MRA without fol w/cont, abd 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.
$672.06 with BCBS vs $10,435.50 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $672.06 | — |
| Superior Health Plan | STARPLUS | $695.70 | — |
| Superior Health Plan | STARKids | $695.70 | — |
| Superior Health Plan | STAR | $695.70 | — |
| Superior Health Plan | CHPFC | $695.70 | — |
| Superior Health Plan | CHIP | $695.70 | — |
| United | NarrowNetworkIndivExchange | $699.43 | — |
| BCBS | BAV | $725.51 | — |
| United | AllPayerAppendix | $828.27 | — |
| United | SmallGroup | $828.27 | — |
| BCBS | HMO | $1,298.29 | — |
| BCBS | EPOSOA | $1,347.93 | — |
| BCBS | PPO | $1,393.75 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,507.35 | — |
| Community Health Choice MCD | STAR | $1,507.35 | — |
| Community Health Choice MCD | STAR+PLUS | $1,507.35 | — |
| Community Health Choice MCD | CHIP | $1,507.35 | — |
| Amerigroup | MCDCHIPBH | $1,623.30 | — |
| Amerigroup | MGMCD | $1,623.30 | — |
| Texas Childrens Health Plans | CHIP | $1,924.77 | — |
| United | OptionsPPO | $1,947.96 | — |
| Cigna | CSN | $2,127.00 | — |
| Cigna | OpenAccessPlus | $2,304.00 | — |
| Cigna | PPO | $2,739.00 | — |
| Texas Childrens Health Plans | STAR | $2,748.01 | — |
| Texas Childrens Health Plans | STARKIDS | $2,748.01 | — |
| Texas Workforce Commission | WCOMP | $2,782.80 | — |
| Aetna | QHPExchange | $3,072.68 | — |
| Aetna | NBHMO | $3,721.99 | — |
| Aetna | NBPPO | $3,721.99 | — |
| Aetna | NBPOS | $3,721.99 | — |
| Aetna | COMMPOS | $3,965.49 | — |
| Aetna | COMMHMO | $3,965.49 | — |
| Aetna | COMMPPO | $3,965.49 | — |
| BCBS | Traditional | $4,058.25 | — |
| Christus (USFHP) | TRICARE | $4,638.00 | — |
| Aetna | OONPOS | $4,649.60 | — |
| Aetna | OONPPO | $4,649.60 | — |
| Aetna | OONHMO | $4,649.60 | — |
| HealthSmart Preferred Care | ACCEL | $4,985.85 | — |
| Aetna | ASAPOS | $5,020.63 | — |
| Aetna | ASAHMO | $5,020.63 | — |
| Aetna | ASAPPO | $5,020.63 | — |
| United | GlobalAppendix | $5,217.75 | — |
| Fidelis SecureCare of TX | MGMCR | $5,217.75 | — |
| Coventry National First Health | COMM | $6,180.14 | — |
| Rockport Workers Comp | COMM | $6,377.25 | — |
| Physicians Cooperative of Texas | WC | $6,377.25 | — |
| National Healthcare Solutions | COMM | $6,957.00 | — |
| Independent Medical System | COMM | $6,957.00 | — |
| Triumph | COMM | $6,957.00 | — |
| SouthWest Medical | WORKERSCOMP | $6,957.00 | — |
| Coastal Comp | COMM | $7,536.75 | — |
| Multiplan | PHCSPrimaryNetwork | $8,696.25 | — |
| Cigna Behavioral Health | COMMBH | $9,276.00 | — |
| HealthSmart Preferred Care | PPO | $9,507.90 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $9,855.75 | — |
| Multiplan | ComplementaryNetwork | $9,855.75 | — |
| Physicians, INC | COMM | $9,855.75 | — |
| Affiliated PPO | COMM | $10,435.50 | — |
Visitor-reported prices
Comments
MRA without fol w/cont, abd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,818.95 | $458.22 – $5,197.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,818.95 | $538.41 – $5,197.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $672.06 – $699.43 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $20,488.72 | $672.06 – $699.43 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,050.65 | $538.41 – $4,394.25 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,040.40 | $400.00 – $6,120.00 |
| HCA HOUSTON PEARLAND | Pearland | $18,152.95 | $672.06 – $699.43 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,818.95 | $538.41 – $5,197.00 |