Passy muir valve metal trach at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,192.00
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.
$1,192.00
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.
$71.52 with Superior Health Plan vs $1,137.53 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STAR | $71.52 | ↓ -94% |
| Superior Health Plan | CHIP | $71.52 | ↓ -94% |
| Superior Health Plan | STARPLUS | $71.52 | ↓ -94% |
| Superior Health Plan | STARKids | $71.52 | ↓ -94% |
| Superior Health Plan | CHPFC | $71.52 | ↓ -94% |
| Oscar | MGMCR | $144.92 | ↓ -88% |
| WellMed | MGMCR | $147.14 | ↓ -88% |
| Kelsey Seybold | MGMCR | $147.88 | ↓ -88% |
| BCBS | MCRPPO | $147.88 | ↓ -88% |
| Devoted Health | MGMCR | $147.88 | ↓ -88% |
| TriWest Health Alliance | TRCR | $147.88 | ↓ -88% |
| Cigna HealthSpring | MMP | $147.88 | ↓ -88% |
| Cigna HealthSpring | PFFS | $147.88 | ↓ -88% |
| Cigna HealthSpring | MCRSNP | $147.88 | ↓ -88% |
| Cigna HealthSpring | MCRPPO | $147.88 | ↓ -88% |
| Cigna HealthSpring | MCRHMO | $147.88 | ↓ -88% |
| Renaissance IPA Radiology | MCR | $147.88 | ↓ -88% |
| Amerigroup | DualEligible | $147.88 | ↓ -88% |
| Renaissance IPA Radiology | COMM | $147.88 | ↓ -88% |
| Christus (USFHP) | TRICARE | $147.88 | ↓ -88% |
| CHC Harris Health | Indigent | $147.88 | ↓ -88% |
| BCBS | MedicareAdvantageHMO | $147.88 | ↓ -88% |
| Humana | MedicareAdvantageHMO | $147.88 | ↓ -88% |
| TriWest Healthcare Alliance | Veterans | $147.88 | ↓ -88% |
| Humana | MedicareAdvantagePPOPFFS | $147.88 | ↓ -88% |
| Aetna | MCR | $149.14 | ↓ -87% |
| Van Lang IPA | MCR | $149.36 | ↓ -87% |
| United | MCR | $150.84 | ↓ -87% |
| WellCare | PPO | $152.32 | ↓ -87% |
| WellCare | SNP | $152.32 | ↓ -87% |
| WellCare | POS | $152.32 | ↓ -87% |
| WellCare | PFFS | $152.32 | ↓ -87% |
| WellCare | MCRHMO | $152.32 | ↓ -87% |
| Integranet Amerigroup IPA | MCR | $152.32 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $154.96 | ↓ -87% |
| Community Health Choice MCD | STAR | $154.96 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $154.96 | ↓ -87% |
| Community Health Choice MCD | CHIP | $154.96 | ↓ -87% |
| Superior Health Plan | MCRPOS | $155.27 | ↓ -87% |
| ProCare Advantage | MGMCR | $155.27 | ↓ -87% |
| Superior Health Plan | MCRPPO | $155.27 | ↓ -87% |
| Superior Health Plan | PFFS | $155.27 | ↓ -87% |
| Superior Health Plan | MCRSNP | $155.27 | ↓ -87% |
| Shared Health | MGMCR | $155.27 | ↓ -87% |
| Superior Health Plan | MCRHMO | $155.27 | ↓ -87% |
| Superior Health Plan | DualEligible | $155.27 | ↓ -87% |
| American Health Plan | MGMCR | $155.27 | ↓ -87% |
| Provider Partners Health Plan of Texas | SNP | $156.75 | ↓ -87% |
| Provider Partners Health Plan of Texas | PFFS | $156.75 | ↓ -87% |
| Provider Partners Health Plan of Texas | MCRHMO | $156.75 | ↓ -87% |
| Provider Partners Health Plan of Texas | PPO | $156.75 | ↓ -87% |
| Provider Partners Health Plan of Texas | POS | $156.75 | ↓ -87% |
| Molina | MGMCR | $161.19 | ↓ -86% |
| Amerigroup | MGMCD | $166.88 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $166.88 | ↓ -86% |
| Cigna | CSN | $176.42 | ↓ -85% |
| Universal Healthcare Group | MCR | $177.46 | ↓ -85% |
| Cigna | OpenAccessPlus | $190.72 | ↓ -84% |
| Verda Health Plan | MCR | $192.24 | ↓ -84% |
| BCBS | MyBlueHealth | $194.30 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $197.87 | ↓ -83% |
| United | OptionsPPO | $200.26 | ↓ -83% |
| Community Health Choice | HIX | $214.43 | ↓ -82% |
| Superior | ValueHMO | $214.43 | ↓ -82% |
| BCBS | BAV | $214.56 | ↓ -82% |
| Cigna | PPO | $226.48 | ↓ -81% |
| Superior | EPO | $229.21 | ↓ -81% |
| Superior | HMO | $229.21 | ↓ -81% |
| BCBS | HMO | $268.20 | ↓ -78% |
| BCBS | EPOSOA | $274.16 | ↓ -77% |
| BCBS | PPO | $278.93 | ↓ -77% |
| Texas Childrens Health Plans | STARKIDS | $282.50 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $282.50 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $286.08 | ↓ -76% |
| Corvel Corporation | WORKERSCOMP | $292.80 | ↓ -75% |
| OMNI Healthcare | WORKERSCOMP | $310.55 | ↓ -74% |
| Molina Healthcare | HIX | $317.94 | ↓ -73% |
| BCBS | Traditional | $417.20 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $512.56 | ↓ -57% |
| United | GlobalAppendix | $536.40 | ↓ -55% |
| Coventry National First Health | COMM | $635.34 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $655.60 | ↓ -45% |
| Rockport Workers Comp | COMM | $655.60 | ↓ -45% |
| National Healthcare Solutions | COMM | $715.20 | ↓ -40% |
| Independent Medical System | COMM | $715.20 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $715.20 | ↓ -40% |
| Triumph | COMM | $715.20 | ↓ -40% |
| Multiplan | PHCSPrimaryNetwork | $894.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $953.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $977.44 | ↓ -18% |
| Physicians, INC | COMM | $1,013.20 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,013.20 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,013.20 | ↓ -15% |
| Affiliated PPO | COMM | $1,072.80 | ↓ -10% |
| Humana | HMO | $1,137.53 | ↓ -5% |
| Humana | PPO | $1,137.53 | ↓ -5% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $274.40 | $164.64 – $784.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $274.40 | $164.64 – $784.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $144.92 – $317.94 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $144.92 – $317.94 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $339.37 | $74.63 – $351.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $339.37 | $54.22 – $395.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $263.40 | $52.68 – $351.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $339.37 | $70.24 – $351.20 |