Screening Colonoscopy (average risk) 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.
$321.93 with Texas Health Network vs $4,690.00 with Humana — 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 Health Network | MCD | $321.93 | — |
| Amerigroup | MCDCHIPBH | $328.50 | — |
| Amerigroup | MGMCD | $328.50 | — |
| United | MGMCD | $352.49 | — |
| Molina Healthcare | STARPLUS | $361.35 | — |
| Molina Healthcare | STARKIDS | $361.35 | — |
| Molina Healthcare | STAR | $361.35 | — |
| Molina Healthcare | CHIP | $361.35 | — |
| Community Health Choice MCD | STAR+PLUS | $367.92 | — |
| Community Health Choice MCD | STAR | $367.92 | — |
| Community Health Choice MCD | CHIPPerinatal | $367.92 | — |
| Community Health Choice MCD | CHIP | $367.92 | — |
| Humana | MCD | $410.63 | — |
| Aetna Better Health | MGMCD | $414.70 | — |
| BCBS | MyBlueHealth | $1,329.15 | — |
| BCBS | BAV | $1,497.20 | — |
| United | SmallGroup | $1,534.00 | — |
| Aetna | QHPExchange | $1,579.00 | — |
| BCBS | HMO | $1,581.23 | — |
| United | NarrowNetworkIndivExchange | $1,732.00 | — |
| BCBS | EPOSOA | $1,741.65 | — |
| BCBS | PPO | $1,894.42 | — |
| Curative Administrators | COMM | $2,012.00 | — |
| Aetna | NBHMO | $2,098.00 | — |
| Aetna | NBPOS | $2,098.00 | — |
| Oscar | HIX | $2,128.00 | — |
| United | AllPayerAppendix | $2,191.00 | — |
| Aetna | COMMHMO | $2,229.00 | — |
| Aetna | COMMPOS | $2,229.00 | — |
| Healthcare Highways | NarrowNetwork | $2,251.00 | — |
| Aetna | NBPPO | $2,299.00 | — |
| Evry Health | BroadNetwork | $2,315.00 | — |
| Aetna | COMMPPO | $2,444.00 | — |
| Aetna | OONHMO | $2,623.00 | — |
| Aetna | OONPOS | $2,623.00 | — |
| Aetna | ASAHMO | $2,832.00 | — |
| Aetna | ASAPOS | $2,832.00 | — |
| Aetna | OONPPO | $2,876.00 | — |
| Cigna | CSN | $2,915.00 | — |
| Aetna | ASAPPO | $3,106.00 | — |
| Cigna | OpenAccessPlus | $3,158.00 | — |
| Cigna | PPO | $3,755.00 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
Visitor-reported prices
Comments
Screening Colonoscopy (average risk) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $782.00 | $934.20 – $3,695.00 |
| Houston Methodist Hospital | Houston | $445.50 | $934.20 – $3,736.78 |
| Houston Methodist West Hospital | Houston | $782.00 | $934.20 – $3,736.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $352.49 – $1,565.95 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $328.50 – $1,329.15 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,376.20 | $2,359.20 – $2,949.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,175.65 | $934.20 – $2,265.00 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $1,668.15 | $328.50 – $1,712.16 |