Mayo factor x at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$936.00
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.
$936.00
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.
$14.74 with Texas Health Network vs $842.40 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 |
|---|---|---|---|
| Texas Health Network | MCD | $14.74 | ↓ -98% |
| Community Health Choice MCD | STAR | $15.04 | ↓ -98% |
| Community Health Choice MCD | CHIPPerinatal | $15.04 | ↓ -98% |
| Amerigroup | MGMCD | $15.04 | ↓ -98% |
| Texas Childrens Health Plans | STARKIDS | $15.04 | ↓ -98% |
| Amerigroup | MCDCHIPBH | $15.04 | ↓ -98% |
| Texas Childrens Health Plans | STAR | $15.04 | ↓ -98% |
| Community Health Choice MCD | CHIP | $15.04 | ↓ -98% |
| Community Health Choice MCD | STAR+PLUS | $15.04 | ↓ -98% |
| United | MGMCD | $15.34 | ↓ -98% |
| Aetna Better Health | MGMCD | $16.24 | ↓ -98% |
| Molina Healthcare | STARPLUS | $16.54 | ↓ -98% |
| Molina Healthcare | STARKIDS | $16.54 | ↓ -98% |
| Molina Healthcare | STAR | $16.54 | ↓ -98% |
| Molina Healthcare | CHIP | $16.54 | ↓ -98% |
| Oscar | MGMCR | $17.54 | ↓ -98% |
| WellMed | MGMCR | $17.81 | ↓ -98% |
| Cigna HealthSpring | MCRSNP | $17.90 | ↓ -98% |
| United | AllPayerAppendix | $17.90 | ↓ -98% |
| Cigna HealthSpring | MCRPPO | $17.90 | ↓ -98% |
| Humana | MedicareAdvantageHMO | $17.90 | ↓ -98% |
| Humana | MedicareAdvantagePPOPFFS | $17.90 | ↓ -98% |
| BCBS | MedicareAdvantageHMO | $17.90 | ↓ -98% |
| Cigna HealthSpring | MCRHMO | $17.90 | ↓ -98% |
| TriWest Healthcare Alliance | Veterans | $17.90 | ↓ -98% |
| BCBS | MCRPPO | $17.90 | ↓ -98% |
| Renaissance IPA Radiology | MCR | $17.90 | ↓ -98% |
| Renaissance IPA Radiology | COMM | $17.90 | ↓ -98% |
| CHC Harris Health | Indigent | $17.90 | ↓ -98% |
| Amerigroup | DualEligible | $17.90 | ↓ -98% |
| United | SmallGroup | $17.90 | ↓ -98% |
| Kelsey Seybold | MGMCR | $17.90 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $17.90 | ↓ -98% |
| Devoted Health | MGMCR | $17.90 | ↓ -98% |
| Cigna HealthSpring | MMP | $17.90 | ↓ -98% |
| Cigna HealthSpring | PFFS | $17.90 | ↓ -98% |
| Aetna | MCR | $18.05 | ↓ -98% |
| Van Lang IPA | MCR | $18.08 | ↓ -98% |
| United | MCR | $18.26 | ↓ -98% |
| WellCare | PPO | $18.44 | ↓ -98% |
| WellCare | MCRHMO | $18.44 | ↓ -98% |
| WellCare | SNP | $18.44 | ↓ -98% |
| Integranet Amerigroup IPA | MCR | $18.44 | ↓ -98% |
| WellCare | POS | $18.44 | ↓ -98% |
| WellCare | PFFS | $18.44 | ↓ -98% |
| Superior Health Plan | DualEligible | $18.79 | ↓ -98% |
| American Health Plan | MGMCR | $18.79 | ↓ -98% |
| Shared Health | MGMCR | $18.79 | ↓ -98% |
| Superior Health Plan | MCRHMO | $18.79 | ↓ -98% |
| Superior Health Plan | MCRPOS | $18.79 | ↓ -98% |
| Superior Health Plan | MCRPPO | $18.79 | ↓ -98% |
| Superior Health Plan | MCRSNP | $18.79 | ↓ -98% |
| Superior Health Plan | PFFS | $18.79 | ↓ -98% |
| ProCare Advantage | MGMCR | $18.79 | ↓ -98% |
| Humana | MCD | $18.80 | ↓ -98% |
| Provider Partners Health Plan of Texas | POS | $18.97 | ↓ -98% |
| Provider Partners Health Plan of Texas | PPO | $18.97 | ↓ -98% |
| Provider Partners Health Plan of Texas | SNP | $18.97 | ↓ -98% |
| Provider Partners Health Plan of Texas | MCRHMO | $18.97 | ↓ -98% |
| Provider Partners Health Plan of Texas | PFFS | $18.97 | ↓ -98% |
| TriWest Health Alliance | TRCR | $19.37 | ↓ -98% |
| Christus (USFHP) | TRICARE | $19.37 | ↓ -98% |
| Molina | MGMCR | $19.51 | ↓ -98% |
| Universal Healthcare Group | MCR | $21.48 | ↓ -98% |
| Verda Health Plan | MCR | $23.27 | ↓ -98% |
| Superior | ValueHMO | $25.95 | ↓ -97% |
| Community Health Choice | HIX | $25.95 | ↓ -97% |
| Superior | EPO | $27.74 | ↓ -97% |
| Superior | HMO | $27.74 | ↓ -97% |
| Corvel Corporation | WORKERSCOMP | $35.44 | ↓ -96% |
| BCBS | MyBlueHealth | $36.16 | ↓ -96% |
| OMNI Healthcare | WORKERSCOMP | $37.59 | ↓ -96% |
| Molina Healthcare | HIX | $38.48 | ↓ -96% |
| BCBS | BAV | $39.92 | ↓ -96% |
| BCBS | HMO | $49.94 | ↓ -95% |
| Oscar | HIX | $51.73 | ↓ -94% |
| BCBS | EPOSOA | $53.52 | ↓ -94% |
| Healthcare Highways | NarrowNetwork | $53.70 | ↓ -94% |
| Superior Health Plan | STARPLUS | $56.16 | ↓ -94% |
| Superior Health Plan | CHIP | $56.16 | ↓ -94% |
| Superior Health Plan | CHPFC | $56.16 | ↓ -94% |
| Superior Health Plan | STAR | $56.16 | ↓ -94% |
| Superior Health Plan | STARKids | $56.16 | ↓ -94% |
| BCBS | PPO | $57.10 | ↓ -94% |
| Aetna | QHPExchange | $65.55 | ↓ -93% |
| Cigna | CSN | $73.87 | ↓ -92% |
| Cigna | OpenAccessPlus | $80.01 | ↓ -91% |
| Aetna | NBPOS | $87.18 | ↓ -91% |
| Aetna | NBPPO | $87.18 | ↓ -91% |
| Aetna | NBHMO | $87.18 | ↓ -91% |
| Aetna | COMMHMO | $92.62 | ↓ -90% |
| Aetna | COMMPPO | $92.62 | ↓ -90% |
| Aetna | COMMPOS | $92.62 | ↓ -90% |
| Cigna | PPO | $95.19 | ↓ -90% |
| Aetna | OONHMO | $108.80 | ↓ -88% |
| Aetna | OONPPO | $108.80 | ↓ -88% |
| Aetna | OONPOS | $108.80 | ↓ -88% |
| Aetna | ASAPPO | $117.64 | ↓ -87% |
| Aetna | ASAHMO | $117.64 | ↓ -87% |
| Aetna | ASAPOS | $117.64 | ↓ -87% |
| Texas Childrens Health Plans | CHIP | $155.38 | ↓ -83% |
| United | OptionsPPO | $157.25 | ↓ -83% |
| Texas Workforce Commission | WCOMP | $224.64 | ↓ -76% |
| Humana | HMO | $239.12 | ↓ -74% |
| Humana | PPO | $239.12 | ↓ -74% |
| Evry Health | BroadNetwork | $255.53 | ↓ -73% |
| BCBS | Traditional | $327.60 | ↓ -65% |
| Imagine Health | PPO | $327.60 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $402.48 | ↓ -57% |
| Averde Health | Commercial | $421.20 | ↓ -55% |
| United | GlobalAppendix | $421.20 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $421.20 | ↓ -55% |
| Coventry National First Health | COMM | $498.89 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $514.80 | ↓ -45% |
| Rockport Workers Comp | COMM | $514.80 | ↓ -45% |
| National Healthcare Solutions | COMM | $561.60 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $561.60 | ↓ -40% |
| Independent Medical System | COMM | $561.60 | ↓ -40% |
| Triumph | COMM | $561.60 | ↓ -40% |
| Coastal Comp | COMM | $608.40 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $702.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $748.80 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $767.52 | ↓ -18% |
| Physicians, INC | COMM | $795.60 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $795.60 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $795.60 | ↓ -15% |
| Affiliated PPO | COMM | $842.40 | ↓ -10% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor x at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $196.35 | $12.89 – $561.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $196.35 | $12.89 – $561.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $15.04 – $73.87 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $218.72 | $10.00 – $273.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.82 | $12.00 – $344.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $229.82 | $12.00 – $287.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $218.72 | $10.00 – $273.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.82 | $12.00 – $344.74 |