Revasc intra lithotrip-stent 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

?

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.

Full explanation →

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$300.00 with Texas Athletic Network vs $68,173.20 with Affiliated PPO — same scan, same building. Share

Negotiated rates by payer
?

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 Athletic Network Premier $300.00
Texas Athletic Network PremierPlus $500.00
Texas Athletic Network TexasCustomUC $600.00
Aetna QHPExchange $2,156.00
Aetna NBPOS $2,864.00
Aetna NBHMO $2,864.00
Aetna COMMHMO $3,044.00
Aetna COMMPOS $3,044.00
Aetna NBPPO $3,108.00
Aetna COMMPPO $3,303.00
Aetna OONPOS $3,582.00
Aetna OONHMO $3,582.00
Aetna ASAPOS $3,870.00
Aetna ASAHMO $3,870.00
Aetna OONPPO $3,886.00
Aetna ASAPPO $4,197.00
Superior Health Plan STARKids $4,544.88
Superior Health Plan STAR $4,544.88
Superior Health Plan STARPLUS $4,544.88
Superior Health Plan CHIP $4,544.88
Superior Health Plan CHPFC $4,544.88
Humana HMO $4,690.00
Humana PPO $4,690.00
Community Health Choice MCD CHIPPerinatal $9,847.24
Community Health Choice MCD STAR+PLUS $9,847.24
Community Health Choice MCD STAR $9,847.24
Community Health Choice MCD CHIP $9,847.24
Curative Administrators COMM $9,875.00
Amerigroup MCDCHIPBH $10,604.72
Amerigroup MGMCD $10,604.72
Cigna CSN $10,740.00
United SmallGroup $11,200.00
Cigna OpenAccessPlus $11,636.00
Texas Childrens Health Plans CHIP $12,574.17
United OptionsPPO $12,725.66
Cigna PPO $13,835.00
Oscar HIX $14,770.86
United NarrowNetworkIndivExchange $15,678.00
United AllPayerAppendix $16,000.00
BCBS MyBlueHealth $17,240.76
Texas Childrens Health Plans STARKIDS $17,952.28
Texas Childrens Health Plans STAR $17,952.28
Texas Workforce Commission WCOMP $18,179.52
Healthcare Highways NarrowNetwork $19,315.74
BCBS BAV $19,420.62
BCBS HMO $20,510.55
Evry Health BroadNetwork $20,679.20
BCBS EPOSOA $22,591.33
BCBS PPO $24,573.03
BCBS Traditional $26,511.80
Christus (USFHP) TRICARE $30,299.20
HealthSmart Preferred Care ACCEL $32,571.64
United GlobalAppendix $34,086.60
Fidelis SecureCare of TX MGMCR $34,086.60
Coventry National First Health COMM $40,373.68
Physicians Cooperative of Texas WC $41,661.40
Rockport Workers Comp COMM $41,661.40
Triumph COMM $45,448.80
National Healthcare Solutions COMM $45,448.80
SouthWest Medical WORKERSCOMP $45,448.80
Independent Medical System COMM $45,448.80
Coastal Comp COMM $49,236.20
Multiplan PHCSPrimaryNetwork $56,811.00
Cigna Behavioral Health COMMBH $60,598.40
HealthSmart Preferred Care PPO $62,113.36
Multiplan ComplementaryNetwork $64,385.80
Physicians, INC COMM $64,385.80
HealthSmart Preferred Care ACCOUNTABLEPPO $64,385.80
Affiliated PPO COMM $68,173.20

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Revasc intra lithotrip-stent at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $64,681.25 $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 not published $17,240.76 – $17,240.76
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $26,279.32 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $21,758.84 $4,478.69 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $25,523.12 $5,104.62 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $26,279.32 $7,007.82 – $43,439.01

All Texas hospitals for this procedure →