Manipulation chest wall initial demonstration/evaluation at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$411.00
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.
$411.00
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.
$24.66 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 | $24.66 | ↓ -94% |
| Superior Health Plan | STARPLUS | $24.66 | ↓ -94% |
| Superior Health Plan | STARKids | $24.66 | ↓ -94% |
| Superior Health Plan | STAR | $24.66 | ↓ -94% |
| Superior Health Plan | CHPFC | $24.66 | ↓ -94% |
| Community Health Choice MCD | STAR | $53.43 | ↓ -87% |
| Community Health Choice MCD | CHIP | $53.43 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $53.43 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $53.43 | ↓ -87% |
| Amerigroup | MGMCD | $57.54 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $57.54 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $68.23 | ↓ -83% |
| United | OptionsPPO | $69.05 | ↓ -83% |
| Oscar | HIX | $80.14 | ↓ -81% |
| Texas Childrens Health Plans | STARKIDS | $97.41 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $97.41 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $98.64 | ↓ -76% |
| Aetna | QHPExchange | $108.92 | ↓ -73% |
| Aetna | NBHMO | $131.93 | ↓ -68% |
| Aetna | NBPPO | $131.93 | ↓ -68% |
| Aetna | NBPOS | $131.93 | ↓ -68% |
| Aetna | COMMPOS | $140.56 | ↓ -66% |
| Aetna | COMMHMO | $140.56 | ↓ -66% |
| Aetna | COMMPPO | $140.56 | ↓ -66% |
| BCBS | Traditional | $143.85 | ↓ -65% |
| Christus (USFHP) | TRICARE | $164.40 | ↓ -60% |
| Aetna | OONPOS | $164.81 | ↓ -60% |
| Aetna | OONHMO | $164.81 | ↓ -60% |
| Aetna | OONPPO | $164.81 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $176.73 | ↓ -57% |
| Aetna | ASAPPO | $177.96 | ↓ -57% |
| Aetna | ASAPOS | $177.96 | ↓ -57% |
| Aetna | ASAHMO | $177.96 | ↓ -57% |
| Averde Health | Commercial | $184.95 | ↓ -55% |
| United | GlobalAppendix | $184.95 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $184.95 | ↓ -55% |
| Coventry National First Health | COMM | $219.06 | ↓ -47% |
| Rockport Workers Comp | COMM | $226.05 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $226.05 | ↓ -45% |
| National Healthcare Solutions | COMM | $246.60 | ↓ -40% |
| Independent Medical System | COMM | $246.60 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $246.60 | ↓ -40% |
| Triumph | COMM | $246.60 | ↓ -40% |
| Humana | PPO | $248.95 | ↓ -39% |
| Humana | HMO | $248.95 | ↓ -39% |
| BCBS | MyBlueHealth | $255.13 | ↓ -38% |
| Coastal Comp | COMM | $267.15 | ↓ -35% |
| BCBS | BAV | $281.30 | ↓ -32% |
| Texas Athletic Network | Premier | $300.00 | ↓ -27% |
| Multiplan | PHCSPrimaryNetwork | $308.25 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $328.80 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $337.02 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $349.35 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $349.35 | ↓ -15% |
| Physicians, INC | COMM | $349.35 | ↓ -15% |
| BCBS | HMO | $352.17 | ↓ -14% |
| Affiliated PPO | COMM | $369.90 | ↓ -10% |
| BCBS | EPOSOA | $395.78 | ↓ -4% |
| BCBS | PPO | $438.30 | ↑ +7% |
| Texas Athletic Network | PremierPlus | $500.00 | ↑ +22% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↑ +46% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $171.85 | $248.95 – $255.13 |
| Baylor St Luke's Medical Center | Houston | $128.80 | $47.84 – $368.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $128.80 | $99.36 – $368.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $169.18 | $248.95 – $255.13 |
| Adventhealth Rollins Brook | Lampasas | $572.01 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $226.54 | $64.19 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $216.95 | $44.66 – $325.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $202.10 | $40.42 – $316.45 |