Mopath procedure level 3 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$123.75 with Texas Health Network vs $1,626.57 with Humana — 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 | $123.75 | — |
| Texas Childrens Health Plans | STARKIDS | $126.28 | — |
| Community Health Choice MCD | CHIP | $126.28 | — |
| Texas Childrens Health Plans | STAR | $126.28 | — |
| Amerigroup | MGMCD | $126.28 | — |
| Amerigroup | MCDCHIPBH | $126.28 | — |
| Community Health Choice MCD | CHIPPerinatal | $126.28 | — |
| Community Health Choice MCD | STAR | $126.28 | — |
| Community Health Choice MCD | STAR+PLUS | $126.28 | — |
| United | MGMCD | $128.81 | — |
| Aetna Better Health | MGMCD | $136.38 | — |
| Molina Healthcare | STARKIDS | $138.91 | — |
| Molina Healthcare | CHIP | $138.91 | — |
| Molina Healthcare | STARPLUS | $138.91 | — |
| Molina Healthcare | STAR | $138.91 | — |
| Oscar | MGMCR | $147.32 | — |
| WellMed | MGMCR | $149.58 | — |
| Renaissance IPA Radiology | COMM | $150.33 | — |
| Amerigroup | DualEligible | $150.33 | — |
| Cigna HealthSpring | MCRSNP | $150.33 | — |
| Cigna HealthSpring | MCRPPO | $150.33 | — |
| Cigna HealthSpring | MCRHMO | $150.33 | — |
| Humana | MedicareAdvantageHMO | $150.33 | — |
| Humana | MedicareAdvantagePPOPFFS | $150.33 | — |
| Renaissance IPA Radiology | MCR | $150.33 | — |
| United | SmallGroup | $150.33 | — |
| Kelsey Seybold | MGMCR | $150.33 | — |
| CHC Harris Health | Indigent | $150.33 | — |
| BCBS | MedicareAdvantageHMO | $150.33 | — |
| BCBS | MCRPPO | $150.33 | — |
| Cigna HealthSpring | MMP | $150.33 | — |
| Devoted Health | MGMCR | $150.33 | — |
| TriWest Healthcare Alliance | Veterans | $150.33 | — |
| Cigna HealthSpring | PFFS | $150.33 | — |
| United | AllPayerAppendix | $150.33 | — |
| United | NarrowNetworkIndivExchange | $150.33 | — |
| Aetna | MCR | $151.61 | — |
| Van Lang IPA | MCR | $151.83 | — |
| United | MCR | $153.34 | — |
| WellCare | PFFS | $154.84 | — |
| WellCare | MCRHMO | $154.84 | — |
| Integranet Amerigroup IPA | MCR | $154.84 | — |
| WellCare | POS | $154.84 | — |
| WellCare | SNP | $154.84 | — |
| WellCare | PPO | $154.84 | — |
| Superior Health Plan | MCRPOS | $157.85 | — |
| Humana | MCD | $157.85 | — |
| American Health Plan | MGMCR | $157.85 | — |
| Superior Health Plan | DualEligible | $157.85 | — |
| Superior Health Plan | MCRHMO | $157.85 | — |
| Superior Health Plan | MCRPPO | $157.85 | — |
| Superior Health Plan | MCRSNP | $157.85 | — |
| Superior Health Plan | PFFS | $157.85 | — |
| ProCare Advantage | MGMCR | $157.85 | — |
| Shared Health | MGMCR | $157.85 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $159.35 | — |
| Provider Partners Health Plan of Texas | PPO | $159.35 | — |
| Provider Partners Health Plan of Texas | SNP | $159.35 | — |
| Provider Partners Health Plan of Texas | PFFS | $159.35 | — |
| Provider Partners Health Plan of Texas | POS | $159.35 | — |
| Molina | MGMCR | $163.86 | — |
| Universal Healthcare Group | MCR | $180.40 | — |
| Verda Health Plan | MCR | $195.43 | — |
| Superior | ValueHMO | $217.98 | — |
| Community Health Choice | HIX | $217.98 | — |
| Superior | HMO | $233.01 | — |
| Superior | EPO | $233.01 | — |
| Corvel Corporation | WORKERSCOMP | $297.65 | — |
| BCBS | MyBlueHealth | $303.67 | — |
| OMNI Healthcare | WORKERSCOMP | $315.69 | — |
| Molina Healthcare | HIX | $323.21 | — |
| BCBS | BAV | $335.24 | — |
| Healthcare Highways | NarrowNetwork | $365.30 | — |
| BCBS | HMO | $419.42 | — |
| Oscar | HIX | $434.45 | — |
| BCBS | EPOSOA | $449.49 | — |
| BCBS | PPO | $479.55 | — |
| Aetna | QHPExchange | $550.69 | — |
| Cigna | CSN | $618.93 | — |
| Cigna | OpenAccessPlus | $670.39 | — |
| Aetna | NBPPO | $732.34 | — |
| Aetna | NBHMO | $732.34 | — |
| Aetna | NBPOS | $732.34 | — |
| Aetna | COMMPOS | $778.04 | — |
| Aetna | COMMHMO | $778.04 | — |
| Aetna | COMMPPO | $778.04 | — |
| Cigna | PPO | $797.61 | — |
| Aetna | OONHMO | $914.00 | — |
| Aetna | OONPOS | $914.00 | — |
| Aetna | OONPPO | $914.00 | — |
| Aetna | ASAPPO | $988.26 | — |
| Aetna | ASAPOS | $988.26 | — |
| Aetna | ASAHMO | $988.26 | — |
| Humana | PPO | $1,626.57 | — |
| Humana | HMO | $1,626.57 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $379.81 | $126.28 – $618.93 |
| Baylor St Luke's Medical Center | Houston | $235.90 | $108.24 – $674.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $235.90 | $108.24 – $674.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $3,231.30 | $126.28 – $618.93 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,198.70 | $10.00 – $360.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,198.70 | $12.00 – $699.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,198.70 | $12.00 – $534.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,198.70 | $10.00 – $360.79 |