Pacemaker leadless 19.5f 32.2mm ra at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$100,000.00
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.
$100,000.00
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.
$342.64 with BCBS vs $90,000.00 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $342.64 | ↓ -100% |
| BCBS | BAV | $378.56 | ↓ -100% |
| BCBS | HMO | $472.51 | ↓ -100% |
| BCBS | EPOSOA | $500.14 | ↓ -99% |
| BCBS | PPO | $527.77 | ↓ -99% |
| Community Health Choice MCD | CHIPPerinatal | $13,000.00 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $13,000.00 | ↓ -87% |
| Community Health Choice MCD | STAR | $13,000.00 | ↓ -87% |
| Community Health Choice MCD | CHIP | $13,000.00 | ↓ -87% |
| Amerigroup | MGMCD | $14,000.00 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $14,000.00 | ↓ -86% |
| Cigna | CSN | $14,800.00 | ↓ -85% |
| Cigna | OpenAccessPlus | $16,000.00 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $16,600.00 | ↓ -83% |
| United | OptionsPPO | $16,800.00 | ↓ -83% |
| Cigna | PPO | $19,000.00 | ↓ -81% |
| Texas Childrens Health Plans | STARKIDS | $23,700.00 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $23,700.00 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $24,000.00 | ↓ -76% |
| BCBS | Traditional | $35,000.00 | ↓ -65% |
| Christus (USFHP) | TRICARE | $40,000.00 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $43,000.00 | ↓ -57% |
| United | GlobalAppendix | $45,000.00 | ↓ -55% |
| Coventry National First Health | COMM | $53,300.00 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $55,000.00 | ↓ -45% |
| Rockport Workers Comp | COMM | $55,000.00 | ↓ -45% |
| Triumph | COMM | $60,000.00 | ↓ -40% |
| Independent Medical System | COMM | $60,000.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $60,000.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $60,000.00 | ↓ -40% |
| Multiplan | PHCSPrimaryNetwork | $75,000.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $80,000.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $82,000.00 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $85,000.00 | ↓ -15% |
| Physicians, INC | COMM | $85,000.00 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $85,000.00 | ↓ -15% |
| Affiliated PPO | COMM | $90,000.00 | ↓ -10% |
Visitor-reported prices
Comments
Pacemaker leadless 19.5f 32.2mm ra at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $88,200.00 | $15,435.00 – $73,500.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $88,200.00 | $15,435.00 – $73,500.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $342.64 – $342.64 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $342.64 – $342.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $48,945.60 | $13,867.92 – $65,260.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48,945.60 | $10,074.64 – $73,418.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $48,945.60 | $9,789.12 – $65,260.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $48,945.60 | $13,052.16 – $65,260.80 |