Revasc evasc fpvt stent sf 1st at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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

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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 $39,022.20 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.

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Payer
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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
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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
Fidelis SecureCare of TX MGMCR $2,115.00
Superior Health Plan STAR $2,369.00
Superior Health Plan CHIP $2,369.00
Superior Health Plan CHPFC $2,369.00
Superior Health Plan STARKids $2,369.00
Superior Health Plan STARPLUS $2,369.00
Aetna MCR $2,874.64
Community Health Choice MCD CHIP $5,636.54
Community Health Choice MCD CHIPPerinatal $5,636.54
Community Health Choice MCD STAR $5,636.54
Community Health Choice MCD STAR+PLUS $5,636.54
Amerigroup MCDCHIPBH $6,070.12
Amerigroup MGMCD $6,070.12
Cigna CSN $6,416.98
Cigna OpenAccessPlus $6,937.28
Texas Childrens Health Plans CHIP $7,197.43
United OptionsPPO $7,284.14
Superior HMO $7,587.65
Superior EPO $7,587.65
Cigna PPO $8,238.02
Oscar HIX $8,454.81
Superior ValueHMO $8,584.88
Texas Childrens Health Plans STARKIDS $10,275.85
Texas Childrens Health Plans STAR $10,275.85
Texas Workforce Commission WCOMP $10,405.92
Healthcare Highways NarrowNetwork $11,056.29
United SmallGroup $11,200.00
Molina Healthcare HIX $11,706.66
Evry Health BroadNetwork $11,836.73
CHC Harris Health Indigent $13,007.40
Humana HMO $13,835.54
Humana PPO $13,835.54
BCBS Traditional $15,175.30
United NarrowNetworkIndivExchange $15,678.00
United AllPayerAppendix $16,000.00
Christus (USFHP) TRICARE $17,343.20
Curative Administrators COMM $17,343.20
HealthSmart Preferred Care ACCEL $18,643.94
United GlobalAppendix $19,511.10
BCBS MyBlueHealth $20,521.96
Coventry National First Health COMM $23,109.81
BCBS BAV $23,116.69
Rockport Workers Comp COMM $23,846.90
Physicians Cooperative of Texas WC $23,846.90
BCBS HMO $24,414.06
Independent Medical System COMM $26,014.80
Triumph COMM $26,014.80
SouthWest Medical WORKERSCOMP $26,014.80
National Healthcare Solutions COMM $26,014.80
BCBS EPOSOA $26,890.84
Coastal Comp COMM $28,182.70
BCBS PPO $29,249.69
Multiplan PHCSPrimaryNetwork $32,518.50
Cigna Behavioral Health COMMBH $34,686.40
HealthSmart Preferred Care PPO $35,553.56
Physicians, INC COMM $36,854.30
HealthSmart Preferred Care ACCOUNTABLEPPO $36,854.30
Multiplan ComplementaryNetwork $36,854.30
Affiliated PPO COMM $39,022.20
WellMed MGMCR not published by hospital

Visitor-reported prices

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Revasc evasc fpvt stent sf 1st at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $25,228.15 $6,299.00 – $31,535.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $21,553.12 $4,436.35 – $32,329.67
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $21,308.99 $6,452.54 – $26,636.24
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $25,228.15 $6,452.54 – $31,535.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $21,553.12 $6,904.22 – $32,329.67
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $21,553.12 $6,452.54 – $32,329.67
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $21,308.99 $6,452.54 – $31,963.48
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $25,228.15 $6,452.54 – $31,535.18

All Texas hospitals for this procedure →