Pr moderate sedation same physician >= 5 years initial 15 minutes at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
not published by hospital
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.
not published by hospital
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.
$29.51 with BCBS vs $600.00 with Texas Athletic Network — 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 | $29.51 | — |
| Superior Health Plan | CHIP | $30.78 | — |
| Superior Health Plan | STARPLUS | $30.78 | — |
| Superior Health Plan | STARKids | $30.78 | — |
| Superior Health Plan | STAR | $30.78 | — |
| Superior Health Plan | CHPFC | $30.78 | — |
| BCBS | BAV | $32.53 | — |
| Aetna | MCR | $34.01 | — |
| BCBS | HMO | $40.73 | — |
| BCBS | EPOSOA | $45.77 | — |
| BCBS | PPO | $50.69 | — |
| Community Health Choice MCD | CHIPPerinatal | $66.69 | — |
| Community Health Choice MCD | CHIP | $66.69 | — |
| Community Health Choice MCD | STAR+PLUS | $66.69 | — |
| Community Health Choice MCD | STAR | $66.69 | — |
| Amerigroup | MGMCD | $71.82 | — |
| Amerigroup | MCDCHIPBH | $71.82 | — |
| Cigna | CSN | $75.92 | — |
| Cigna | OpenAccessPlus | $82.08 | — |
| Texas Childrens Health Plans | CHIP | $85.16 | — |
| United | OptionsPPO | $86.18 | — |
| Superior | EPO | $89.78 | — |
| Superior | HMO | $89.78 | — |
| Cigna | PPO | $97.47 | — |
| Oscar | HIX | $100.03 | — |
| Superior | ValueHMO | $101.57 | — |
| Texas Childrens Health Plans | STAR | $121.58 | — |
| Texas Childrens Health Plans | STARKIDS | $121.58 | — |
| Texas Workforce Commission | WCOMP | $123.12 | — |
| Healthcare Highways | NarrowNetwork | $130.81 | — |
| Aetna | QHPExchange | $135.94 | — |
| Molina Healthcare | HIX | $138.51 | — |
| Evry Health | BroadNetwork | $140.05 | — |
| CHC Harris Health | Indigent | $153.90 | — |
| Humana | PPO | $163.70 | — |
| Humana | HMO | $163.70 | — |
| Aetna | NBHMO | $164.67 | — |
| Aetna | NBPOS | $164.67 | — |
| Aetna | NBPPO | $164.67 | — |
| Aetna | COMMPOS | $175.45 | — |
| Aetna | COMMPPO | $175.45 | — |
| Aetna | COMMHMO | $175.45 | — |
| BCBS | Traditional | $179.55 | — |
| Imagine Health | PPO | $179.55 | — |
| Curative Administrators | COMM | $205.20 | — |
| Christus (USFHP) | TRICARE | $205.20 | — |
| Aetna | OONPPO | $205.71 | — |
| Aetna | OONPOS | $205.71 | — |
| Aetna | OONHMO | $205.71 | — |
| HealthSmart Preferred Care | ACCEL | $220.59 | — |
| Aetna | ASAPPO | $222.13 | — |
| Aetna | ASAHMO | $222.13 | — |
| Aetna | ASAPOS | $222.13 | — |
| Averde Health | Commercial | $230.85 | — |
| Fidelis SecureCare of TX | MGMCR | $230.85 | — |
| United | GlobalAppendix | $230.85 | — |
| Coventry National First Health | COMM | $273.43 | — |
| Rockport Workers Comp | COMM | $282.15 | — |
| Physicians Cooperative of Texas | WC | $282.15 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Triumph | COMM | $307.80 | — |
| Independent Medical System | COMM | $307.80 | — |
| National Healthcare Solutions | COMM | $307.80 | — |
| SouthWest Medical | WORKERSCOMP | $307.80 | — |
| Coastal Comp | COMM | $333.45 | — |
| Multiplan | PHCSPrimaryNetwork | $384.75 | — |
| Cigna Behavioral Health | COMMBH | $410.40 | — |
| HealthSmart Preferred Care | PPO | $420.66 | — |
| Physicians, INC | COMM | $436.05 | — |
| Multiplan | ComplementaryNetwork | $436.05 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $436.05 | — |
| Affiliated PPO | COMM | $461.70 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $788.55 | $14.88 – $2,253.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $788.55 | $18.41 – $2,253.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $29.51 – $29.51 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $29.51 – $29.51 |
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.42 | $38.71 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $232.42 | $38.08 – $348.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $232.42 | $38.08 – $290.53 |