Polysom <6 yrs cpap/bilvl 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

$16,911.00

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.

$16,911.00

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.

$300.00 with Texas Athletic Network vs $15,219.90 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 Athletic Network Premier $300.00 ↓ -98%
Texas Athletic Network PremierPlus $500.00 ↓ -97%
Texas Athletic Network TexasCustomUC $600.00 ↓ -96%
Superior Health Plan CHPFC $1,014.66 ↓ -94%
Superior Health Plan STARPLUS $1,014.66 ↓ -94%
Superior Health Plan STARKids $1,014.66 ↓ -94%
Superior Health Plan STAR $1,014.66 ↓ -94%
Superior Health Plan CHIP $1,014.66 ↓ -94%
BCBS MyBlueHealth $1,974.21 ↓ -88%
BCBS BAV $2,176.69 ↓ -87%
Community Health Choice MCD STAR $2,198.43 ↓ -87%
Community Health Choice MCD STAR+PLUS $2,198.43 ↓ -87%
Community Health Choice MCD CHIP $2,198.43 ↓ -87%
Community Health Choice MCD CHIPPerinatal $2,198.43 ↓ -87%
United NarrowNetworkIndivExchange $2,366.00 ↓ -86%
Amerigroup MGMCD $2,367.54 ↓ -86%
Amerigroup MCDCHIPBH $2,367.54 ↓ -86%
United SmallGroup $2,380.00 ↓ -86%
Cigna CSN $2,502.83 ↓ -85%
Cigna OpenAccessPlus $2,705.76 ↓ -84%
BCBS HMO $2,725.09 ↓ -84%
Texas Childrens Health Plans CHIP $2,807.23 ↓ -83%
United OptionsPPO $2,841.05 ↓ -83%
BCBS EPOSOA $3,062.56 ↓ -82%
Cigna PPO $3,213.09 ↓ -81%
Oscar HIX $3,297.64 ↓ -81%
BCBS PPO $3,391.59 ↓ -80%
United AllPayerAppendix $3,400.00 ↓ -80%
Aetna QHPExchange $3,830.99 ↓ -77%
Texas Childrens Health Plans STAR $4,007.91 ↓ -76%
Texas Childrens Health Plans STARKIDS $4,007.91 ↓ -76%
Texas Workforce Commission WCOMP $4,058.64 ↓ -76%
Healthcare Highways NarrowNetwork $4,312.31 ↓ -74%
Evry Health BroadNetwork $4,616.70 ↓ -73%
Aetna NBHMO $5,089.05 ↓ -70%
Aetna NBPOS $5,089.05 ↓ -70%
Aetna NBPPO $5,089.05 ↓ -70%
Aetna COMMPOS $5,397.47 ↓ -68%
Aetna COMMPPO $5,397.47 ↓ -68%
Aetna COMMHMO $5,397.47 ↓ -68%
BCBS Traditional $5,918.85 ↓ -65%
Imagine Health PPO $5,918.85 ↓ -65%
Aetna OONHMO $6,363.34 ↓ -62%
Aetna OONPOS $6,363.34 ↓ -62%
Aetna OONPPO $6,363.34 ↓ -62%
Christus (USFHP) TRICARE $6,764.40 ↓ -60%
Curative Administrators COMM $6,764.40 ↓ -60%
Aetna ASAHMO $6,866.56 ↓ -59%
Aetna ASAPOS $6,866.56 ↓ -59%
Aetna ASAPPO $6,866.56 ↓ -59%
HealthSmart Preferred Care ACCEL $7,271.73 ↓ -57%
Fidelis SecureCare of TX MGMCR $7,609.95 ↓ -55%
Averde Health Commercial $7,609.95 ↓ -55%
United GlobalAppendix $7,609.95 ↓ -55%
Humana HMO $7,822.00 ↓ -54%
Humana PPO $7,822.00 ↓ -54%
Coventry National First Health COMM $9,013.56 ↓ -47%
Physicians Cooperative of Texas WC $9,301.05 ↓ -45%
Rockport Workers Comp COMM $9,301.05 ↓ -45%
Triumph COMM $10,146.60 ↓ -40%
National Healthcare Solutions COMM $10,146.60 ↓ -40%
SouthWest Medical WORKERSCOMP $10,146.60 ↓ -40%
Independent Medical System COMM $10,146.60 ↓ -40%
Coastal Comp COMM $10,992.15 ↓ -35%
Multiplan PHCSPrimaryNetwork $12,683.25 ↓ -25%
Cigna Behavioral Health COMMBH $13,528.80 ↓ -20%
HealthSmart Preferred Care PPO $13,867.02 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $14,374.35 ↓ -15%
Multiplan ComplementaryNetwork $14,374.35 ↓ -15%
Physicians, INC COMM $14,374.35 ↓ -15%
Affiliated PPO COMM $15,219.90 ↓ -10%

Visitor-reported prices

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Polysom <6 yrs cpap/bilvl at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $3,928.40 $100.00 – $11,224.00
St. Luke's Health - The Vintage Hospital Houston $3,928.40 $100.00 – $11,224.00
HCA HOUSTON TOMBALL HOUSTON $15,698.51 $1,974.21 – $7,822.00
HCA HOUSTON MEDICAL CENTER Houston not published $1,974.21 – $7,822.00
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $4,802.77 $819.52 – $6,003.47
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $6,277.17 $1,292.05 – $9,415.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $4,360.45 $819.52 – $5,450.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $4,802.77 $819.52 – $6,003.47

All Texas hospitals for this procedure →