Manipulation chest wall demonstration/evaluation subsequent at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$162.00
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.
?
What you pay up front if you don't use insurance.
$162.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.72 with Superior Health Plan vs $600.00 with Texas Athletic Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $9.72 | ↓ -94% |
| Superior Health Plan | STARPLUS | $9.72 | ↓ -94% |
| Superior Health Plan | STARKids | $9.72 | ↓ -94% |
| Superior Health Plan | STAR | $9.72 | ↓ -94% |
| Superior Health Plan | CHPFC | $9.72 | ↓ -94% |
| Community Health Choice MCD | STAR | $21.06 | ↓ -87% |
| Community Health Choice MCD | CHIP | $21.06 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $21.06 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $21.06 | ↓ -87% |
| Amerigroup | MGMCD | $22.68 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $22.68 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $26.89 | ↓ -83% |
| United | OptionsPPO | $27.22 | ↓ -83% |
| Oscar | HIX | $31.59 | ↓ -81% |
| Texas Childrens Health Plans | STARKIDS | $38.39 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $38.39 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $38.88 | ↓ -76% |
| Aetna | QHPExchange | $42.93 | ↓ -74% |
| Aetna | NBHMO | $52.00 | ↓ -68% |
| Aetna | NBPPO | $52.00 | ↓ -68% |
| Aetna | NBPOS | $52.00 | ↓ -68% |
| Aetna | COMMPOS | $55.40 | ↓ -66% |
| Aetna | COMMHMO | $55.40 | ↓ -66% |
| Aetna | COMMPPO | $55.40 | ↓ -66% |
| BCBS | Traditional | $56.70 | ↓ -65% |
| Christus (USFHP) | TRICARE | $64.80 | ↓ -60% |
| Aetna | OONPOS | $64.96 | ↓ -60% |
| Aetna | OONHMO | $64.96 | ↓ -60% |
| Aetna | OONPPO | $64.96 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $69.66 | ↓ -57% |
| Aetna | ASAPPO | $70.15 | ↓ -57% |
| Aetna | ASAPOS | $70.15 | ↓ -57% |
| Aetna | ASAHMO | $70.15 | ↓ -57% |
| Averde Health | Commercial | $72.90 | ↓ -55% |
| United | GlobalAppendix | $72.90 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $72.90 | ↓ -55% |
| Coventry National First Health | COMM | $86.35 | ↓ -47% |
| Rockport Workers Comp | COMM | $89.10 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $89.10 | ↓ -45% |
| National Healthcare Solutions | COMM | $97.20 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $97.20 | ↓ -40% |
| Triumph | COMM | $97.20 | ↓ -40% |
| Independent Medical System | COMM | $97.20 | ↓ -40% |
| Coastal Comp | COMM | $105.30 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $121.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $129.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $132.84 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $137.70 | ↓ -15% |
| Physicians, INC | COMM | $137.70 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $137.70 | ↓ -15% |
| Affiliated PPO | COMM | $145.80 | ↓ -10% |
| BCBS | MyBlueHealth | $255.13 | ↑ +57% |
| BCBS | BAV | $281.30 | ↑ +74% |
| Humana | PPO | $298.34 | ↑ +84% |
| Humana | HMO | $298.34 | ↑ +84% |
| Texas Athletic Network | Premier | $300.00 | ↑ +85% |
| BCBS | HMO | $352.17 | ↑ +117% |
| BCBS | EPOSOA | $395.78 | ↑ +144% |
| BCBS | PPO | $438.30 | ↑ +171% |
| Texas Athletic Network | PremierPlus | $500.00 | ↑ +209% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↑ +270% |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $130.81 | $255.13 – $298.34 |
| Baylor St Luke's Medical Center | Houston | $135.80 | $47.84 – $388.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $135.80 | $100.00 – $388.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $128.40 | $255.13 – $298.34 |
| Adventhealth Rollins Brook | Lampasas | $354.44 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $172.78 | $48.95 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $156.60 | $32.23 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $156.60 | $31.32 – $316.45 |