Health Plans | STAR | $165.66 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $165.66 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $167.76 | ↓ -76% |
| Aetna | QHPExchange | $168.27 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $178.25 | ↓ -74% |
| Cigna | CSN | $182.60 | ↓ -74% |
| Molina Healthcare | HIX | $188.73 | ↓ -73% |
| Evry Health | BroadNetwork | $190.83 | ↓ -73% |
| Cigna | OpenAccessPlus | $197.78 | ↓ -72% |
| CHC Harris Health | Indigent | $209.70 | ↓ -70% |
| Aetna | NBPOS | $223.77 | ↓ -68% |
| Aetna | NBPPO | $223.77 | ↓ -68% |
| Aetna | NBHMO | $223.77 | ↓ -68% |
| Cigna | PPO | $235.31 | ↓ -66% |
| Aetna | COMMHMO | $237.74 | ↓ -66% |
| Aetna | COMMPOS | $237.74 | ↓ -66% |
| Aetna | COMMPPO | $237.74 | ↓ -66% |
| Imagine Health | PPO | $244.65 | ↓ -65% |
| BCBS | Traditional | $244.65 | ↓ -65% |
| Aetna | OONHMO | $279.28 | ↓ -60% |
| Aetna | OONPOS | $279.28 | ↓ -60% |
| Aetna | OONPPO | $279.28 | ↓ -60% |
| Christus (USFHP) | TRICARE | $279.60 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $300.57 | ↓ -57% |
| Aetna | ASAPOS | $301.97 | ↓ -57% |
| Aetna | ASAPPO | $301.97 | ↓ -57% |
| Aetna | ASAHMO | $301.97 | ↓ -57% |
| United | GlobalAppendix | $314.55 | ↓ -55% |
| Averde Health | Commercial | $314.55 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $314.55 | ↓ -55% |
| Coventry National First Health | COMM | $372.57 | ↓ -47% |
| Rockport Workers Comp | COMM | $384.45 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $384.45 | ↓ -45% |
| National Healthcare Solutions | COMM | $419.40 | ↓ -40% |
| Independent Medical System | COMM | $419.40 | ↓ -40% |
| Triumph | COMM | $419.40 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $419.40 | ↓ -40% |
| Coastal Comp | COMM | $454.35 | ↓ -35% |
| Humana | PPO | $522.50 | ↓ -25% |
| Humana | HMO | $522.50 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $524.25 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $559.20 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $573.18 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $594.15 | ↓ -15% |
| Physicians, INC | COMM | $594.15 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $594.15 | ↓ -15% |
| Affiliated PPO | COMM | $629.10 | ↓ -10% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $47.11 – $522.50 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $47.11 – $522.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $82.16 | $16.91 – $123.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $82.16 | $16.43 – $247.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $82.16 | $26.37 – $302.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $82.16 | $26.00 – $123.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $82.16 | $27.39 – $247.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $82.16 | $16.43 – $247.80 |