Revasc intra lithotrip-ather 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.

$2,370.00 with Aetna vs $24,573.03 with BCBS — 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
Aetna QHPExchange $2,370.00
Aetna NBPOS $3,148.00
Aetna NBHMO $3,148.00
Aetna COMMPOS $3,345.00
Aetna COMMHMO $3,345.00
Aetna NBPPO $3,388.00
Aetna COMMPPO $3,601.00
Aetna OONPOS $3,934.00
Aetna OONHMO $3,934.00
Aetna OONPPO $4,237.00
Aetna ASAPOS $4,250.00
Aetna ASAHMO $4,250.00
Aetna ASAPPO $4,577.00
Humana PPO $4,690.00
Humana HMO $4,690.00
Curative Administrators COMM $9,875.00
Cigna CSN $10,740.00
United SmallGroup $11,200.00
Cigna OpenAccessPlus $11,636.00
Cigna PPO $13,835.00
United NarrowNetworkIndivExchange $15,678.00
United AllPayerAppendix $16,000.00
BCBS MyBlueHealth $17,240.76
BCBS BAV $19,420.62
BCBS HMO $20,510.55
BCBS EPOSOA $22,591.33
BCBS PPO $24,573.03

Visitor-reported prices

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Revasc intra lithotrip-ather at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $100,062.00 $20,312.38 – $20,312.38
Baylor St Luke's Medical Center Houston $11,265.45 $3,540.57 – $32,187.00
St. Luke's Health - The Vintage Hospital Houston $11,265.45 $2,574.96 – $32,187.00
HCA HOUSTON TOMBALL HOUSTON $69,458.29 $17,240.76 – $17,240.76
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28,802.66 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,250.53 $3,850.11 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28,802.66 $7,038.00 – $43,439.01

All Texas hospitals for this procedure →