New Patient Office Visit (level 5) 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.
$67.98 with Superior Health Plan vs $1,019.70 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $67.98 | — |
| Superior Health Plan | STARPLUS | $67.98 | — |
| Superior Health Plan | STARKids | $67.98 | — |
| Superior Health Plan | STAR | $67.98 | — |
| Superior Health Plan | CHPFC | $67.98 | — |
| Aetna | MCR | $75.12 | — |
| Community Health Choice MCD | CHIPPerinatal | $147.29 | — |
| Community Health Choice MCD | CHIP | $147.29 | — |
| Community Health Choice MCD | STAR+PLUS | $147.29 | — |
| Community Health Choice MCD | STAR | $147.29 | — |
| Amerigroup | MCDCHIPBH | $158.62 | — |
| Amerigroup | MGMCD | $158.62 | — |
| Texas Childrens Health Plans | CHIP | $188.08 | — |
| United | OptionsPPO | $190.34 | — |
| Superior | HMO | $198.28 | — |
| Superior | EPO | $198.28 | — |
| Superior | ValueHMO | $224.33 | — |
| Texas Childrens Health Plans | STARKIDS | $268.52 | — |
| Texas Childrens Health Plans | STAR | $268.52 | — |
| Texas Workforce Commission | WCOMP | $271.92 | — |
| Healthcare Highways | NarrowNetwork | $288.92 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Molina Healthcare | HIX | $305.91 | — |
| Evry Health | BroadNetwork | $309.31 | — |
| CHC Harris Health | Indigent | $339.90 | — |
| Humana | HMO | $351.91 | — |
| Humana | PPO | $351.91 | — |
| Aetna | NBPOS | $363.69 | — |
| Aetna | NBHMO | $363.69 | — |
| Aetna | NBPPO | $363.69 | — |
| Aetna | COMMPOS | $387.49 | — |
| Aetna | COMMPPO | $387.49 | — |
| Aetna | COMMHMO | $387.49 | — |
| Imagine Health | PPO | $396.55 | — |
| BCBS | Traditional | $396.55 | — |
| BCBS | MyBlueHealth | $400.58 | — |
| BCBS | BAV | $441.67 | — |
| Christus (USFHP) | TRICARE | $453.20 | — |
| Curative Administrators | COMM | $453.20 | — |
| Aetna | OONPPO | $454.33 | — |
| Aetna | OONPOS | $454.33 | — |
| Aetna | OONHMO | $454.33 | — |
| HealthSmart Preferred Care | ACCEL | $487.19 | — |
| Aetna | ASAPPO | $490.59 | — |
| Aetna | ASAPOS | $490.59 | — |
| Aetna | ASAHMO | $490.59 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Averde Health | Commercial | $509.85 | — |
| United | GlobalAppendix | $509.85 | — |
| Fidelis SecureCare of TX | MGMCR | $509.85 | — |
| BCBS | HMO | $552.94 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Coventry National First Health | COMM | $603.89 | — |
| BCBS | EPOSOA | $621.42 | — |
| Rockport Workers Comp | COMM | $623.15 | — |
| Physicians Cooperative of Texas | WC | $623.15 | — |
| Triumph | COMM | $679.80 | — |
| National Healthcare Solutions | COMM | $679.80 | — |
| SouthWest Medical | WORKERSCOMP | $679.80 | — |
| Independent Medical System | COMM | $679.80 | — |
| BCBS | PPO | $688.18 | — |
| Coastal Comp | COMM | $736.45 | — |
| Multiplan | PHCSPrimaryNetwork | $849.75 | — |
| Cigna Behavioral Health | COMMBH | $906.40 | — |
| HealthSmart Preferred Care | PPO | $929.06 | — |
| Multiplan | ComplementaryNetwork | $963.05 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $963.05 | — |
| Physicians, INC | COMM | $963.05 | — |
| Affiliated PPO | COMM | $1,019.70 | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $251.65 | $74.00 – $719.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $351.91 – $400.58 |
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,210.66 | $351.91 – $400.58 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |