Pt application of modality traction mechanical 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.
$12.51 with Oscar vs $707.40 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 |
|---|---|---|---|
| Oscar | MGMCR | $12.51 | — |
| WellMed | MGMCR | $12.71 | — |
| BCBS | MCRPPO | $12.77 | — |
| Humana | MedicareAdvantageHMO | $12.77 | — |
| Humana | MedicareAdvantagePPOPFFS | $12.77 | — |
| BCBS | MedicareAdvantageHMO | $12.77 | — |
| Devoted Health | MGMCR | $12.77 | — |
| Kelsey Seybold | MGMCR | $12.77 | — |
| CHC Harris Health | Indigent | $12.77 | — |
| Renaissance IPA Radiology | MCR | $12.77 | — |
| Renaissance IPA Radiology | COMM | $12.77 | — |
| Cigna HealthSpring | MMP | $12.77 | — |
| Cigna HealthSpring | PFFS | $12.77 | — |
| Cigna HealthSpring | MCRSNP | $12.77 | — |
| Cigna HealthSpring | MCRPPO | $12.77 | — |
| Cigna HealthSpring | MCRHMO | $12.77 | — |
| Amerigroup | DualEligible | $12.77 | — |
| TriWest Healthcare Alliance | Veterans | $12.77 | — |
| Aetna | MCR | $12.88 | — |
| Van Lang IPA | MCR | $12.90 | — |
| United | MCR | $13.02 | — |
| WellCare | PPO | $13.15 | — |
| WellCare | SNP | $13.15 | — |
| WellCare | POS | $13.15 | — |
| WellCare | MCRHMO | $13.15 | — |
| WellCare | PFFS | $13.15 | — |
| Integranet Amerigroup IPA | MCR | $13.15 | — |
| Superior Health Plan | MCRPPO | $13.41 | — |
| American Health Plan | MGMCR | $13.41 | — |
| Shared Health | MGMCR | $13.41 | — |
| Superior Health Plan | DualEligible | $13.41 | — |
| Superior Health Plan | MCRHMO | $13.41 | — |
| Superior Health Plan | MCRPOS | $13.41 | — |
| Superior Health Plan | MCRSNP | $13.41 | — |
| Superior Health Plan | PFFS | $13.41 | — |
| ProCare Advantage | MGMCR | $13.41 | — |
| Provider Partners Health Plan of Texas | SNP | $13.54 | — |
| Provider Partners Health Plan of Texas | POS | $13.54 | — |
| Provider Partners Health Plan of Texas | PFFS | $13.54 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $13.54 | — |
| Provider Partners Health Plan of Texas | PPO | $13.54 | — |
| Molina | MGMCR | $13.92 | — |
| TriWest Health Alliance | TRCR | $14.51 | — |
| Christus (USFHP) | TRICARE | $14.51 | — |
| Universal Healthcare Group | MCR | $15.32 | — |
| Verda Health Plan | MCR | $16.60 | — |
| Community Health Choice | HIX | $18.52 | — |
| Superior | ValueHMO | $18.52 | — |
| Superior | EPO | $19.79 | — |
| Superior | HMO | $19.79 | — |
| Corvel Corporation | WORKERSCOMP | $25.28 | — |
| OMNI Healthcare | WORKERSCOMP | $26.81 | — |
| Molina Healthcare | HIX | $27.45 | — |
| BCBS | MyBlueHealth | $35.43 | — |
| BCBS | BAV | $39.06 | — |
| Aetna | QHPExchange | $42.29 | — |
| Superior Health Plan | CHPFC | $47.16 | — |
| Superior Health Plan | CHIP | $47.16 | — |
| Superior Health Plan | STARPLUS | $47.16 | — |
| Superior Health Plan | STARKids | $47.16 | — |
| Superior Health Plan | STAR | $47.16 | — |
| BCBS | HMO | $48.90 | — |
| BCBS | EPOSOA | $54.96 | — |
| Aetna | NBPPO | $56.18 | — |
| Aetna | NBHMO | $56.18 | — |
| Aetna | NBPOS | $56.18 | — |
| Aetna | COMMPPO | $59.58 | — |
| Aetna | COMMHMO | $59.58 | — |
| Aetna | COMMPOS | $59.58 | — |
| BCBS | PPO | $60.86 | — |
| Aetna | OONPOS | $70.25 | — |
| Aetna | OONHMO | $70.25 | — |
| Aetna | OONPPO | $70.25 | — |
| Aetna | ASAHMO | $75.80 | — |
| Aetna | ASAPPO | $75.80 | — |
| Aetna | ASAPOS | $75.80 | — |
| Community Health Choice MCD | CHIP | $102.18 | — |
| Community Health Choice MCD | CHIPPerinatal | $102.18 | — |
| Community Health Choice MCD | STAR | $102.18 | — |
| Community Health Choice MCD | STAR+PLUS | $102.18 | — |
| Amerigroup | MGMCD | $110.04 | — |
| Amerigroup | MCDCHIPBH | $110.04 | — |
| Texas Childrens Health Plans | CHIP | $130.48 | — |
| United | OptionsPPO | $132.05 | — |
| Humana | PPO | $143.08 | — |
| Humana | HMO | $143.08 | — |
| Oscar | HIX | $153.27 | — |
| Texas Childrens Health Plans | STAR | $186.28 | — |
| Texas Childrens Health Plans | STARKIDS | $186.28 | — |
| Texas Workforce Commission | WCOMP | $188.64 | — |
| BCBS | Traditional | $275.10 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| HealthSmart Preferred Care | ACCEL | $337.98 | — |
| Fidelis SecureCare of TX | MGMCR | $353.70 | — |
| United | GlobalAppendix | $353.70 | — |
| Coventry National First Health | COMM | $418.94 | — |
| Physicians Cooperative of Texas | WC | $432.30 | — |
| Rockport Workers Comp | COMM | $432.30 | — |
| National Healthcare Solutions | COMM | $471.60 | — |
| Triumph | COMM | $471.60 | — |
| Independent Medical System | COMM | $471.60 | — |
| SouthWest Medical | WORKERSCOMP | $471.60 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Coastal Comp | COMM | $510.90 | — |
| Multiplan | PHCSPrimaryNetwork | $589.50 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Cigna Behavioral Health | COMMBH | $628.80 | — |
| HealthSmart Preferred Care | PPO | $644.52 | — |
| Multiplan | ComplementaryNetwork | $668.10 | — |
| Physicians, INC | COMM | $668.10 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $668.10 | — |
| Affiliated PPO | COMM | $707.40 | — |
Visitor-reported prices
Comments
Pt application of modality traction mechanical at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $12.51 – $42.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $12.51 – $27.45 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $86.94 | $24.63 – $134.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $123.04 | $25.33 – $184.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $114.88 | $22.98 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $86.94 | $23.18 – $134.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $123.04 | $39.50 – $184.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $123.04 | $42.96 – $253.00 |