Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

$264.00

Cash price

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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.

$264.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.18 with TriWest Health Alliance vs $237.60 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 →

Payer
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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
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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
TriWest Health Alliance TRCR $0.18 ↓ -100%
Christus (USFHP) TRICARE $0.18 ↓ -100%
United AllPayerAppendix $0.30 ↓ -100%
United SmallGroup $0.30 ↓ -100%
United NarrowNetworkIndivExchange $0.30 ↓ -100%
Cigna CSN $0.41 ↓ -100%
Cigna OpenAccessPlus $0.45 ↓ -100%
Cigna PPO $0.53 ↓ -100%
BCBS MyBlueHealth $0.67 ↓ -100%
BCBS BAV $0.73 ↓ -100%
BCBS PPO $0.92 ↓ -100%
BCBS HMO $0.92 ↓ -100%
BCBS EPOSOA $0.92 ↓ -100%
Superior Health Plan CHPFC $15.84 ↓ -94%
Superior Health Plan CHIP $15.84 ↓ -94%
Superior Health Plan STARKids $15.84 ↓ -94%
Superior Health Plan STARPLUS $15.84 ↓ -94%
Superior Health Plan STAR $15.84 ↓ -94%
Aetna MCR $17.50 ↓ -93%
Community Health Choice MCD CHIPPerinatal $34.32 ↓ -87%
Community Health Choice MCD STAR $34.32 ↓ -87%
Community Health Choice MCD STAR+PLUS $34.32 ↓ -87%
Community Health Choice MCD CHIP $34.32 ↓ -87%
Amerigroup MCDCHIPBH $36.96 ↓ -86%
Amerigroup MGMCD $36.96 ↓ -86%
Texas Childrens Health Plans CHIP $43.82 ↓ -83%
United OptionsPPO $44.35 ↓ -83%
Superior EPO $46.20 ↓ -83%
Superior HMO $46.20 ↓ -83%
Superior ValueHMO $52.27 ↓ -80%
Texas Childrens Health Plans STAR $62.57 ↓ -76%
Texas Childrens Health Plans STARKIDS $62.57 ↓ -76%
Texas Workforce Commission WCOMP $63.36 ↓ -76%
Molina Healthcare HIX $71.28 ↓ -73%
CHC Harris Health Indigent $79.20 ↓ -70%
Humana PPO $84.24 ↓ -68%
Humana HMO $84.24 ↓ -68%
BCBS Traditional $92.40 ↓ -65%
HealthSmart Preferred Care ACCEL $113.52 ↓ -57%
United GlobalAppendix $118.80 ↓ -55%
Coventry National First Health COMM $140.71 ↓ -47%
Rockport Workers Comp COMM $145.20 ↓ -45%
Physicians Cooperative of Texas WC $145.20 ↓ -45%
Triumph COMM $158.40 ↓ -40%
Independent Medical System COMM $158.40 ↓ -40%
National Healthcare Solutions COMM $158.40 ↓ -40%
SouthWest Medical WORKERSCOMP $158.40 ↓ -40%
Coastal Comp COMM $171.60 ↓ -35%
Multiplan PHCSPrimaryNetwork $198.00 ↓ -25%
Cigna Behavioral Health COMMBH $211.20 ↓ -20%
HealthSmart Preferred Care PPO $216.48 ↓ -18%
Multiplan ComplementaryNetwork $224.40 ↓ -15%
Physicians, INC COMM $224.40 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $224.40 ↓ -15%
Affiliated PPO COMM $237.60 ↓ -10%

Visitor-reported prices

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Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $19.33 $12.15 – $55.21
St. Luke's Health - The Vintage Hospital Houston $19.33 $12.15 – $55.21
HCA HOUSTON MEDICAL CENTER Houston not published $0.17 – $0.67
HCA HOUSTON TOMBALL HOUSTON not published $0.17 – $0.67
Adventhealth Rollins Brook Lampasas $528.84 $1.31 – $1.31
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $108.00 $0.17 – $112.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $108.00 $0.17 – $118.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $108.00 $0.17 – $99.00

All Texas hospitals for this procedure →