Theophylline therapeutic drug level 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

$940.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$940.00

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.

$11.64 with Texas Health Network vs $846.00 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 →

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 $11.64 ↓ -99%
Community Health Choice MCD CHIPPerinatal $11.88 ↓ -99%
Texas Childrens Health Plans STAR $11.88 ↓ -99%
Texas Childrens Health Plans STARKIDS $11.88 ↓ -99%
Community Health Choice MCD CHIP $11.88 ↓ -99%
Amerigroup MGMCD $11.88 ↓ -99%
Amerigroup MCDCHIPBH $11.88 ↓ -99%
Community Health Choice MCD STAR $11.88 ↓ -99%
Community Health Choice MCD STAR+PLUS $11.88 ↓ -99%
United MGMCD $12.12 ↓ -99%
Aetna Better Health MGMCD $12.83 ↓ -99%
Molina Healthcare STARKIDS $13.07 ↓ -99%
Molina Healthcare STARPLUS $13.07 ↓ -99%
Molina Healthcare STAR $13.07 ↓ -99%
Molina Healthcare CHIP $13.07 ↓ -99%
Oscar MGMCR $13.86 ↓ -99%
WellMed MGMCR $14.07 ↓ -99%
BCBS MCRPPO $14.14 ↓ -98%
BCBS MedicareAdvantageHMO $14.14 ↓ -98%
Humana MedicareAdvantageHMO $14.14 ↓ -98%
Humana MedicareAdvantagePPOPFFS $14.14 ↓ -98%
TriWest Healthcare Alliance Veterans $14.14 ↓ -98%
Renaissance IPA Radiology MCR $14.14 ↓ -98%
Renaissance IPA Radiology COMM $14.14 ↓ -98%
Kelsey Seybold MGMCR $14.14 ↓ -98%
Devoted Health MGMCR $14.14 ↓ -98%
United AllPayerAppendix $14.14 ↓ -98%
United NarrowNetworkIndivExchange $14.14 ↓ -98%
United SmallGroup $14.14 ↓ -98%
Amerigroup DualEligible $14.14 ↓ -98%
CHC Harris Health Indigent $14.14 ↓ -98%
Cigna HealthSpring MCRHMO $14.14 ↓ -98%
Cigna HealthSpring MCRPPO $14.14 ↓ -98%
Cigna HealthSpring MCRSNP $14.14 ↓ -98%
Cigna HealthSpring PFFS $14.14 ↓ -98%
Cigna HealthSpring MMP $14.14 ↓ -98%
Aetna MCR $14.26 ↓ -98%
Van Lang IPA MCR $14.28 ↓ -98%
United MCR $14.42 ↓ -98%
WellCare PFFS $14.56 ↓ -98%
WellCare POS $14.56 ↓ -98%
WellCare SNP $14.56 ↓ -98%
Integranet Amerigroup IPA MCR $14.56 ↓ -98%
WellCare PPO $14.56 ↓ -98%
WellCare MCRHMO $14.56 ↓ -98%
ProCare Advantage MGMCR $14.85 ↓ -98%
Superior Health Plan DualEligible $14.85 ↓ -98%
Superior Health Plan MCRHMO $14.85 ↓ -98%
Superior Health Plan MCRPOS $14.85 ↓ -98%
Superior Health Plan MCRPPO $14.85 ↓ -98%
Superior Health Plan MCRSNP $14.85 ↓ -98%
Superior Health Plan PFFS $14.85 ↓ -98%
American Health Plan MGMCR $14.85 ↓ -98%
Humana MCD $14.85 ↓ -98%
Shared Health MGMCR $14.85 ↓ -98%
Provider Partners Health Plan of Texas POS $14.99 ↓ -98%
Provider Partners Health Plan of Texas PFFS $14.99 ↓ -98%
Provider Partners Health Plan of Texas PPO $14.99 ↓ -98%
Provider Partners Health Plan of Texas MCRHMO $14.99 ↓ -98%
Provider Partners Health Plan of Texas SNP $14.99 ↓ -98%
Christus (USFHP) TRICARE $15.30 ↓ -98%
TriWest Health Alliance TRCR $15.30 ↓ -98%
Molina MGMCR $15.41 ↓ -98%
Universal Healthcare Group MCR $16.97 ↓ -98%
Verda Health Plan MCR $18.38 ↓ -98%
Superior ValueHMO $20.50 ↓ -98%
Community Health Choice HIX $20.50 ↓ -98%
Superior EPO $21.92 ↓ -98%
Superior HMO $21.92 ↓ -98%
Corvel Corporation WORKERSCOMP $28.00 ↓ -97%
BCBS MyBlueHealth $28.56 ↓ -97%
OMNI Healthcare WORKERSCOMP $29.69 ↓ -97%
Molina Healthcare HIX $30.40 ↓ -97%
BCBS BAV $31.53 ↓ -97%
BCBS HMO $39.45 ↓ -96%
Oscar HIX $40.86 ↓ -96%
BCBS EPOSOA $42.28 ↓ -96%
Healthcare Highways NarrowNetwork $42.43 ↓ -95%
BCBS PPO $45.11 ↓ -95%
Aetna QHPExchange $51.82 ↓ -94%
Superior Health Plan STARPLUS $56.40 ↓ -94%
Superior Health Plan CHIP $56.40 ↓ -94%
Superior Health Plan CHPFC $56.40 ↓ -94%
Superior Health Plan STAR $56.40 ↓ -94%
Superior Health Plan STARKids $56.40 ↓ -94%
Cigna CSN $58.54 ↓ -94%
Cigna OpenAccessPlus $63.41 ↓ -93%
Aetna NBPPO $68.91 ↓ -93%
Aetna NBHMO $68.91 ↓ -93%
Aetna NBPOS $68.91 ↓ -93%
Aetna COMMHMO $73.21 ↓ -92%
Aetna COMMPPO $73.21 ↓ -92%
Aetna COMMPOS $73.21 ↓ -92%
Cigna PPO $75.44 ↓ -92%
Aetna OONPOS $86.00 ↓ -91%
Aetna OONPPO $86.00 ↓ -91%
Aetna OONHMO $86.00 ↓ -91%
Aetna ASAPOS $92.99 ↓ -90%
Aetna ASAPPO $92.99 ↓ -90%
Aetna ASAHMO $92.99 ↓ -90%
Texas Childrens Health Plans CHIP $156.04 ↓ -83%
United OptionsPPO $157.92 ↓ -83%
Humana HMO $188.92 ↓ -80%
Humana PPO $188.92 ↓ -80%
Texas Workforce Commission WCOMP $225.60 ↓ -76%
Evry Health BroadNetwork $256.62 ↓ -73%
Imagine Health PPO $329.00 ↓ -65%
BCBS Traditional $329.00 ↓ -65%
HealthSmart Preferred Care ACCEL $404.20 ↓ -57%
United GlobalAppendix $423.00 ↓ -55%
Fidelis SecureCare of TX MGMCR $423.00 ↓ -55%
Averde Health Commercial $423.00 ↓ -55%
Coventry National First Health COMM $501.02 ↓ -47%
Rockport Workers Comp COMM $517.00 ↓ -45%
Physicians Cooperative of Texas WC $517.00 ↓ -45%
Triumph COMM $564.00 ↓ -40%
National Healthcare Solutions COMM $564.00 ↓ -40%
SouthWest Medical WORKERSCOMP $564.00 ↓ -40%
Independent Medical System COMM $564.00 ↓ -40%
Coastal Comp COMM $611.00 ↓ -35%
Multiplan PHCSPrimaryNetwork $705.00 ↓ -25%
Cigna Behavioral Health COMMBH $752.00 ↓ -20%
HealthSmart Preferred Care PPO $770.80 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $799.00 ↓ -15%
Multiplan ComplementaryNetwork $799.00 ↓ -15%
Physicians, INC COMM $799.00 ↓ -15%
Affiliated PPO COMM $846.00 ↓ -10%
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Theophylline therapeutic drug level at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $42.70 $10.18 – $122.00
St. Luke's Health - The Vintage Hospital Houston $42.70 $10.18 – $122.00
HCA HOUSTON MEDICAL CENTER Houston not published $11.88 – $58.54
HCA HOUSTON TOMBALL HOUSTON not published $11.88 – $58.54
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $141.91 $10.00 – $177.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $139.87 $12.00 – $209.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $135.80 $11.88 – $169.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $141.91 $10.00 – $177.38

All Texas hospitals for this procedure →