Rmvl icd gen w/rplc icd gen sgl lead sys at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$39,861.00
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.
$39,861.00
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.
$300.00 with Texas Athletic Network vs $95,000.00 with United — 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 Athletic Network | Premier | $300.00 | ↓ -99% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -99% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -98% |
| Superior Health Plan | STARKids | $948.00 | ↓ -98% |
| Superior Health Plan | STAR | $948.00 | ↓ -98% |
| Superior Health Plan | CHIP | $948.00 | ↓ -98% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -98% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -98% |
| Aetna | QHPExchange | $1,944.00 | ↓ -95% |
| Fidelis SecureCare of TX | MGMCR | $2,115.00 | ↓ -95% |
| Aetna | NBPOS | $2,580.00 | ↓ -94% |
| Aetna | NBHMO | $2,580.00 | ↓ -94% |
| Aetna | COMMPOS | $2,742.00 | ↓ -93% |
| Aetna | COMMHMO | $2,742.00 | ↓ -93% |
| Aetna | NBPPO | $2,986.00 | ↓ -93% |
| Aetna | COMMPPO | $3,174.00 | ↓ -92% |
| Aetna | OONPOS | $3,228.00 | ↓ -92% |
| Aetna | OONHMO | $3,228.00 | ↓ -92% |
| Aetna | ASAPOS | $3,486.00 | ↓ -91% |
| Aetna | ASAHMO | $3,486.00 | ↓ -91% |
| Aetna | OONPPO | $3,732.00 | ↓ -91% |
| Aetna | ASAPPO | $4,034.00 | ↓ -90% |
| Humana | HMO | $4,690.00 | ↓ -88% |
| Humana | PPO | $4,690.00 | ↓ -88% |
| Amerigroup | MGMCD | $5,580.54 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $5,580.54 | ↓ -86% |
| BCBS | MyBlueHealth | $6,497.34 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $6,616.93 | ↓ -83% |
| United | OptionsPPO | $6,696.65 | ↓ -83% |
| BCBS | BAV | $7,174.98 | ↓ -82% |
| BCBS | HMO | $8,968.73 | ↓ -77% |
| BCBS | EPOSOA | $9,168.03 | ↓ -77% |
| Texas Childrens Health Plans | STARKIDS | $9,447.06 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $9,447.06 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $9,566.64 | ↓ -76% |
| Cigna | CSN | $10,740.00 | ↓ -73% |
| Oscar | HIX | $11,178.00 | ↓ -72% |
| Cigna | OpenAccessPlus | $11,636.00 | ↓ -71% |
| Healthcare Highways | NarrowNetwork | $12,167.00 | ↓ -69% |
| Cigna | PPO | $13,835.00 | ↓ -65% |
| BCBS | Traditional | $13,951.35 | ↓ -65% |
| Texas Health Network | MCD | $15,854.50 | ↓ -60% |
| Christus (USFHP) | TRICARE | $15,944.40 | ↓ -60% |
| Evry Health | BroadNetwork | $15,976.00 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $17,140.23 | ↓ -57% |
| United | MGMCD | $17,359.71 | ↓ -56% |
| Molina Healthcare | CHIP | $17,795.87 | ↓ -55% |
| Molina Healthcare | STARKIDS | $17,795.87 | ↓ -55% |
| Molina Healthcare | STAR | $17,795.87 | ↓ -55% |
| Molina Healthcare | STARPLUS | $17,795.87 | ↓ -55% |
| United | GlobalAppendix | $17,937.45 | ↓ -55% |
| Community Health Choice MCD | STAR+PLUS | $18,119.43 | ↓ -55% |
| Community Health Choice MCD | CHIP | $18,119.43 | ↓ -55% |
| Community Health Choice MCD | CHIPPerinatal | $18,119.43 | ↓ -55% |
| Community Health Choice MCD | STAR | $18,119.43 | ↓ -55% |
| Humana | MCD | $20,222.58 | ↓ -49% |
| Aetna Better Health | MGMCD | $20,423.18 | ↓ -49% |
| Coventry National First Health | COMM | $21,245.91 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $21,923.55 | ↓ -45% |
| Rockport Workers Comp | COMM | $21,923.55 | ↓ -45% |
| WellMed | MGMCR | $22,456.66 | ↓ -44% |
| Triumph | COMM | $23,916.60 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $23,916.60 | ↓ -40% |
| National Healthcare Solutions | COMM | $23,916.60 | ↓ -40% |
| Independent Medical System | COMM | $23,916.60 | ↓ -40% |
| Coastal Comp | COMM | $25,909.65 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $29,895.75 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $31,888.80 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $32,686.02 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $33,881.85 | ↓ -15% |
| Physicians, INC | COMM | $33,881.85 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $33,881.85 | ↓ -15% |
| Affiliated PPO | COMM | $35,874.90 | ↓ -10% |
| BCBS | PPO | $56,327.97 | ↑ +41% |
| United | NarrowNetworkIndivExchange | $64,880.00 | ↑ +63% |
| United | SmallGroup | $66,500.00 | ↑ +67% |
| United | AllPayerAppendix | $95,000.00 | ↑ +138% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $179,438.58 | $17,359.71 – $46,561.42 |
| Baylor St Luke's Medical Center | Houston | $12,778.85 | $9,857.97 – $36,511.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $12,778.85 | $9,857.97 – $36,511.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $174,641.55 | $16,178.06 – $39,520.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38,067.53 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46,872.23 | $9,647.87 – $70,308.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38,067.53 | $16,178.06 – $58,392.49 |