Sleep study attended 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.
$876.21 with BCBS vs $3,706.46 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $876.21 | — |
| BCBS | BAV | $966.08 | — |
| BCBS | HMO | $1,209.47 | — |
| BCBS | EPOSOA | $1,359.25 | — |
| Aetna | QHPExchange | $1,413.45 | — |
| BCBS | PPO | $1,505.29 | — |
| Aetna | NBHMO | $1,877.61 | — |
| Aetna | NBPOS | $1,877.61 | — |
| Aetna | NBPPO | $1,877.61 | — |
| Aetna | COMMPOS | $1,991.41 | — |
| Aetna | COMMPPO | $1,991.41 | — |
| Aetna | COMMHMO | $1,991.41 | — |
| Aetna | OONHMO | $2,347.77 | — |
| Aetna | OONPOS | $2,347.77 | — |
| Aetna | OONPPO | $2,347.77 | — |
| United | NarrowNetworkIndivExchange | $2,366.00 | — |
| United | SmallGroup | $2,380.00 | — |
| Aetna | ASAPOS | $2,533.43 | — |
| Aetna | ASAHMO | $2,533.43 | — |
| Aetna | ASAPPO | $2,533.43 | — |
| United | AllPayerAppendix | $3,400.00 | — |
| Humana | PPO | $3,706.46 | — |
| Humana | HMO | $3,706.46 | — |
Visitor-reported prices
Comments
Sleep study attended at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $876.21 – $3,706.46 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $876.21 – $3,706.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,625.75 | $334.63 – $2,438.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,830.09 | $356.12 – $3,537.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,625.75 | $356.12 – $2,438.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,625.75 | $839.97 – $2,438.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,830.09 | $356.12 – $4,245.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,625.75 | $325.15 – $2,062.00 |