Tc-99m maa 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.
$50.14 with United vs $3,913.20 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 |
|---|---|---|---|
| United | AllPayerAppendix | $50.14 | — |
| United | SmallGroup | $50.14 | — |
| United | NarrowNetworkIndivExchange | $50.14 | — |
| BCBS | MyBlueHealth | $58.56 | — |
| BCBS | BAV | $64.54 | — |
| Cigna | CSN | $74.05 | — |
| Cigna | OpenAccessPlus | $80.17 | — |
| BCBS | PPO | $80.68 | — |
| BCBS | EPOSOA | $80.68 | — |
| BCBS | HMO | $80.68 | — |
| Cigna | PPO | $95.47 | — |
| Humana | PPO | $233.18 | — |
| Humana | HMO | $233.18 | — |
| Superior Health Plan | STARPLUS | $260.88 | — |
| Superior Health Plan | CHIP | $260.88 | — |
| Superior Health Plan | CHPFC | $260.88 | — |
| Superior Health Plan | STAR | $260.88 | — |
| Superior Health Plan | STARKids | $260.88 | — |
| Aetna | MCR | $288.27 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Community Health Choice MCD | STAR | $565.24 | — |
| Community Health Choice MCD | CHIPPerinatal | $565.24 | — |
| Community Health Choice MCD | CHIP | $565.24 | — |
| Community Health Choice MCD | STAR+PLUS | $565.24 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Amerigroup | MGMCD | $608.72 | — |
| Amerigroup | MCDCHIPBH | $608.72 | — |
| Texas Childrens Health Plans | CHIP | $721.77 | — |
| United | OptionsPPO | $730.46 | — |
| Superior | EPO | $760.90 | — |
| Superior | HMO | $760.90 | — |
| Oscar | HIX | $847.86 | — |
| Superior | ValueHMO | $860.90 | — |
| Texas Childrens Health Plans | STARKIDS | $1,030.48 | — |
| Texas Childrens Health Plans | STAR | $1,030.48 | — |
| Texas Workforce Commission | WCOMP | $1,043.52 | — |
| Healthcare Highways | NarrowNetwork | $1,108.74 | — |
| Molina Healthcare | HIX | $1,173.96 | — |
| Evry Health | BroadNetwork | $1,187.00 | — |
| CHC Harris Health | Indigent | $1,304.40 | — |
| Aetna | NBHMO | $1,395.71 | — |
| Aetna | NBPPO | $1,395.71 | — |
| Aetna | NBPOS | $1,395.71 | — |
| Aetna | COMMHMO | $1,487.02 | — |
| Aetna | COMMPPO | $1,487.02 | — |
| Aetna | COMMPOS | $1,487.02 | — |
| BCBS | Traditional | $1,521.80 | — |
| Imagine Health | PPO | $1,521.80 | — |
| Christus (USFHP) | TRICARE | $1,739.20 | — |
| Curative Administrators | COMM | $1,739.20 | — |
| Aetna | OONHMO | $1,743.55 | — |
| Aetna | OONPOS | $1,743.55 | — |
| Aetna | OONPPO | $1,743.55 | — |
| HealthSmart Preferred Care | ACCEL | $1,869.64 | — |
| Aetna | ASAPOS | $1,882.68 | — |
| Aetna | ASAHMO | $1,882.68 | — |
| Aetna | ASAPPO | $1,882.68 | — |
| Averde Health | Commercial | $1,956.60 | — |
| United | GlobalAppendix | $1,956.60 | — |
| Fidelis SecureCare of TX | MGMCR | $1,956.60 | — |
| Coventry National First Health | COMM | $2,317.48 | — |
| Physicians Cooperative of Texas | WC | $2,391.40 | — |
| Rockport Workers Comp | COMM | $2,391.40 | — |
| Triumph | COMM | $2,608.80 | — |
| National Healthcare Solutions | COMM | $2,608.80 | — |
| SouthWest Medical | WORKERSCOMP | $2,608.80 | — |
| Independent Medical System | COMM | $2,608.80 | — |
| Coastal Comp | COMM | $2,826.20 | — |
| Multiplan | PHCSPrimaryNetwork | $3,261.00 | — |
| Cigna Behavioral Health | COMMBH | $3,478.40 | — |
| HealthSmart Preferred Care | PPO | $3,565.36 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $3,695.80 | — |
| Multiplan | ComplementaryNetwork | $3,695.80 | — |
| Physicians, INC | COMM | $3,695.80 | — |
| Affiliated PPO | COMM | $3,913.20 | — |
Visitor-reported prices
Comments
Tc-99m maa at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $1,099.56 | $50.14 – $233.18 |
| Baylor St Luke's Medical Center | Houston | $386.05 | $26.89 – $1,103.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $386.05 | $32.57 – $1,103.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $50.14 – $233.18 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $766.64 | $50.14 – $233.18 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,280.09 | $50.14 – $233.18 |
| HCA HOUSTON NORTHWEST | SPRING | $1,328.96 | $50.14 – $233.18 |
| St. Luke's Health - Patients Medical Center | Pasadena | $399.11 | $32.57 – $855.23 |