Prcrd drg 6+yr without anomly at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$29,347.00
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.
$29,347.00
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 $26,412.30 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 | ↓ -99% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -98% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -98% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -97% |
| Superior Health Plan | CHIP | $948.00 | ↓ -97% |
| Superior Health Plan | STAR | $948.00 | ↓ -97% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -97% |
| Superior Health Plan | STARKids | $948.00 | ↓ -97% |
| Aetna | MCR | $1,945.71 | ↓ -93% |
| Fidelis SecureCare of TX | MGMCR | $2,115.00 | ↓ -93% |
| BCBS | MyBlueHealth | $2,346.42 | ↓ -92% |
| BCBS | BAV | $2,584.39 | ↓ -91% |
| BCBS | PPO | $2,927.27 | ↓ -90% |
| BCBS | EPOSOA | $2,968.21 | ↓ -90% |
| BCBS | HMO | $3,009.15 | ↓ -90% |
| Oscar | HIX | $3,390.00 | ↓ -88% |
| Community Health Choice MCD | CHIPPerinatal | $3,815.11 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $3,815.11 | ↓ -87% |
| Community Health Choice MCD | STAR | $3,815.11 | ↓ -87% |
| Community Health Choice MCD | CHIP | $3,815.11 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $4,108.58 | ↓ -86% |
| Amerigroup | MGMCD | $4,108.58 | ↓ -86% |
| Humana | PPO | $4,690.00 | ↓ -84% |
| Humana | HMO | $4,690.00 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $4,871.60 | ↓ -83% |
| United | OptionsPPO | $4,930.30 | ↓ -83% |
| Superior | EPO | $5,135.73 | ↓ -82% |
| Superior | HMO | $5,135.73 | ↓ -82% |
| Superior | ValueHMO | $5,810.71 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $5,841.00 | ↓ -80% |
| United | SmallGroup | $6,300.00 | ↓ -79% |
| Texas Childrens Health Plans | STAR | $6,955.24 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $6,955.24 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $7,043.28 | ↓ -76% |
| Molina Healthcare | HIX | $7,923.69 | ↓ -73% |
| Evry Health | BroadNetwork | $8,011.73 | ↓ -73% |
| United | NarrowNetworkIndivExchange | $8,757.00 | ↓ -70% |
| CHC Harris Health | Indigent | $8,804.10 | ↓ -70% |
| United | AllPayerAppendix | $9,000.00 | ↓ -69% |
| BCBS | Traditional | $10,271.45 | ↓ -65% |
| Cigna | CSN | $10,740.00 | ↓ -63% |
| Cigna | OpenAccessPlus | $11,636.00 | ↓ -60% |
| Christus (USFHP) | TRICARE | $11,738.80 | ↓ -60% |
| Curative Administrators | COMM | $12,018.00 | ↓ -59% |
| HealthSmart Preferred Care | ACCEL | $12,619.21 | ↓ -57% |
| United | GlobalAppendix | $13,206.15 | ↓ -55% |
| Cigna | PPO | $13,835.00 | ↓ -53% |
| Coventry National First Health | COMM | $15,641.95 | ↓ -47% |
| Rockport Workers Comp | COMM | $16,140.85 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $16,140.85 | ↓ -45% |
| Triumph | COMM | $17,608.20 | ↓ -40% |
| National Healthcare Solutions | COMM | $17,608.20 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $17,608.20 | ↓ -40% |
| Independent Medical System | COMM | $17,608.20 | ↓ -40% |
| Coastal Comp | COMM | $19,075.55 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $22,010.25 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $23,477.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $24,064.54 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $24,944.95 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $24,944.95 | ↓ -15% |
| Physicians, INC | COMM | $24,944.95 | ↓ -15% |
| Affiliated PPO | COMM | $26,412.30 | ↓ -10% |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $6,899.33 | $2,346.42 – $2,346.42 |
| Baylor St Luke's Medical Center | Houston | $1,273.30 | $400.18 – $3,638.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,273.30 | $291.04 – $3,638.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $5,995.00 | $2,346.42 – $2,346.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,161.89 | $895.87 – $4,479.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,432.13 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,724.71 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,161.89 | $843.17 – $17,181.00 |