Ot manual therpy techniques >=1 region each 15 minutes 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.
$24.04 with Oscar vs $611.10 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 |
|---|---|---|---|
| Oscar | MGMCR | $24.04 | — |
| WellMed | MGMCR | $24.40 | — |
| Devoted Health | MGMCR | $24.53 | — |
| Cigna HealthSpring | PFFS | $24.53 | — |
| Kelsey Seybold | MGMCR | $24.53 | — |
| Renaissance IPA Radiology | MCR | $24.53 | — |
| Renaissance IPA Radiology | COMM | $24.53 | — |
| Cigna HealthSpring | MCRPPO | $24.53 | — |
| CHC Harris Health | Indigent | $24.53 | — |
| Cigna HealthSpring | MCRHMO | $24.53 | — |
| Amerigroup | DualEligible | $24.53 | — |
| BCBS | MedicareAdvantageHMO | $24.53 | — |
| BCBS | MCRPPO | $24.53 | — |
| Humana | MedicareAdvantageHMO | $24.53 | — |
| Humana | MedicareAdvantagePPOPFFS | $24.53 | — |
| Cigna HealthSpring | MMP | $24.53 | — |
| Cigna HealthSpring | MCRSNP | $24.53 | — |
| TriWest Healthcare Alliance | Veterans | $24.53 | — |
| Aetna | MCR | $24.73 | — |
| Van Lang IPA | MCR | $24.77 | — |
| United | MCR | $25.02 | — |
| WellCare | PFFS | $25.26 | — |
| WellCare | MCRHMO | $25.26 | — |
| Integranet Amerigroup IPA | MCR | $25.26 | — |
| WellCare | POS | $25.26 | — |
| WellCare | PPO | $25.26 | — |
| WellCare | SNP | $25.26 | — |
| Superior Health Plan | MCRSNP | $25.75 | — |
| American Health Plan | MGMCR | $25.75 | — |
| Shared Health | MGMCR | $25.75 | — |
| Superior Health Plan | DualEligible | $25.75 | — |
| Superior Health Plan | MCRHMO | $25.75 | — |
| Superior Health Plan | MCRPOS | $25.75 | — |
| Superior Health Plan | MCRPPO | $25.75 | — |
| Superior Health Plan | PFFS | $25.75 | — |
| ProCare Advantage | MGMCR | $25.75 | — |
| Provider Partners Health Plan of Texas | PPO | $26.00 | — |
| Provider Partners Health Plan of Texas | PFFS | $26.00 | — |
| Provider Partners Health Plan of Texas | SNP | $26.00 | — |
| Provider Partners Health Plan of Texas | POS | $26.00 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $26.00 | — |
| Molina | MGMCR | $26.73 | — |
| TriWest Health Alliance | TRCR | $27.87 | — |
| Christus (USFHP) | TRICARE | $27.87 | — |
| Universal Healthcare Group | MCR | $29.43 | — |
| Verda Health Plan | MCR | $31.88 | — |
| Community Health Choice | HIX | $35.56 | — |
| Superior | ValueHMO | $35.56 | — |
| Superior | HMO | $38.02 | — |
| Superior | EPO | $38.02 | — |
| Superior Health Plan | STARPLUS | $40.74 | — |
| Superior Health Plan | STAR | $40.74 | — |
| Superior Health Plan | CHPFC | $40.74 | — |
| Superior Health Plan | CHIP | $40.74 | — |
| Superior Health Plan | STARKids | $40.74 | — |
| Corvel Corporation | WORKERSCOMP | $48.56 | — |
| OMNI Healthcare | WORKERSCOMP | $51.50 | — |
| Molina Healthcare | HIX | $52.73 | — |
| BCBS | MyBlueHealth | $66.62 | — |
| BCBS | BAV | $73.45 | — |
| Aetna | QHPExchange | $80.57 | — |
| Community Health Choice MCD | STAR | $88.27 | — |
| Community Health Choice MCD | STAR+PLUS | $88.27 | — |
| Community Health Choice MCD | CHIP | $88.27 | — |
| Community Health Choice MCD | CHIPPerinatal | $88.27 | — |
| BCBS | HMO | $91.96 | — |
| Amerigroup | MCDCHIPBH | $95.06 | — |
| Amerigroup | MGMCD | $95.06 | — |
| BCBS | EPOSOA | $103.35 | — |
| Aetna | NBPOS | $107.03 | — |
| Aetna | NBHMO | $107.03 | — |
| Aetna | NBPPO | $107.03 | — |
| Texas Childrens Health Plans | CHIP | $112.71 | — |
| Aetna | COMMPOS | $113.52 | — |
| Aetna | COMMPPO | $113.52 | — |
| Aetna | COMMHMO | $113.52 | — |
| United | OptionsPPO | $114.07 | — |
| BCBS | PPO | $114.45 | — |
| Oscar | HIX | $132.41 | — |
| Aetna | OONPOS | $133.83 | — |
| Aetna | OONHMO | $133.83 | — |
| Aetna | OONPPO | $133.83 | — |
| Aetna | ASAHMO | $144.41 | — |
| Aetna | ASAPPO | $144.41 | — |
| Aetna | ASAPOS | $144.41 | — |
| Texas Childrens Health Plans | STARKIDS | $160.92 | — |
| Texas Childrens Health Plans | STAR | $160.92 | — |
| Texas Workforce Commission | WCOMP | $162.96 | — |
| BCBS | Traditional | $237.65 | — |
| Humana | HMO | $268.73 | — |
| Humana | PPO | $268.73 | — |
| HealthSmart Preferred Care | ACCEL | $291.97 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Fidelis SecureCare of TX | MGMCR | $305.55 | — |
| United | GlobalAppendix | $305.55 | — |
| Coventry National First Health | COMM | $361.91 | — |
| Physicians Cooperative of Texas | WC | $373.45 | — |
| Rockport Workers Comp | COMM | $373.45 | — |
| National Healthcare Solutions | COMM | $407.40 | — |
| Triumph | COMM | $407.40 | — |
| Independent Medical System | COMM | $407.40 | — |
| SouthWest Medical | WORKERSCOMP | $407.40 | — |
| Coastal Comp | COMM | $441.35 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Multiplan | PHCSPrimaryNetwork | $509.25 | — |
| Cigna Behavioral Health | COMMBH | $543.20 | — |
| HealthSmart Preferred Care | PPO | $556.78 | — |
| Physicians, INC | COMM | $577.15 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $577.15 | — |
| Multiplan | ComplementaryNetwork | $577.15 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Affiliated PPO | COMM | $611.10 | — |
Visitor-reported prices
Comments
Ot manual therpy techniques >=1 region each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $112.70 | $33.59 – $322.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $112.70 | $41.57 – $322.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $24.04 – $80.57 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $24.04 – $52.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $136.53 | $38.68 – $193.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $152.37 | $31.36 – $228.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $140.92 | $28.18 – $176.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $136.53 | $36.41 – $193.42 |