Revasc lithotrip tibi/perone 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.
$2,156.00 with Aetna vs $24,906.49 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.
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 |
|---|---|---|---|
| Aetna | QHPExchange | $2,156.00 | — |
| Aetna | NBPOS | $2,864.00 | — |
| Aetna | NBHMO | $2,864.00 | — |
| Aetna | COMMPOS | $3,044.00 | — |
| Aetna | COMMHMO | $3,044.00 | — |
| Aetna | NBPPO | $3,108.00 | — |
| Aetna | COMMPPO | $3,303.00 | — |
| Aetna | OONHMO | $3,582.00 | — |
| Aetna | OONPOS | $3,582.00 | — |
| Aetna | ASAHMO | $3,870.00 | — |
| Aetna | ASAPOS | $3,870.00 | — |
| Aetna | OONPPO | $3,886.00 | — |
| Aetna | ASAPPO | $4,197.00 | — |
| Texas Health Network | MCD | $4,655.24 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
| Amerigroup | MGMCD | $4,750.24 | — |
| Amerigroup | MCDCHIPBH | $4,750.24 | — |
| United | MGMCD | $5,097.19 | — |
| Molina Healthcare | STARKIDS | $5,225.26 | — |
| Molina Healthcare | STARPLUS | $5,225.26 | — |
| Molina Healthcare | STAR | $5,225.26 | — |
| Molina Healthcare | CHIP | $5,225.26 | — |
| Community Health Choice MCD | STAR | $5,320.27 | — |
| Community Health Choice MCD | CHIPPerinatal | $5,320.27 | — |
| Community Health Choice MCD | CHIP | $5,320.27 | — |
| Community Health Choice MCD | STAR+PLUS | $5,320.27 | — |
| Humana | MCD | $5,937.80 | — |
| Aetna Better Health | MGMCD | $5,996.70 | — |
| 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 | $17,474.72 | — |
| BCBS | BAV | $19,684.16 | — |
| BCBS | HMO | $20,788.89 | — |
| BCBS | EPOSOA | $22,897.90 | — |
| BCBS | PPO | $24,906.49 | — |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $69,995.53 | $5,097.19 – $20,588.03 |
| Baylor St Luke's Medical Center | Houston | $7,304.85 | $5,635.17 – $20,871.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $7,304.85 | $5,635.17 – $20,871.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $43,440.01 | $4,750.24 – $17,474.72 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,653.34 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,653.35 | $3,016.15 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,321.23 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,653.34 | $4,750.24 – $27,252.71 |