St analysis behavior qualitative voice/resonance at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,935.00
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.
$1,935.00
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.
$107.93 with Oscar vs $1,741.50 with Affiliated PPO — 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 |
|---|---|---|---|
| Oscar | MGMCR | $107.93 | ↓ -94% |
| WellMed | MGMCR | $109.58 | ↓ -94% |
| Cigna HealthSpring | MCRSNP | $110.13 | ↓ -94% |
| Devoted Health | MGMCR | $110.13 | ↓ -94% |
| Humana | MedicareAdvantageHMO | $110.13 | ↓ -94% |
| Humana | MedicareAdvantagePPOPFFS | $110.13 | ↓ -94% |
| Christus (USFHP) | TRICARE | $110.13 | ↓ -94% |
| TriWest Healthcare Alliance | Veterans | $110.13 | ↓ -94% |
| CHC Harris Health | Indigent | $110.13 | ↓ -94% |
| BCBS | MedicareAdvantageHMO | $110.13 | ↓ -94% |
| Renaissance IPA Radiology | MCR | $110.13 | ↓ -94% |
| Renaissance IPA Radiology | COMM | $110.13 | ↓ -94% |
| BCBS | MCRPPO | $110.13 | ↓ -94% |
| Kelsey Seybold | MGMCR | $110.13 | ↓ -94% |
| TriWest Health Alliance | TRCR | $110.13 | ↓ -94% |
| Amerigroup | DualEligible | $110.13 | ↓ -94% |
| Cigna HealthSpring | MMP | $110.13 | ↓ -94% |
| Cigna HealthSpring | PFFS | $110.13 | ↓ -94% |
| Cigna HealthSpring | MCRHMO | $110.13 | ↓ -94% |
| Cigna HealthSpring | MCRPPO | $110.13 | ↓ -94% |
| Aetna | MCR | $111.07 | ↓ -94% |
| Van Lang IPA | MCR | $111.23 | ↓ -94% |
| United | MCR | $112.33 | ↓ -94% |
| Integranet Amerigroup IPA | MCR | $113.43 | ↓ -94% |
| WellCare | PFFS | $113.43 | ↓ -94% |
| WellCare | SNP | $113.43 | ↓ -94% |
| WellCare | POS | $113.43 | ↓ -94% |
| WellCare | MCRHMO | $113.43 | ↓ -94% |
| WellCare | PPO | $113.43 | ↓ -94% |
| American Health Plan | MGMCR | $115.64 | ↓ -94% |
| ProCare Advantage | MGMCR | $115.64 | ↓ -94% |
| Shared Health | MGMCR | $115.64 | ↓ -94% |
| Superior Health Plan | DualEligible | $115.64 | ↓ -94% |
| Superior Health Plan | MCRHMO | $115.64 | ↓ -94% |
| Superior Health Plan | MCRPOS | $115.64 | ↓ -94% |
| Superior Health Plan | MCRPPO | $115.64 | ↓ -94% |
| Superior Health Plan | MCRSNP | $115.64 | ↓ -94% |
| Superior Health Plan | PFFS | $115.64 | ↓ -94% |
| Superior Health Plan | CHPFC | $116.10 | ↓ -94% |
| Superior Health Plan | CHIP | $116.10 | ↓ -94% |
| Superior Health Plan | STAR | $116.10 | ↓ -94% |
| Superior Health Plan | STARKids | $116.10 | ↓ -94% |
| Superior Health Plan | STARPLUS | $116.10 | ↓ -94% |
| Provider Partners Health Plan of Texas | PPO | $116.74 | ↓ -94% |
| Provider Partners Health Plan of Texas | PFFS | $116.74 | ↓ -94% |
| Provider Partners Health Plan of Texas | MCRHMO | $116.74 | ↓ -94% |
| Provider Partners Health Plan of Texas | POS | $116.74 | ↓ -94% |
| Provider Partners Health Plan of Texas | SNP | $116.74 | ↓ -94% |
| Molina | MGMCR | $120.04 | ↓ -94% |
| Universal Healthcare Group | MCR | $132.16 | ↓ -93% |
| Verda Health Plan | MCR | $143.17 | ↓ -93% |
| Superior | ValueHMO | $159.69 | ↓ -92% |
| Community Health Choice | HIX | $159.69 | ↓ -92% |
| Superior | EPO | $170.70 | ↓ -91% |
| Superior | HMO | $170.70 | ↓ -91% |
| BCBS | MyBlueHealth | $211.68 | ↓ -89% |
| Corvel Corporation | WORKERSCOMP | $218.06 | ↓ -89% |
| OMNI Healthcare | WORKERSCOMP | $231.27 | ↓ -88% |
| BCBS | BAV | $233.39 | ↓ -88% |
| Molina Healthcare | HIX | $236.78 | ↓ -88% |
| Community Health Choice MCD | CHIPPerinatal | $251.55 | ↓ -87% |
| Community Health Choice MCD | STAR | $251.55 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $251.55 | ↓ -87% |
| Community Health Choice MCD | CHIP | $251.55 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $270.90 | ↓ -86% |
| Amerigroup | MGMCD | $270.90 | ↓ -86% |
| BCBS | HMO | $292.19 | ↓ -85% |
| Texas Athletic Network | Premier | $300.00 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $321.21 | ↓ -83% |
| United | OptionsPPO | $325.08 | ↓ -83% |
| BCBS | EPOSOA | $328.37 | ↓ -83% |
| Aetna | QHPExchange | $347.91 | ↓ -82% |
| BCBS | PPO | $363.65 | ↓ -81% |
| Oscar | HIX | $377.32 | ↓ -81% |
| Texas Childrens Health Plans | STARKIDS | $458.60 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $458.60 | ↓ -76% |
| Aetna | NBPPO | $462.16 | ↓ -76% |
| Aetna | NBHMO | $462.16 | ↓ -76% |
| Aetna | NBPOS | $462.16 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $464.40 | ↓ -76% |
| Aetna | COMMPOS | $490.17 | ↓ -75% |
| Aetna | COMMHMO | $490.17 | ↓ -75% |
| Aetna | COMMPPO | $490.17 | ↓ -75% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -74% |
| Aetna | OONHMO | $577.89 | ↓ -70% |
| Aetna | OONPPO | $577.89 | ↓ -70% |
| Aetna | OONPOS | $577.89 | ↓ -70% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -69% |
| Aetna | ASAPPO | $623.59 | ↓ -68% |
| Aetna | ASAHMO | $623.59 | ↓ -68% |
| Aetna | ASAPOS | $623.59 | ↓ -68% |
| BCBS | Traditional | $677.25 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $832.05 | ↓ -57% |
| Humana | PPO | $848.06 | ↓ -56% |
| Humana | HMO | $848.06 | ↓ -56% |
| Fidelis SecureCare of TX | MGMCR | $870.75 | ↓ -55% |
| United | GlobalAppendix | $870.75 | ↓ -55% |
| Coventry National First Health | COMM | $1,031.36 | ↓ -47% |
| Rockport Workers Comp | COMM | $1,064.25 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $1,064.25 | ↓ -45% |
| Triumph | COMM | $1,161.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $1,161.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $1,161.00 | ↓ -40% |
| Independent Medical System | COMM | $1,161.00 | ↓ -40% |
| Coastal Comp | COMM | $1,257.75 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $1,451.25 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $1,548.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,586.70 | ↓ -18% |
| Physicians, INC | COMM | $1,644.75 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,644.75 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,644.75 | ↓ -15% |
| Affiliated PPO | COMM | $1,741.50 | ↓ -10% |
Visitor-reported prices
Comments
St analysis behavior qualitative voice/resonance at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $372.05 | $100.00 – $1,063.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $372.05 | $100.00 – $1,063.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,180.49 | $107.93 – $236.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $107.93 – $347.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $382.60 | $108.00 – $542.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $376.38 | $77.47 – $564.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $401.71 | $80.34 – $502.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $382.60 | $102.03 – $542.02 |