Pelvic MRI (with and without contrast) at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$340.22 with Texas Health Network vs $28,987.20 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 →

Payer
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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
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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 $340.22
Texas Childrens Health Plans STARKIDS $347.16
Amerigroup MCDCHIPBH $347.16
Texas Childrens Health Plans STAR $347.16
Amerigroup MGMCD $347.16
Community Health Choice MCD CHIPPerinatal $353.18
Community Health Choice MCD STAR+PLUS $353.18
Community Health Choice MCD STAR $353.18
Community Health Choice MCD CHIP $353.18
United MGMCD $360.24
Aetna Better Health MGMCD $381.43
Molina Healthcare STARPLUS $381.88
Molina Healthcare CHIP $381.88
Molina Healthcare STAR $381.88
Molina Healthcare STARKIDS $381.88
Humana MCD $433.95
United NarrowNetworkIndivExchange $699.43
BCBS MyBlueHealth $763.70
United AllPayerAppendix $828.27
United SmallGroup $828.27
BCBS BAV $946.99
Aetna QHPExchange $1,210.00
Aetna ASAPPO $1,301.00
BCBS HMO $1,439.57
BCBS EPOSOA $1,512.13
BCBS PPO $1,580.86
Aetna NBPPO $1,605.00
Aetna NBHMO $1,605.00
Aetna NBPOS $1,605.00
Aetna COMMPPO $1,706.00
Aetna COMMHMO $1,706.00
Aetna COMMPOS $1,706.00
Superior Health Plan CHIP $1,932.48
Superior Health Plan STARPLUS $1,932.48
Superior Health Plan STARKids $1,932.48
Superior Health Plan STAR $1,932.48
Superior Health Plan CHPFC $1,932.48
Aetna OONPPO $2,007.00
Aetna OONPOS $2,007.00
Aetna OONHMO $2,007.00
Cigna CSN $2,127.00
Aetna ASAPOS $2,168.00
Aetna ASAHMO $2,168.00
Cigna OpenAccessPlus $2,304.00
Cigna PPO $2,739.00
Texas Childrens Health Plans CHIP $5,346.53
United OptionsPPO $5,410.94
Humana PPO $5,552.75
Humana HMO $5,552.75
Texas Workforce Commission WCOMP $7,729.92
BCBS Traditional $11,272.80
Christus (USFHP) TRICARE $12,883.20
HealthSmart Preferred Care ACCEL $13,849.44
United GlobalAppendix $14,493.60
Fidelis SecureCare of TX MGMCR $14,493.60
Coventry National First Health COMM $17,166.86
Physicians Cooperative of Texas WC $17,714.40
Rockport Workers Comp COMM $17,714.40
Triumph COMM $19,324.80
National Healthcare Solutions COMM $19,324.80
SouthWest Medical WORKERSCOMP $19,324.80
Independent Medical System COMM $19,324.80
Coastal Comp COMM $20,935.20
Multiplan PHCSPrimaryNetwork $24,156.00
Cigna Behavioral Health COMMBH $25,766.40
HealthSmart Preferred Care PPO $26,410.56
Multiplan ComplementaryNetwork $27,376.80
Physicians, INC COMM $27,376.80
HealthSmart Preferred Care ACCOUNTABLEPPO $27,376.80
Affiliated PPO COMM $28,987.20

Visitor-reported prices

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Pelvic MRI (with and without contrast) at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $4,936.05 $347.16 – $14,103.00
St. Luke's Health - The Vintage Hospital Houston $4,936.05 $347.16 – $14,103.00
HCA HOUSTON TOMBALL HOUSTON $22,396.06 $347.16 – $820.98
HCA HOUSTON MEDICAL CENTER Houston not published $353.18 – $820.98
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $3,742.20 $332.94 – $4,677.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $3,382.76 $494.01 – $5,074.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $3,382.76 $332.94 – $4,228.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $3,742.20 $332.94 – $4,677.75

All Texas hospitals for this procedure →