Nasopharyngoscopy w/endoscope at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,767.00
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.
$1,767.00
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.
$91.07 with BCBS vs $1,590.30 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 | $91.07 | ↓ -95% |
| BCBS | BAV | $100.41 | ↓ -94% |
| BCBS | HMO | $125.71 | ↓ -93% |
| BCBS | EPOSOA | $141.28 | ↓ -92% |
| BCBS | PPO | $156.46 | ↓ -91% |
| Community Health Choice MCD | CHIP | $229.71 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $229.71 | ↓ -87% |
| Community Health Choice MCD | STAR | $229.71 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $229.71 | ↓ -87% |
| Amerigroup | MGMCD | $247.38 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $247.38 | ↓ -86% |
| Cigna | CSN | $261.52 | ↓ -85% |
| Cigna | OpenAccessPlus | $282.72 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $293.32 | ↓ -83% |
| United | OptionsPPO | $296.86 | ↓ -83% |
| Texas Athletic Network | Premier | $300.00 | ↓ -83% |
| Cigna | PPO | $335.73 | ↓ -81% |
| Texas Childrens Health Plans | STAR | $418.78 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $418.78 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $424.08 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $450.58 | ↓ -75% |
| Aetna | QHPExchange | $468.25 | ↓ -74% |
| Evry Health | BroadNetwork | $482.39 | ↓ -73% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -72% |
| Humana | PPO | $563.85 | ↓ -68% |
| Humana | HMO | $563.85 | ↓ -68% |
| Aetna | NBPPO | $567.21 | ↓ -68% |
| Aetna | NBHMO | $567.21 | ↓ -68% |
| Aetna | NBPOS | $567.21 | ↓ -68% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -66% |
| Aetna | COMMPPO | $604.31 | ↓ -66% |
| Aetna | COMMHMO | $604.31 | ↓ -66% |
| Aetna | COMMPOS | $604.31 | ↓ -66% |
| Imagine Health | PPO | $618.45 | ↓ -65% |
| BCBS | Traditional | $618.45 | ↓ -65% |
| Curative Administrators | COMM | $706.80 | ↓ -60% |
| Christus (USFHP) | TRICARE | $706.80 | ↓ -60% |
| Aetna | OONPOS | $708.57 | ↓ -60% |
| Aetna | OONHMO | $708.57 | ↓ -60% |
| Aetna | OONPPO | $708.57 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $759.81 | ↓ -57% |
| Aetna | ASAPOS | $765.11 | ↓ -57% |
| Aetna | ASAPPO | $765.11 | ↓ -57% |
| Aetna | ASAHMO | $765.11 | ↓ -57% |
| United | GlobalAppendix | $795.15 | ↓ -55% |
| Coventry National First Health | COMM | $941.81 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $971.85 | ↓ -45% |
| Rockport Workers Comp | COMM | $971.85 | ↓ -45% |
| Triumph | COMM | $1,060.20 | ↓ -40% |
| National Healthcare Solutions | COMM | $1,060.20 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $1,060.20 | ↓ -40% |
| Independent Medical System | COMM | $1,060.20 | ↓ -40% |
| Coastal Comp | COMM | $1,148.55 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $1,325.25 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $1,413.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,448.94 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $1,501.95 | ↓ -15% |
| Physicians, INC | COMM | $1,501.95 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,501.95 | ↓ -15% |
| Affiliated PPO | COMM | $1,590.30 | ↓ -10% |
Visitor-reported prices
Comments
Nasopharyngoscopy w/endoscope at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $91.07 – $91.07 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $91.07 – $91.07 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $351.67 | $99.64 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $298.52 | $61.44 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $211.51 | $42.30 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $351.67 | $91.07 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $298.52 | $95.82 – $490.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $298.52 | $154.23 – $490.70 |