Sincalide 5 mcg solution for injection 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.
$13.86 with Superior Health Plan vs $1,021.34 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $13.86 | — |
| Superior Health Plan | STARKids | $13.86 | — |
| Superior Health Plan | STAR | $13.86 | — |
| Superior Health Plan | CHPFC | $13.86 | — |
| Superior Health Plan | CHIP | $13.86 | — |
| Aetna | MCR | $15.32 | — |
| Community Health Choice MCD | STAR+PLUS | $30.03 | — |
| Community Health Choice MCD | CHIP | $30.03 | — |
| Community Health Choice MCD | CHIPPerinatal | $30.03 | — |
| Community Health Choice MCD | STAR | $30.03 | — |
| Amerigroup | MGMCD | $32.34 | — |
| Amerigroup | MCDCHIPBH | $32.34 | — |
| Texas Childrens Health Plans | CHIP | $38.35 | — |
| United | OptionsPPO | $38.81 | — |
| Superior | EPO | $40.42 | — |
| Superior | HMO | $40.42 | — |
| Superior | ValueHMO | $45.74 | — |
| Texas Childrens Health Plans | STARKIDS | $54.75 | — |
| Texas Childrens Health Plans | STAR | $54.75 | — |
| Texas Workforce Commission | WCOMP | $55.44 | — |
| Molina Healthcare | HIX | $62.37 | — |
| CHC Harris Health | Indigent | $69.30 | — |
| BCBS | Traditional | $80.85 | — |
| HealthSmart Preferred Care | ACCEL | $99.33 | — |
| United | GlobalAppendix | $103.95 | — |
| TriWest Health Alliance | TRCR | $110.13 | — |
| Christus (USFHP) | TRICARE | $110.13 | — |
| Coventry National First Health | COMM | $123.12 | — |
| Physicians Cooperative of Texas | WC | $127.05 | — |
| Rockport Workers Comp | COMM | $127.05 | — |
| Triumph | COMM | $138.60 | — |
| Independent Medical System | COMM | $138.60 | — |
| National Healthcare Solutions | COMM | $138.60 | — |
| SouthWest Medical | WORKERSCOMP | $138.60 | — |
| Coastal Comp | COMM | $150.15 | — |
| Multiplan | PHCSPrimaryNetwork | $173.25 | — |
| United | AllPayerAppendix | $181.71 | — |
| United | NarrowNetworkIndivExchange | $181.71 | — |
| United | SmallGroup | $181.71 | — |
| Cigna Behavioral Health | COMMBH | $184.80 | — |
| HealthSmart Preferred Care | PPO | $189.42 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $196.35 | — |
| Physicians, INC | COMM | $196.35 | — |
| Multiplan | ComplementaryNetwork | $196.35 | — |
| BCBS | MyBlueHealth | $198.29 | — |
| Affiliated PPO | COMM | $207.90 | — |
| BCBS | BAV | $218.53 | — |
| BCBS | HMO | $273.16 | — |
| BCBS | PPO | $273.16 | — |
| BCBS | EPOSOA | $273.16 | — |
| Cigna | CSN | $329.05 | — |
| Cigna | OpenAccessPlus | $356.24 | — |
| Cigna | PPO | $424.23 | — |
| Humana | PPO | $1,021.34 | — |
| Humana | HMO | $1,021.34 | — |
Visitor-reported prices
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Sincalide 5 mcg solution for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $952.97 | $143.26 – $1,021.34 |
| Baylor St Luke's Medical Center | Houston | $195.02 | $86.67 – $321.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $195.02 | $83.46 – $321.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,664.42 | $143.26 – $1,021.34 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $912.87 | $143.26 – $1,021.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,695.83 | $110.13 – $1,021.34 |
| HCA HOUSTON NORTHWEST | SPRING | $1,591.47 | $143.26 – $1,021.34 |
| St. Luke's Health Memorial Lufkin | Lufkin | $47.70 | $44.52 – $286.16 |