Prothrombin complex kcentra 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.
$3.45 with United vs $17,865.00 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 |
|---|---|---|---|
| United | SmallGroup | $3.45 | — |
| United | AllPayerAppendix | $3.45 | — |
| United | NarrowNetworkIndivExchange | $3.45 | — |
| BCBS | MyBlueHealth | $5.12 | — |
| BCBS | BAV | $5.64 | — |
| BCBS | EPOSOA | $7.05 | — |
| BCBS | HMO | $7.05 | — |
| BCBS | PPO | $7.05 | — |
| Cigna | CSN | $7.36 | — |
| Cigna | OpenAccessPlus | $7.96 | — |
| Cigna | PPO | $9.48 | — |
| Superior Health Plan | STARPLUS | $1,191.00 | — |
| Superior Health Plan | STARKids | $1,191.00 | — |
| Superior Health Plan | STAR | $1,191.00 | — |
| Superior Health Plan | CHPFC | $1,191.00 | — |
| Superior Health Plan | CHIP | $1,191.00 | — |
| Community Health Choice MCD | CHIPPerinatal | $2,580.50 | — |
| Community Health Choice MCD | STAR+PLUS | $2,580.50 | — |
| Community Health Choice MCD | STAR | $2,580.50 | — |
| Community Health Choice MCD | CHIP | $2,580.50 | — |
| Amerigroup | MGMCD | $2,779.00 | — |
| Amerigroup | MCDCHIPBH | $2,779.00 | — |
| Texas Childrens Health Plans | CHIP | $3,295.10 | — |
| United | OptionsPPO | $3,334.80 | — |
| Texas Childrens Health Plans | STARKIDS | $4,704.45 | — |
| Texas Childrens Health Plans | STAR | $4,704.45 | — |
| Texas Workforce Commission | WCOMP | $4,764.00 | — |
| Humana | HMO | $6,334.14 | — |
| Humana | PPO | $6,334.14 | — |
| BCBS | Traditional | $6,947.50 | — |
| Christus (USFHP) | TRICARE | $7,940.00 | — |
| HealthSmart Preferred Care | ACCEL | $8,535.50 | — |
| United | GlobalAppendix | $8,932.50 | — |
| Coventry National First Health | COMM | $10,580.05 | — |
| Rockport Workers Comp | COMM | $10,917.50 | — |
| Physicians Cooperative of Texas | WC | $10,917.50 | — |
| Triumph | COMM | $11,910.00 | — |
| National Healthcare Solutions | COMM | $11,910.00 | — |
| SouthWest Medical | WORKERSCOMP | $11,910.00 | — |
| Independent Medical System | COMM | $11,910.00 | — |
| Coastal Comp | COMM | $12,902.50 | — |
| Multiplan | PHCSPrimaryNetwork | $14,887.50 | — |
| Cigna Behavioral Health | COMMBH | $15,880.00 | — |
| HealthSmart Preferred Care | PPO | $16,277.00 | — |
| Multiplan | ComplementaryNetwork | $16,872.50 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $16,872.50 | — |
| Physicians, INC | COMM | $16,872.50 | — |
| Affiliated PPO | COMM | $17,865.00 | — |
Visitor-reported prices
Comments
Prothrombin complex kcentra at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3.45 – $7.36 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3.45 – $7.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27.53 | $1.95 – $34.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27.53 | $5.67 – $41.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27.53 | $1.95 – $34.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27.53 | $1.95 – $34.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27.53 | $1.95 – $41.29 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27.53 | $5.90 – $41.29 |