Surgical pathology level 5 gross & microscopic examination at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,836.00
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.
$1,836.00
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.
$110.16 with Superior Health Plan vs $1,847.62 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 | CHIP | $110.16 | ↓ -94% |
| Superior Health Plan | STARPLUS | $110.16 | ↓ -94% |
| Superior Health Plan | STARKids | $110.16 | ↓ -94% |
| Superior Health Plan | STAR | $110.16 | ↓ -94% |
| Superior Health Plan | CHPFC | $110.16 | ↓ -94% |
| Community Health Choice MCD | CHIP | $238.68 | ↓ -87% |
| Community Health Choice MCD | STAR | $238.68 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $238.68 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $238.68 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $257.04 | ↓ -86% |
| Amerigroup | MGMCD | $257.04 | ↓ -86% |
| United | NarrowNetworkIndivExchange | $291.26 | ↓ -84% |
| United | SmallGroup | $291.26 | ↓ -84% |
| United | AllPayerAppendix | $291.26 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $304.78 | ↓ -83% |
| United | OptionsPPO | $308.45 | ↓ -83% |
| Oscar | HIX | $358.02 | ↓ -81% |
| Texas Childrens Health Plans | STARKIDS | $435.13 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $435.13 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $440.64 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $468.18 | ↓ -75% |
| Evry Health | BroadNetwork | $501.23 | ↓ -73% |
| BCBS | MyBlueHealth | $572.49 | ↓ -69% |
| BCBS | BAV | $632.00 | ↓ -66% |
| BCBS | Traditional | $642.60 | ↓ -65% |
| Imagine Health | PPO | $642.60 | ↓ -65% |
| Christus (USFHP) | TRICARE | $734.40 | ↓ -60% |
| Aetna | QHPExchange | $784.65 | ↓ -57% |
| HealthSmart Preferred Care | ACCEL | $789.48 | ↓ -57% |
| BCBS | HMO | $790.71 | ↓ -57% |
| Fidelis SecureCare of TX | MGMCR | $826.20 | ↓ -55% |
| United | GlobalAppendix | $826.20 | ↓ -55% |
| Averde Health | Commercial | $826.20 | ↓ -55% |
| BCBS | EPOSOA | $847.40 | ↓ -54% |
| Cigna | CSN | $870.11 | ↓ -53% |
| BCBS | PPO | $904.08 | ↓ -51% |
| Cigna | OpenAccessPlus | $942.46 | ↓ -49% |
| Coventry National First Health | COMM | $978.59 | ↓ -47% |
| Rockport Workers Comp | COMM | $1,009.80 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $1,009.80 | ↓ -45% |
| Aetna | NBPPO | $1,043.48 | ↓ -43% |
| Aetna | NBPOS | $1,043.48 | ↓ -43% |
| Aetna | NBHMO | $1,043.48 | ↓ -43% |
| SouthWest Medical | WORKERSCOMP | $1,101.60 | ↓ -40% |
| Independent Medical System | COMM | $1,101.60 | ↓ -40% |
| National Healthcare Solutions | COMM | $1,101.60 | ↓ -40% |
| Triumph | COMM | $1,101.60 | ↓ -40% |
| Aetna | COMMPPO | $1,108.60 | ↓ -40% |
| Aetna | COMMPOS | $1,108.60 | ↓ -40% |
| Aetna | COMMHMO | $1,108.60 | ↓ -40% |
| Cigna | PPO | $1,121.30 | ↓ -39% |
| Coastal Comp | COMM | $1,193.40 | ↓ -35% |
| Aetna | OONPOS | $1,302.32 | ↓ -29% |
| Aetna | OONPPO | $1,302.32 | ↓ -29% |
| Aetna | OONHMO | $1,302.32 | ↓ -29% |
| Multiplan | PHCSPrimaryNetwork | $1,377.00 | ↓ -25% |
| Aetna | ASAPPO | $1,408.13 | ↓ -23% |
| Aetna | ASAPOS | $1,408.13 | ↓ -23% |
| Aetna | ASAHMO | $1,408.13 | ↓ -23% |
| Cigna Behavioral Health | COMMBH | $1,468.80 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,505.52 | ↓ -18% |
| Physicians, INC | COMM | $1,560.60 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,560.60 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,560.60 | ↓ -15% |
| Affiliated PPO | COMM | $1,652.40 | ↓ -10% |
| Humana | PPO | $1,847.62 | ↑ +1% |
| Humana | HMO | $1,847.62 | ↑ +1% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $534.80 | $138.52 – $1,528.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $534.80 | $323.15 – $1,528.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $291.26 – $1,847.62 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $291.26 – $1,847.62 |
| Adventhealth Rollins Brook | Lampasas | $1,114.69 | $1,091.13 – $1,091.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $476.75 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.16 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $491.47 | $36.00 – $890.45 |