Target gsa panel hmtlmph neop 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.
$625.25 with Texas Health Network vs $8,218.11 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 |
|---|---|---|---|
| Texas Health Network | MCD | $625.25 | — |
| Texas Childrens Health Plans | STARKIDS | $638.01 | — |
| Community Health Choice MCD | CHIP | $638.01 | — |
| Texas Childrens Health Plans | STAR | $638.01 | — |
| Amerigroup | MGMCD | $638.01 | — |
| Amerigroup | MCDCHIPBH | $638.01 | — |
| Community Health Choice MCD | CHIPPerinatal | $638.01 | — |
| Community Health Choice MCD | STAR | $638.01 | — |
| Community Health Choice MCD | STAR+PLUS | $638.01 | — |
| United | MGMCD | $650.77 | — |
| Aetna Better Health | MGMCD | $689.05 | — |
| Molina Healthcare | STARKIDS | $701.81 | — |
| Molina Healthcare | CHIP | $701.81 | — |
| Molina Healthcare | STARPLUS | $701.81 | — |
| Molina Healthcare | STAR | $701.81 | — |
| Oscar | MGMCR | $744.34 | — |
| WellMed | MGMCR | $755.73 | — |
| Renaissance IPA Radiology | COMM | $759.53 | — |
| Amerigroup | DualEligible | $759.53 | — |
| Cigna HealthSpring | MCRSNP | $759.53 | — |
| Cigna HealthSpring | MCRPPO | $759.53 | — |
| Cigna HealthSpring | MCRHMO | $759.53 | — |
| Humana | MedicareAdvantageHMO | $759.53 | — |
| Humana | MedicareAdvantagePPOPFFS | $759.53 | — |
| Renaissance IPA Radiology | MCR | $759.53 | — |
| United | SmallGroup | $759.53 | — |
| Kelsey Seybold | MGMCR | $759.53 | — |
| CHC Harris Health | Indigent | $759.53 | — |
| BCBS | MedicareAdvantageHMO | $759.53 | — |
| BCBS | MCRPPO | $759.53 | — |
| Cigna HealthSpring | MMP | $759.53 | — |
| Devoted Health | MGMCR | $759.53 | — |
| TriWest Healthcare Alliance | Veterans | $759.53 | — |
| Cigna HealthSpring | PFFS | $759.53 | — |
| United | AllPayerAppendix | $759.53 | — |
| United | NarrowNetworkIndivExchange | $759.53 | — |
| Aetna | MCR | $765.99 | — |
| Van Lang IPA | MCR | $767.13 | — |
| United | MCR | $774.72 | — |
| WellCare | PFFS | $782.32 | — |
| WellCare | MCRHMO | $782.32 | — |
| Integranet Amerigroup IPA | MCR | $782.32 | — |
| WellCare | POS | $782.32 | — |
| WellCare | SNP | $782.32 | — |
| WellCare | PPO | $782.32 | — |
| Superior Health Plan | MCRPOS | $797.51 | — |
| Humana | MCD | $797.51 | — |
| American Health Plan | MGMCR | $797.51 | — |
| Superior Health Plan | DualEligible | $797.51 | — |
| Superior Health Plan | MCRHMO | $797.51 | — |
| Superior Health Plan | MCRPPO | $797.51 | — |
| Superior Health Plan | MCRSNP | $797.51 | — |
| Superior Health Plan | PFFS | $797.51 | — |
| ProCare Advantage | MGMCR | $797.51 | — |
| Shared Health | MGMCR | $797.51 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $805.10 | — |
| Provider Partners Health Plan of Texas | PPO | $805.10 | — |
| Provider Partners Health Plan of Texas | SNP | $805.10 | — |
| Provider Partners Health Plan of Texas | PFFS | $805.10 | — |
| Provider Partners Health Plan of Texas | POS | $805.10 | — |
| Molina | MGMCR | $827.89 | — |
| Universal Healthcare Group | MCR | $911.44 | — |
| Verda Health Plan | MCR | $987.39 | — |
| Superior | ValueHMO | $1,101.32 | — |
| Community Health Choice | HIX | $1,101.32 | — |
| Superior | HMO | $1,177.27 | — |
| Superior | EPO | $1,177.27 | — |
| Corvel Corporation | WORKERSCOMP | $1,503.87 | — |
| BCBS | MyBlueHealth | $1,534.25 | — |
| OMNI Healthcare | WORKERSCOMP | $1,595.01 | — |
| Molina Healthcare | HIX | $1,632.99 | — |
| BCBS | BAV | $1,693.75 | — |
| Healthcare Highways | NarrowNetwork | $1,845.66 | — |
| BCBS | HMO | $2,119.09 | — |
| Oscar | HIX | $2,195.04 | — |
| BCBS | EPOSOA | $2,270.99 | — |
| BCBS | PPO | $2,422.90 | — |
| Aetna | QHPExchange | $2,782.30 | — |
| Cigna | CSN | $3,123.84 | — |
| Cigna | OpenAccessPlus | $3,383.55 | — |
| Aetna | NBPPO | $3,700.11 | — |
| Aetna | NBHMO | $3,700.11 | — |
| Aetna | NBPOS | $3,700.11 | — |
| Aetna | COMMPOS | $3,931.00 | — |
| Aetna | COMMHMO | $3,931.00 | — |
| Aetna | COMMPPO | $3,931.00 | — |
| Cigna | PPO | $4,025.64 | — |
| Aetna | OONHMO | $4,617.92 | — |
| Aetna | OONPOS | $4,617.92 | — |
| Aetna | OONPPO | $4,617.92 | — |
| Aetna | ASAPPO | $4,993.13 | — |
| Aetna | ASAPOS | $4,993.13 | — |
| Aetna | ASAHMO | $4,993.13 | — |
| Humana | PPO | $8,218.11 | — |
| Humana | HMO | $8,218.11 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,305.50 | $546.86 – $3,730.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,305.50 | $546.86 – $3,730.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $638.01 – $3,123.84 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $638.01 – $3,123.84 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,967.00 | $10.00 – $1,822.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,967.00 | $12.00 – $1,822.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,967.00 | $12.00 – $1,822.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,967.00 | $10.00 – $1,822.87 |