Quant diff pulm perf w/imaging 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.
$184.35 with Texas Health Network vs $3,066.36 with Humana — 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 | $184.35 | — |
| Texas Childrens Health Plans | STARKIDS | $188.11 | — |
| Amerigroup | MCDCHIPBH | $188.11 | — |
| Amerigroup | MGMCD | $188.11 | — |
| Texas Childrens Health Plans | STAR | $188.11 | — |
| Community Health Choice MCD | CHIPPerinatal | $198.81 | — |
| Community Health Choice MCD | CHIP | $198.81 | — |
| Community Health Choice MCD | STAR+PLUS | $198.81 | — |
| Community Health Choice MCD | STAR | $198.81 | — |
| United | MGMCD | $202.79 | — |
| Molina Healthcare | CHIP | $206.92 | — |
| Molina Healthcare | STAR | $206.92 | — |
| Molina Healthcare | STARKIDS | $206.92 | — |
| Molina Healthcare | STARPLUS | $206.92 | — |
| Aetna Better Health | MGMCD | $214.71 | — |
| Humana | MCD | $235.14 | — |
| BCBS | MyBlueHealth | $303.20 | — |
| BCBS | BAV | $327.31 | — |
| BCBS | HMO | $585.72 | — |
| BCBS | EPOSOA | $608.11 | — |
| BCBS | PPO | $628.79 | — |
| United | NarrowNetworkIndivExchange | $716.53 | — |
| United | SmallGroup | $848.52 | — |
| United | AllPayerAppendix | $848.52 | — |
| Aetna | QHPExchange | $939.09 | — |
| Aetna | NBPPO | $1,248.14 | — |
| Aetna | NBPOS | $1,248.14 | — |
| Aetna | NBHMO | $1,248.14 | — |
| Aetna | COMMPOS | $1,327.73 | — |
| Aetna | COMMPPO | $1,327.73 | — |
| Aetna | COMMHMO | $1,327.73 | — |
| Aetna | OONPOS | $1,561.17 | — |
| Aetna | OONHMO | $1,561.17 | — |
| Aetna | OONPPO | $1,561.17 | — |
| Aetna | ASAPOS | $1,687.18 | — |
| Aetna | ASAHMO | $1,687.18 | — |
| Aetna | ASAPPO | $1,687.18 | — |
| Humana | HMO | $3,066.36 | — |
| Humana | PPO | $3,066.36 | — |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $998.90 | $188.11 – $2,854.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $998.90 | $188.11 – $2,854.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,199.16 | $181.76 – $1,498.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,091.69 | $224.71 – $1,637.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,023.08 | $181.76 – $1,278.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,199.16 | $181.76 – $1,498.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,091.69 | $194.48 – $1,637.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,091.69 | $181.76 – $1,637.53 |