Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

$5,817.00

Cash price

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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.

$5,817.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$257.60 with Texas Health Network vs $5,841.00 with Healthcare Highways — 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 →

Payer
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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
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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 $257.60 ↓ -96%
Amerigroup MGMCD $276.00 ↓ -95%
United MGMCD $282.06 ↓ -95%
Molina Healthcare STARPLUS $289.15 ↓ -95%
Molina Healthcare STARKIDS $289.15 ↓ -95%
Molina Healthcare CHIP $289.15 ↓ -95%
Molina Healthcare STAR $289.15 ↓ -95%
Community Health Choice MCD CHIPPerinatal $294.40 ↓ -95%
Community Health Choice MCD STAR+PLUS $294.40 ↓ -95%
Community Health Choice MCD STAR $294.40 ↓ -95%
Community Health Choice MCD CHIP $294.40 ↓ -95%
Texas Athletic Network Premier $300.00 ↓ -95%
Humana MCD $328.58 ↓ -94%
Aetna Better Health MGMCD $331.84 ↓ -94%
Texas Athletic Network PremierPlus $500.00 ↓ -91%
Texas Athletic Network TexasCustomUC $600.00 ↓ -90%
WellMed MGMCR $712.64 ↓ -88%
Amerigroup MCDCHIPBH $814.38 ↓ -86%
Superior Health Plan CHPFC $948.00 ↓ -84%
Superior Health Plan STARPLUS $948.00 ↓ -84%
Superior Health Plan STARKids $948.00 ↓ -84%
Superior Health Plan CHIP $948.00 ↓ -84%
Superior Health Plan STAR $948.00 ↓ -84%
Texas Childrens Health Plans CHIP $965.62 ↓ -83%
United OptionsPPO $977.26 ↓ -83%
BCBS MyBlueHealth $1,087.59 ↓ -81%
BCBS BAV $1,225.10 ↓ -79%
BCBS HMO $1,293.85 ↓ -78%
Texas Childrens Health Plans STAR $1,378.63 ↓ -76%
Texas Childrens Health Plans STARKIDS $1,378.63 ↓ -76%
Texas Workforce Commission WCOMP $1,396.08 ↓ -76%
BCBS EPOSOA $1,425.11 ↓ -76%
Aetna QHPExchange $1,430.00 ↓ -75%
United SmallGroup $1,534.00 ↓ -74%
BCBS PPO $1,550.12 ↓ -73%
Evry Health BroadNetwork $1,588.04 ↓ -73%
United NarrowNetworkIndivExchange $1,732.00 ↓ -70%
Aetna NBPOS $1,899.00 ↓ -67%
Aetna NBHMO $1,899.00 ↓ -67%
Curative Administrators COMM $2,012.00 ↓ -65%
Aetna COMMHMO $2,017.00 ↓ -65%
Aetna COMMPOS $2,017.00 ↓ -65%
BCBS Traditional $2,035.95 ↓ -65%
Fidelis SecureCare of TX MGMCR $2,115.00 ↓ -64%
Aetna NBPPO $2,181.00 ↓ -63%
United AllPayerAppendix $2,191.00 ↓ -62%
Aetna COMMPPO $2,317.00 ↓ -60%
Christus (USFHP) TRICARE $2,326.80 ↓ -60%
Aetna OONPOS $2,374.00 ↓ -59%
Aetna OONHMO $2,374.00 ↓ -59%
Cigna CSN $2,428.00 ↓ -58%
HealthSmart Preferred Care ACCEL $2,501.31 ↓ -57%
Aetna ASAHMO $2,564.00 ↓ -56%
Aetna ASAPOS $2,564.00 ↓ -56%
United GlobalAppendix $2,617.65 ↓ -55%
Cigna OpenAccessPlus $2,631.00 ↓ -55%
Aetna OONPPO $2,727.00 ↓ -53%
Aetna ASAPPO $2,947.00 ↓ -49%
Coventry National First Health COMM $3,100.46 ↓ -47%
Cigna PPO $3,128.00 ↓ -46%
Physicians Cooperative of Texas WC $3,199.35 ↓ -45%
Rockport Workers Comp COMM $3,199.35 ↓ -45%
Oscar HIX $3,390.00 ↓ -42%
Triumph COMM $3,490.20 ↓ -40%
National Healthcare Solutions COMM $3,490.20 ↓ -40%
SouthWest Medical WORKERSCOMP $3,490.20 ↓ -40%
Independent Medical System COMM $3,490.20 ↓ -40%
Coastal Comp COMM $3,781.05 ↓ -35%
Multiplan PHCSPrimaryNetwork $4,362.75 ↓ -25%
Cigna Behavioral Health COMMBH $4,653.60 ↓ -20%
Humana PPO $4,690.00 ↓ -19%
Humana HMO $4,690.00 ↓ -19%
HealthSmart Preferred Care PPO $4,769.94 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $4,944.45 ↓ -15%
Physicians, INC COMM $4,944.45 ↓ -15%
Multiplan ComplementaryNetwork $4,944.45 ↓ -15%
Affiliated PPO COMM $5,235.30 ↓ -10%
Healthcare Highways NarrowNetwork $5,841.00 ↑ +0%

Visitor-reported prices

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Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $1,234.80 $952.56 – $3,528.00
St. Luke's Health - The Vintage Hospital Houston $1,234.80 $952.56 – $3,528.00
HCA HOUSTON MEDICAL CENTER Houston not published $282.06 – $1,281.35
HCA HOUSTON TOMBALL HOUSTON not published $262.86 – $1,087.59
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,692.88 $262.86 – $3,693.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,010.48 $207.99 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,030.57 $262.86 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,692.88 $262.86 – $3,693.00

All Texas hospitals for this procedure →