Polysom <6 yrs cpap/bilvl at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$16,911.00
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.
$16,911.00
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.
$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 →
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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 |
|---|---|---|---|
| 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
Comments
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 |