Ophth Ultrasound b & quant a 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$67.45 with Texas Health Network vs $1,148.53 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $67.45 | — |
| Texas Childrens Health Plans | STARKIDS | $68.83 | — |
| Texas Childrens Health Plans | STAR | $68.83 | — |
| Community Health Choice MCD | STAR+PLUS | $68.83 | — |
| Community Health Choice MCD | STAR | $68.83 | — |
| Community Health Choice MCD | CHIPPerinatal | $68.83 | — |
| Community Health Choice MCD | CHIP | $68.83 | — |
| Amerigroup | MCDCHIPBH | $68.83 | — |
| Amerigroup | MGMCD | $68.83 | — |
| United | MGMCD | $70.21 | — |
| Aetna Better Health | MGMCD | $74.34 | — |
| Molina Healthcare | STAR | $75.71 | — |
| Molina Healthcare | CHIP | $75.71 | — |
| Molina Healthcare | STARPLUS | $75.71 | — |
| Molina Healthcare | STARKIDS | $75.71 | — |
| Humana | MCD | $86.04 | — |
| Aetna | QHPExchange | $180.96 | — |
| BCBS | MyBlueHealth | $191.89 | — |
| BCBS | BAV | $207.16 | — |
| United | NarrowNetworkIndivExchange | $212.71 | — |
| Healthcare Highways | NarrowNetwork | $213.00 | — |
| Aetna | NBPPO | $240.52 | — |
| Aetna | NBPOS | $240.52 | — |
| Aetna | NBHMO | $240.52 | — |
| United | SmallGroup | $251.89 | — |
| United | AllPayerAppendix | $251.89 | — |
| Aetna | COMMPOS | $255.86 | — |
| Aetna | COMMPPO | $255.86 | — |
| Aetna | COMMHMO | $255.86 | — |
| Aetna | OONHMO | $300.84 | — |
| Aetna | OONPOS | $300.84 | — |
| Aetna | OONPPO | $300.84 | — |
| Aetna | ASAPPO | $325.12 | — |
| Aetna | ASAPOS | $325.12 | — |
| Aetna | ASAHMO | $325.12 | — |
| BCBS | HMO | $370.70 | — |
| BCBS | EPOSOA | $384.88 | — |
| BCBS | PPO | $397.96 | — |
| Humana | HMO | $1,148.53 | — |
| Humana | PPO | $1,148.53 | — |
Visitor-reported prices
Comments
Ophth Ultrasound b & quant a at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $68.83 – $191.89 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $68.83 – $191.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $588.14 | $121.06 – $882.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $601.90 | $68.83 – $752.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $588.14 | $73.65 – $882.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $588.14 | $68.83 – $882.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $601.90 | $68.83 – $902.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $588.14 | $68.83 – $735.18 |