Ot therapeutic interventions cognitive skills direct patient contact initial 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.
$19.49 with Oscar vs $600.00 with Texas Athletic Network — 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 | $19.49 | — |
| WellMed | MGMCR | $19.79 | — |
| Renaissance IPA Radiology | MCR | $19.89 | — |
| Humana | MedicareAdvantageHMO | $19.89 | — |
| Humana | MedicareAdvantagePPOPFFS | $19.89 | — |
| Kelsey Seybold | MGMCR | $19.89 | — |
| CHC Harris Health | Indigent | $19.89 | — |
| BCBS | MedicareAdvantageHMO | $19.89 | — |
| Devoted Health | MGMCR | $19.89 | — |
| Amerigroup | DualEligible | $19.89 | — |
| Cigna HealthSpring | MCRHMO | $19.89 | — |
| Cigna HealthSpring | MCRPPO | $19.89 | — |
| Cigna HealthSpring | PFFS | $19.89 | — |
| Renaissance IPA Radiology | COMM | $19.89 | — |
| Cigna HealthSpring | MMP | $19.89 | — |
| Cigna HealthSpring | MCRSNP | $19.89 | — |
| TriWest Healthcare Alliance | Veterans | $19.89 | — |
| BCBS | MCRPPO | $19.89 | — |
| Aetna | MCR | $20.06 | — |
| Van Lang IPA | MCR | $20.09 | — |
| United | MCR | $20.29 | — |
| WellCare | PFFS | $20.48 | — |
| WellCare | MCRHMO | $20.48 | — |
| WellCare | POS | $20.48 | — |
| WellCare | SNP | $20.48 | — |
| WellCare | PPO | $20.48 | — |
| Integranet Amerigroup IPA | MCR | $20.48 | — |
| Shared Health | MGMCR | $20.88 | — |
| American Health Plan | MGMCR | $20.88 | — |
| Superior Health Plan | DualEligible | $20.88 | — |
| Superior Health Plan | MCRHMO | $20.88 | — |
| Superior Health Plan | MCRPOS | $20.88 | — |
| Superior Health Plan | MCRPPO | $20.88 | — |
| Superior Health Plan | MCRSNP | $20.88 | — |
| Superior Health Plan | PFFS | $20.88 | — |
| ProCare Advantage | MGMCR | $20.88 | — |
| Provider Partners Health Plan of Texas | PFFS | $21.08 | — |
| Provider Partners Health Plan of Texas | PPO | $21.08 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $21.08 | — |
| Provider Partners Health Plan of Texas | POS | $21.08 | — |
| Provider Partners Health Plan of Texas | SNP | $21.08 | — |
| Molina | MGMCR | $21.68 | — |
| TriWest Health Alliance | TRCR | $22.60 | — |
| Christus (USFHP) | TRICARE | $22.60 | — |
| Universal Healthcare Group | MCR | $23.87 | — |
| Verda Health Plan | MCR | $25.85 | — |
| Superior Health Plan | CHPFC | $28.50 | — |
| Superior Health Plan | STAR | $28.50 | — |
| Superior Health Plan | STARKids | $28.50 | — |
| Superior Health Plan | STARPLUS | $28.50 | — |
| Superior Health Plan | CHIP | $28.50 | — |
| Superior | ValueHMO | $28.84 | — |
| Community Health Choice | HIX | $28.84 | — |
| Superior | EPO | $30.83 | — |
| Superior | HMO | $30.83 | — |
| Corvel Corporation | WORKERSCOMP | $39.38 | — |
| OMNI Healthcare | WORKERSCOMP | $41.76 | — |
| Molina Healthcare | HIX | $42.76 | — |
| BCBS | MyBlueHealth | $56.51 | — |
| Community Health Choice MCD | CHIP | $61.75 | — |
| Community Health Choice MCD | CHIPPerinatal | $61.75 | — |
| Community Health Choice MCD | STAR | $61.75 | — |
| Community Health Choice MCD | STAR+PLUS | $61.75 | — |
| BCBS | BAV | $62.31 | — |
| Amerigroup | MCDCHIPBH | $66.50 | — |
| Amerigroup | MGMCD | $66.50 | — |
| Aetna | QHPExchange | $67.45 | — |
| BCBS | HMO | $78.00 | — |
| Texas Childrens Health Plans | CHIP | $78.85 | — |
| United | OptionsPPO | $79.80 | — |
| BCBS | EPOSOA | $87.66 | — |
| Aetna | NBHMO | $89.60 | — |
| Aetna | NBPPO | $89.60 | — |
| Aetna | NBPOS | $89.60 | — |
| Oscar | HIX | $92.63 | — |
| Aetna | COMMHMO | $95.03 | — |
| Aetna | COMMPPO | $95.03 | — |
| Aetna | COMMPOS | $95.03 | — |
| BCBS | PPO | $97.08 | — |
| Aetna | OONPOS | $112.03 | — |
| Aetna | OONHMO | $112.03 | — |
| Aetna | OONPPO | $112.03 | — |
| Texas Childrens Health Plans | STAR | $112.58 | — |
| Texas Childrens Health Plans | STARKIDS | $112.58 | — |
| Texas Workforce Commission | WCOMP | $114.00 | — |
| Aetna | ASAPOS | $120.89 | — |
| Aetna | ASAPPO | $120.89 | — |
| Aetna | ASAHMO | $120.89 | — |
| BCBS | Traditional | $166.25 | — |
| HealthSmart Preferred Care | ACCEL | $204.25 | — |
| United | GlobalAppendix | $213.75 | — |
| Fidelis SecureCare of TX | MGMCR | $213.75 | — |
| Coventry National First Health | COMM | $253.18 | — |
| Physicians Cooperative of Texas | WC | $261.25 | — |
| Rockport Workers Comp | COMM | $261.25 | — |
| Independent Medical System | COMM | $285.00 | — |
| Triumph | COMM | $285.00 | — |
| National Healthcare Solutions | COMM | $285.00 | — |
| SouthWest Medical | WORKERSCOMP | $285.00 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Coastal Comp | COMM | $308.75 | — |
| Multiplan | PHCSPrimaryNetwork | $356.25 | — |
| Cigna Behavioral Health | COMMBH | $380.00 | — |
| HealthSmart Preferred Care | PPO | $389.50 | — |
| Multiplan | ComplementaryNetwork | $403.75 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $403.75 | — |
| Physicians, INC | COMM | $403.75 | — |
| Affiliated PPO | COMM | $427.50 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $547.96 | $19.49 – $67.45 |
| Baylor St Luke's Medical Center | Houston | $148.75 | $28.50 – $425.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $148.75 | $35.26 – $425.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $374.09 | $19.49 – $42.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $114.69 | $32.50 – $162.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $110.05 | $22.65 – $165.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $108.04 | $21.61 – $135.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $114.69 | $30.58 – $162.48 |