Mastoids complete 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$60.91 with Texas Health Network vs $2,757.60 with Affiliated PPO — 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 |
|---|---|---|---|
| Texas Health Network | MCD | $60.91 | — |
| Amerigroup | MCDCHIPBH | $62.15 | — |
| Amerigroup | MGMCD | $62.15 | — |
| Texas Childrens Health Plans | STARKIDS | $62.15 | — |
| Texas Childrens Health Plans | STAR | $62.15 | — |
| Community Health Choice MCD | CHIPPerinatal | $62.81 | — |
| Community Health Choice MCD | STAR | $62.81 | — |
| Community Health Choice MCD | CHIP | $62.81 | — |
| Community Health Choice MCD | STAR+PLUS | $62.81 | — |
| United | MGMCD | $64.07 | — |
| Aetna Better Health | MGMCD | $67.83 | — |
| Molina Healthcare | CHIP | $68.37 | — |
| Molina Healthcare | STARPLUS | $68.37 | — |
| Molina Healthcare | STARKIDS | $68.37 | — |
| Molina Healthcare | STAR | $68.37 | — |
| Humana | MCD | $77.69 | — |
| Cigna | CSN | $168.44 | — |
| Cigna | OpenAccessPlus | $182.29 | — |
| Superior Health Plan | STARPLUS | $183.84 | — |
| Superior Health Plan | CHIP | $183.84 | — |
| Superior Health Plan | CHPFC | $183.84 | — |
| Superior Health Plan | STAR | $183.84 | — |
| Superior Health Plan | STARKids | $183.84 | — |
| BCBS | MyBlueHealth | $197.26 | — |
| United | NarrowNetworkIndivExchange | $207.04 | — |
| BCBS | BAV | $212.95 | — |
| Cigna | PPO | $216.70 | — |
| United | SmallGroup | $245.18 | — |
| United | AllPayerAppendix | $245.18 | — |
| Aetna | QHPExchange | $276.62 | — |
| Aetna | NBPOS | $367.65 | — |
| Aetna | NBHMO | $367.65 | — |
| Aetna | NBPPO | $367.65 | — |
| BCBS | HMO | $381.07 | — |
| Aetna | COMMPPO | $391.09 | — |
| Aetna | COMMHMO | $391.09 | — |
| Aetna | COMMPOS | $391.09 | — |
| BCBS | EPOSOA | $395.64 | — |
| BCBS | PPO | $409.09 | — |
| Aetna | OONHMO | $459.85 | — |
| Aetna | OONPOS | $459.85 | — |
| Aetna | OONPPO | $459.85 | — |
| Aetna | ASAPPO | $496.97 | — |
| Aetna | ASAPOS | $496.97 | — |
| Aetna | ASAHMO | $496.97 | — |
| Texas Childrens Health Plans | CHIP | $508.62 | — |
| United | OptionsPPO | $514.75 | — |
| Humana | HMO | $645.29 | — |
| Humana | PPO | $645.29 | — |
| Texas Workforce Commission | WCOMP | $735.36 | — |
| Healthcare Highways | NarrowNetwork | $781.32 | — |
| Evry Health | BroadNetwork | $836.47 | — |
| Imagine Health | PPO | $1,072.40 | — |
| BCBS | Traditional | $1,072.40 | — |
| Christus (USFHP) | TRICARE | $1,225.60 | — |
| Curative Administrators | COMM | $1,225.60 | — |
| HealthSmart Preferred Care | ACCEL | $1,317.52 | — |
| Averde Health | Commercial | $1,378.80 | — |
| United | GlobalAppendix | $1,378.80 | — |
| Fidelis SecureCare of TX | MGMCR | $1,378.80 | — |
| Coventry National First Health | COMM | $1,633.11 | — |
| Rockport Workers Comp | COMM | $1,685.20 | — |
| Physicians Cooperative of Texas | WC | $1,685.20 | — |
| SouthWest Medical | WORKERSCOMP | $1,838.40 | — |
| Triumph | COMM | $1,838.40 | — |
| National Healthcare Solutions | COMM | $1,838.40 | — |
| Independent Medical System | COMM | $1,838.40 | — |
| Coastal Comp | COMM | $1,991.60 | — |
| Multiplan | PHCSPrimaryNetwork | $2,298.00 | — |
| Cigna Behavioral Health | COMMBH | $2,451.20 | — |
| HealthSmart Preferred Care | PPO | $2,512.48 | — |
| Multiplan | ComplementaryNetwork | $2,604.40 | — |
| Physicians, INC | COMM | $2,604.40 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $2,604.40 | — |
| Affiliated PPO | COMM | $2,757.60 | — |
Visitor-reported prices
Comments
Mastoids complete at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $106.40 | $33.44 – $304.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $106.40 | $24.32 – $304.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $62.81 – $276.62 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $62.15 – $276.62 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $238.14 | $62.15 – $297.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $245.27 | $50.48 – $367.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $235.84 | $62.15 – $294.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $238.14 | $62.15 – $297.68 |