Tissue culture skin/biopsy at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$594.00
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.
?
What you pay up front if you don't use insurance.
$594.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$35.64 with Superior Health Plan vs $1,879.87 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHPFC | $35.64 | ↓ -94% |
| Superior Health Plan | CHIP | $35.64 | ↓ -94% |
| Superior Health Plan | STARPLUS | $35.64 | ↓ -94% |
| Superior Health Plan | STARKids | $35.64 | ↓ -94% |
| Superior Health Plan | STAR | $35.64 | ↓ -94% |
| Texas Childrens Health Plans | CHIP | $98.60 | ↓ -83% |
| United | OptionsPPO | $99.79 | ↓ -83% |
| Texas Health Network | MCD | $115.85 | ↓ -80% |
| Community Health Choice MCD | CHIPPerinatal | $118.21 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $118.21 | ↓ -80% |
| Texas Childrens Health Plans | STAR | $118.21 | ↓ -80% |
| Community Health Choice MCD | STAR+PLUS | $118.21 | ↓ -80% |
| Community Health Choice MCD | STAR | $118.21 | ↓ -80% |
| Amerigroup | MCDCHIPBH | $118.21 | ↓ -80% |
| Community Health Choice MCD | CHIP | $118.21 | ↓ -80% |
| Amerigroup | MGMCD | $118.21 | ↓ -80% |
| United | MGMCD | $120.57 | ↓ -80% |
| Aetna Better Health | MGMCD | $127.67 | ↓ -79% |
| Molina Healthcare | STARKIDS | $130.03 | ↓ -78% |
| Molina Healthcare | STARPLUS | $130.03 | ↓ -78% |
| Molina Healthcare | CHIP | $130.03 | ↓ -78% |
| Molina Healthcare | STAR | $130.03 | ↓ -78% |
| Oscar | MGMCR | $137.92 | ↓ -77% |
| WellMed | MGMCR | $140.03 | ↓ -76% |
| Renaissance IPA Radiology | COMM | $140.73 | ↓ -76% |
| TriWest Healthcare Alliance | Veterans | $140.73 | ↓ -76% |
| Kelsey Seybold | MGMCR | $140.73 | ↓ -76% |
| Cigna HealthSpring | MCRHMO | $140.73 | ↓ -76% |
| United | SmallGroup | $140.73 | ↓ -76% |
| United | AllPayerAppendix | $140.73 | ↓ -76% |
| Amerigroup | DualEligible | $140.73 | ↓ -76% |
| CHC Harris Health | Indigent | $140.73 | ↓ -76% |
| BCBS | MedicareAdvantageHMO | $140.73 | ↓ -76% |
| BCBS | MCRPPO | $140.73 | ↓ -76% |
| Cigna HealthSpring | MMP | $140.73 | ↓ -76% |
| United | NarrowNetworkIndivExchange | $140.73 | ↓ -76% |
| Humana | MedicareAdvantageHMO | $140.73 | ↓ -76% |
| Renaissance IPA Radiology | MCR | $140.73 | ↓ -76% |
| Humana | MedicareAdvantagePPOPFFS | $140.73 | ↓ -76% |
| Devoted Health | MGMCR | $140.73 | ↓ -76% |
| Cigna HealthSpring | MCRPPO | $140.73 | ↓ -76% |
| Cigna HealthSpring | MCRSNP | $140.73 | ↓ -76% |
| Cigna HealthSpring | PFFS | $140.73 | ↓ -76% |
| Aetna | MCR | $141.93 | ↓ -76% |
| Van Lang IPA | MCR | $142.14 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $142.56 | ↓ -76% |
| United | MCR | $143.54 | ↓ -76% |
| WellCare | PPO | $144.95 | ↓ -76% |
| Integranet Amerigroup IPA | MCR | $144.95 | ↓ -76% |
| WellCare | PFFS | $144.95 | ↓ -76% |
| WellCare | MCRHMO | $144.95 | ↓ -76% |
| WellCare | POS | $144.95 | ↓ -76% |
| WellCare | SNP | $144.95 | ↓ -76% |
| Humana | MCD | $147.76 | ↓ -75% |
| Superior Health Plan | PFFS | $147.77 | ↓ -75% |
| Shared Health | MGMCR | $147.77 | ↓ -75% |
| American Health Plan | MGMCR | $147.77 | ↓ -75% |
| Superior Health Plan | MCRPPO | $147.77 | ↓ -75% |
| Superior Health Plan | MCRPOS | $147.77 | ↓ -75% |
| Superior Health Plan | MCRHMO | $147.77 | ↓ -75% |
| Superior Health Plan | DualEligible | $147.77 | ↓ -75% |
| Superior Health Plan | MCRSNP | $147.77 | ↓ -75% |
| ProCare Advantage | MGMCR | $147.77 | ↓ -75% |
| Provider Partners Health Plan of Texas | SNP | $149.17 | ↓ -75% |
| Provider Partners Health Plan of Texas | PPO | $149.17 | ↓ -75% |
| Provider Partners Health Plan of Texas | POS | $149.17 | ↓ -75% |
| Provider Partners Health Plan of Texas | MCRHMO | $149.17 | ↓ -75% |
| Provider Partners Health Plan of Texas | PFFS | $149.17 | ↓ -75% |
| TriWest Health Alliance | TRCR | $152.31 | ↓ -74% |
| Christus (USFHP) | TRICARE | $152.31 | ↓ -74% |
| Molina | MGMCR | $153.40 | ↓ -74% |
| Evry Health | BroadNetwork | $162.16 | ↓ -73% |
| Universal Healthcare Group | MCR | $168.88 | ↓ -72% |
| Verda Health Plan | MCR | $182.95 | ↓ -69% |
| Superior | ValueHMO | $204.06 | ↓ -66% |
| Community Health Choice | HIX | $204.06 | ↓ -66% |
| Imagine Health | PPO | $207.90 | ↓ -65% |
| BCBS | Traditional | $207.90 | ↓ -65% |
| Superior | EPO | $218.13 | ↓ -63% |
| Superior | HMO | $218.13 | ↓ -63% |
| HealthSmart Preferred Care | ACCEL | $255.42 | ↓ -57% |
| United | GlobalAppendix | $267.30 | ↓ -55% |
| Averde Health | Commercial | $267.30 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $267.30 | ↓ -55% |
| Corvel Corporation | WORKERSCOMP | $278.65 | ↓ -53% |
| BCBS | MyBlueHealth | $284.27 | ↓ -52% |
| OMNI Healthcare | WORKERSCOMP | $295.53 | ↓ -50% |
| Molina Healthcare | HIX | $302.57 | ↓ -49% |
| BCBS | BAV | $313.83 | ↓ -47% |
| Coventry National First Health | COMM | $316.60 | ↓ -47% |
| Rockport Workers Comp | COMM | $326.70 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $326.70 | ↓ -45% |
| SouthWest Medical | WORKERSCOMP | $356.40 | ↓ -40% |
| Independent Medical System | COMM | $356.40 | ↓ -40% |
| National Healthcare Solutions | COMM | $356.40 | ↓ -40% |
| Triumph | COMM | $356.40 | ↓ -40% |
| Coastal Comp | COMM | $386.10 | ↓ -35% |
| BCBS | HMO | $392.64 | ↓ -34% |
| Oscar | HIX | $406.71 | ↓ -32% |
| BCBS | EPOSOA | $420.78 | ↓ -29% |
| Healthcare Highways | NarrowNetwork | $422.19 | ↓ -29% |
| Multiplan | PHCSPrimaryNetwork | $445.50 | ↓ -25% |
| BCBS | PPO | $448.93 | ↓ -24% |
| Cigna Behavioral Health | COMMBH | $475.20 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $487.08 | ↓ -18% |
| Physicians, INC | COMM | $504.90 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $504.90 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $504.90 | ↓ -15% |
| Aetna | QHPExchange | $515.50 | ↓ -13% |
| Affiliated PPO | COMM | $534.60 | ↓ -10% |
| Cigna | CSN | $578.49 | ↓ -3% |
| Cigna | OpenAccessPlus | $626.58 | ↑ +5% |
| Aetna | NBPOS | $685.55 | ↑ +15% |
| Aetna | NBHMO | $685.55 | ↑ +15% |
| Aetna | NBPPO | $685.55 | ↑ +15% |
| Aetna | COMMPOS | $728.33 | ↑ +23% |
| Aetna | COMMHMO | $728.33 | ↑ +23% |
| Aetna | COMMPPO | $728.33 | ↑ +23% |
| Cigna | PPO | $745.49 | ↑ +26% |
| Aetna | OONPOS | $855.60 | ↑ +44% |
| Aetna | OONPPO | $855.60 | ↑ +44% |
| Aetna | OONHMO | $855.60 | ↑ +44% |
| Aetna | ASAHMO | $925.12 | ↑ +56% |
| Aetna | ASAPOS | $925.12 | ↑ +56% |
| Aetna | ASAPPO | $925.12 | ↑ +56% |
| Humana | HMO | $1,879.87 | ↑ +216% |
| Humana | PPO | $1,879.87 | ↑ +216% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $236.95 | $101.33 – $677.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $236.95 | $101.33 – $677.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $118.21 – $578.49 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $687.36 | $35.00 – $859.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $645.58 | $36.00 – $968.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $626.77 | $36.00 – $783.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $687.36 | $35.00 – $859.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $645.58 | $36.00 – $968.36 |