Quant diff pulm perf and vent w/imaging at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$24,372.00
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.
$24,372.00
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.
$276.37 with Texas Health Network vs $21,934.80 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 Health Network | MCD | $276.37 | ↓ -99% |
| Amerigroup | MCDCHIPBH | $282.01 | ↓ -99% |
| Amerigroup | MGMCD | $282.01 | ↓ -99% |
| Texas Childrens Health Plans | STARKIDS | $282.01 | ↓ -99% |
| Texas Childrens Health Plans | STAR | $282.01 | ↓ -99% |
| Community Health Choice MCD | CHIPPerinatal | $298.71 | ↓ -99% |
| Community Health Choice MCD | STAR | $298.71 | ↓ -99% |
| Community Health Choice MCD | STAR+PLUS | $298.71 | ↓ -99% |
| Community Health Choice MCD | CHIP | $298.71 | ↓ -99% |
| Texas Athletic Network | Premier | $300.00 | ↓ -99% |
| United | MGMCD | $304.68 | ↓ -99% |
| Molina Healthcare | STAR | $310.21 | ↓ -99% |
| Molina Healthcare | STARPLUS | $310.21 | ↓ -99% |
| Molina Healthcare | STARKIDS | $310.21 | ↓ -99% |
| Molina Healthcare | CHIP | $310.21 | ↓ -99% |
| Aetna Better Health | MGMCD | $322.61 | ↓ -99% |
| Humana | MCD | $352.51 | ↓ -99% |
| BCBS | MyBlueHealth | $483.96 | ↓ -98% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -98% |
| BCBS | BAV | $522.46 | ↓ -98% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $929.86 | ↓ -96% |
| BCBS | HMO | $934.93 | ↓ -96% |
| BCBS | EPOSOA | $970.68 | ↓ -96% |
| BCBS | PPO | $1,003.68 | ↓ -96% |
| United | SmallGroup | $1,101.15 | ↓ -95% |
| United | AllPayerAppendix | $1,101.15 | ↓ -95% |
| Superior Health Plan | STAR | $1,462.32 | ↓ -94% |
| Superior Health Plan | STARKids | $1,462.32 | ↓ -94% |
| Superior Health Plan | CHIP | $1,462.32 | ↓ -94% |
| Superior Health Plan | STARPLUS | $1,462.32 | ↓ -94% |
| Superior Health Plan | CHPFC | $1,462.32 | ↓ -94% |
| Aetna | QHPExchange | $1,480.85 | ↓ -94% |
| Aetna | NBPOS | $1,968.20 | ↓ -92% |
| Aetna | NBHMO | $1,968.20 | ↓ -92% |
| Aetna | NBPPO | $1,968.20 | ↓ -92% |
| Aetna | COMMPOS | $2,093.69 | ↓ -91% |
| Aetna | COMMHMO | $2,093.69 | ↓ -91% |
| Aetna | COMMPPO | $2,093.69 | ↓ -91% |
| Aetna | OONPPO | $2,461.81 | ↓ -90% |
| Aetna | OONPOS | $2,461.81 | ↓ -90% |
| Aetna | OONHMO | $2,461.81 | ↓ -90% |
| Aetna | ASAPOS | $2,660.52 | ↓ -89% |
| Aetna | ASAHMO | $2,660.52 | ↓ -89% |
| Aetna | ASAPPO | $2,660.52 | ↓ -89% |
| Texas Childrens Health Plans | CHIP | $4,045.75 | ↓ -83% |
| United | OptionsPPO | $4,094.50 | ↓ -83% |
| Humana | HMO | $4,823.93 | ↓ -80% |
| Humana | PPO | $4,823.93 | ↓ -80% |
| Texas Workforce Commission | WCOMP | $5,849.28 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $6,214.86 | ↓ -75% |
| Evry Health | BroadNetwork | $6,653.56 | ↓ -73% |
| BCBS | Traditional | $8,530.20 | ↓ -65% |
| Imagine Health | PPO | $8,530.20 | ↓ -65% |
| Christus (USFHP) | TRICARE | $9,748.80 | ↓ -60% |
| Curative Administrators | COMM | $9,748.80 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $10,479.96 | ↓ -57% |
| Averde Health | Commercial | $10,967.40 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $10,967.40 | ↓ -55% |
| United | GlobalAppendix | $10,967.40 | ↓ -55% |
| Coventry National First Health | COMM | $12,990.28 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $13,404.60 | ↓ -45% |
| Rockport Workers Comp | COMM | $13,404.60 | ↓ -45% |
| Triumph | COMM | $14,623.20 | ↓ -40% |
| National Healthcare Solutions | COMM | $14,623.20 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $14,623.20 | ↓ -40% |
| Independent Medical System | COMM | $14,623.20 | ↓ -40% |
| Coastal Comp | COMM | $15,841.80 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $18,279.00 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $19,497.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $19,985.04 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $20,716.20 | ↓ -15% |
| Physicians, INC | COMM | $20,716.20 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $20,716.20 | ↓ -15% |
| Affiliated PPO | COMM | $21,934.80 | ↓ -10% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,538.60 | $282.01 – $4,396.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,538.60 | $282.01 – $4,396.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $7,029.08 | $282.01 – $1,480.85 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $298.71 – $1,480.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,610.93 | $269.31 – $2,013.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,425.08 | $293.33 – $2,137.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,425.08 | $269.31 – $1,781.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,610.93 | $269.31 – $2,013.66 |