Nm imaging bone/joint 3 phase study 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.
$300.00 with Texas Athletic Network vs $12,711.60 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 →
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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 Athletic Network | Premier | $300.00 | — |
| Texas Health Network | MCD | $316.32 | — |
| Texas Childrens Health Plans | STARKIDS | $322.78 | — |
| Amerigroup | MGMCD | $322.78 | — |
| Amerigroup | MCDCHIPBH | $322.78 | — |
| Texas Childrens Health Plans | STAR | $322.78 | — |
| Community Health Choice MCD | CHIP | $340.15 | — |
| Community Health Choice MCD | CHIPPerinatal | $340.15 | — |
| Community Health Choice MCD | STAR | $340.15 | — |
| Community Health Choice MCD | STAR+PLUS | $340.15 | — |
| United | MGMCD | $346.95 | — |
| Molina Healthcare | STAR | $355.06 | — |
| Molina Healthcare | STARKIDS | $355.06 | — |
| Molina Healthcare | CHIP | $355.06 | — |
| Molina Healthcare | STARPLUS | $355.06 | — |
| Aetna Better Health | MGMCD | $367.36 | — |
| Humana | MCD | $403.47 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| BCBS | MyBlueHealth | $542.94 | — |
| BCBS | BAV | $586.13 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| United | NarrowNetworkIndivExchange | $716.53 | — |
| Superior Health Plan | STAR | $847.44 | — |
| Superior Health Plan | STARKids | $847.44 | — |
| Superior Health Plan | STARPLUS | $847.44 | — |
| Superior Health Plan | CHIP | $847.44 | — |
| Superior Health Plan | CHPFC | $847.44 | — |
| United | AllPayerAppendix | $848.52 | — |
| United | SmallGroup | $848.52 | — |
| BCBS | HMO | $1,048.87 | — |
| BCBS | EPOSOA | $1,088.97 | — |
| BCBS | PPO | $1,125.99 | — |
| Aetna | QHPExchange | $1,669.82 | — |
| Aetna | NBPPO | $2,219.35 | — |
| Aetna | NBPOS | $2,219.35 | — |
| Aetna | NBHMO | $2,219.35 | — |
| Texas Childrens Health Plans | CHIP | $2,344.58 | — |
| Aetna | COMMPPO | $2,360.86 | — |
| Aetna | COMMPOS | $2,360.86 | — |
| Aetna | COMMHMO | $2,360.86 | — |
| United | OptionsPPO | $2,372.83 | — |
| Aetna | OONPPO | $2,775.95 | — |
| Aetna | OONHMO | $2,775.95 | — |
| Aetna | OONPOS | $2,775.95 | — |
| Aetna | ASAPPO | $3,000.01 | — |
| Aetna | ASAPOS | $3,000.01 | — |
| Aetna | ASAHMO | $3,000.01 | — |
| Texas Workforce Commission | WCOMP | $3,389.76 | — |
| Healthcare Highways | NarrowNetwork | $3,601.62 | — |
| Evry Health | BroadNetwork | $3,855.85 | — |
| Humana | HMO | $4,506.97 | — |
| Humana | PPO | $4,506.97 | — |
| Imagine Health | PPO | $4,943.40 | — |
| BCBS | Traditional | $4,943.40 | — |
| Christus (USFHP) | TRICARE | $5,649.60 | — |
| Curative Administrators | COMM | $5,649.60 | — |
| HealthSmart Preferred Care | ACCEL | $6,073.32 | — |
| United | GlobalAppendix | $6,355.80 | — |
| Fidelis SecureCare of TX | MGMCR | $6,355.80 | — |
| Averde Health | Commercial | $6,355.80 | — |
| Coventry National First Health | COMM | $7,528.09 | — |
| Physicians Cooperative of Texas | WC | $7,768.20 | — |
| Rockport Workers Comp | COMM | $7,768.20 | — |
| Triumph | COMM | $8,474.40 | — |
| National Healthcare Solutions | COMM | $8,474.40 | — |
| SouthWest Medical | WORKERSCOMP | $8,474.40 | — |
| Independent Medical System | COMM | $8,474.40 | — |
| Coastal Comp | COMM | $9,180.60 | — |
| Multiplan | PHCSPrimaryNetwork | $10,593.00 | — |
| Cigna Behavioral Health | COMMBH | $11,299.20 | — |
| HealthSmart Preferred Care | PPO | $11,581.68 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $12,005.40 | — |
| Multiplan | ComplementaryNetwork | $12,005.40 | — |
| Physicians, INC | COMM | $12,005.40 | — |
| Affiliated PPO | COMM | $12,711.60 | — |
Visitor-reported prices
Comments
Nm imaging bone/joint 3 phase study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $7,657.19 | $340.15 – $1,669.82 |
| Baylor St Luke's Medical Center | Houston | $2,308.60 | $322.78 – $6,596.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,308.60 | $322.78 – $6,596.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $322.78 – $1,669.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,875.14 | $310.74 – $2,343.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,798.90 | $370.27 – $2,698.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,798.90 | $310.74 – $2,248.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,875.14 | $310.74 – $2,343.93 |