Prq revasc byp graft 1 art and/or branches 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.
$300.00 with Texas Athletic Network vs $53,815.50 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 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Superior Health Plan | STAR | $5,591.00 | — |
| Superior Health Plan | CHPFC | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Community Health Choice MCD | STAR+PLUS | $7,773.35 | — |
| Community Health Choice MCD | CHIP | $7,773.35 | — |
| Community Health Choice MCD | CHIPPerinatal | $7,773.35 | — |
| Community Health Choice MCD | STAR | $7,773.35 | — |
| Amerigroup | MCDCHIPBH | $8,371.30 | — |
| Amerigroup | MGMCD | $8,371.30 | — |
| Texas Childrens Health Plans | CHIP | $9,925.97 | — |
| United | OptionsPPO | $10,045.56 | — |
| Humana | PPO | $10,106.00 | — |
| Humana | HMO | $10,106.00 | — |
| Oscar | HIX | $11,153.00 | — |
| Texas Childrens Health Plans | STAR | $14,171.42 | — |
| Texas Childrens Health Plans | STARKIDS | $14,171.42 | — |
| Texas Workforce Commission | WCOMP | $14,350.80 | — |
| Aetna | QHPExchange | $15,703.00 | — |
| BCBS | MyBlueHealth | $18,627.94 | — |
| Aetna | NBPPO | $20,855.00 | — |
| Aetna | NBPOS | $20,855.00 | — |
| Aetna | NBHMO | $20,855.00 | — |
| BCBS | Traditional | $20,928.25 | — |
| Healthcare Highways | NarrowNetwork | $21,231.00 | — |
| Aetna | COMMHMO | $22,161.00 | — |
| Aetna | COMMPPO | $22,161.00 | — |
| Aetna | COMMPOS | $22,161.00 | — |
| United | NarrowNetworkIndivExchange | $22,375.00 | — |
| United | SmallGroup | $22,400.00 | — |
| Christus (USFHP) | TRICARE | $23,918.00 | — |
| BCBS | BAV | $24,077.61 | — |
| HealthSmart Preferred Care | ACCEL | $25,711.85 | — |
| Aetna | OONPOS | $26,074.00 | — |
| Aetna | OONPPO | $26,074.00 | — |
| Aetna | OONHMO | $26,074.00 | — |
| United | GlobalAppendix | $26,907.75 | — |
| Fidelis SecureCare of TX | MGMCR | $26,907.75 | — |
| Aetna | ASAHMO | $28,167.00 | — |
| Aetna | ASAPPO | $28,167.00 | — |
| Aetna | ASAPOS | $28,167.00 | — |
| Cigna | CSN | $28,305.00 | — |
| Evry Health | BroadNetwork | $29,288.00 | — |
| Cigna | OpenAccessPlus | $30,666.00 | — |
| Coventry National First Health | COMM | $31,870.74 | — |
| United | AllPayerAppendix | $32,000.00 | — |
| Rockport Workers Comp | COMM | $32,887.25 | — |
| Physicians Cooperative of Texas | WC | $32,887.25 | — |
| BCBS | HMO | $33,391.58 | — |
| BCBS | EPOSOA | $35,670.53 | — |
| Triumph | COMM | $35,877.00 | — |
| National Healthcare Solutions | COMM | $35,877.00 | — |
| SouthWest Medical | WORKERSCOMP | $35,877.00 | — |
| Independent Medical System | COMM | $35,877.00 | — |
| Cigna | PPO | $36,462.00 | — |
| BCBS | PPO | $37,949.48 | — |
| Coastal Comp | COMM | $38,866.75 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| Multiplan | PHCSPrimaryNetwork | $44,846.25 | — |
| Cigna Behavioral Health | COMMBH | $47,836.00 | — |
| HealthSmart Preferred Care | PPO | $49,031.90 | — |
| Physicians, INC | COMM | $50,825.75 | — |
| Multiplan | ComplementaryNetwork | $50,825.75 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $50,825.75 | — |
| Affiliated PPO | COMM | $53,815.50 | — |
Visitor-reported prices
Comments
Prq revasc byp graft 1 art and/or branches at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,798.20 | $1,193.72 – $10,852.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,798.20 | $868.16 – $10,852.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $21,897.74 – $21,897.74 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $21,897.74 – $21,897.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,920.31 | $3,660.75 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,158.72 | $2,502.67 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,158.72 | $2,431.74 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,920.31 | $3,445.42 – $27,252.71 |