Tissue culture tumor at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$630.00
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.
$630.00
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.
$37.80 with Superior Health Plan vs $1,970.54 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 | CHPFC | $37.80 | ↓ -94% |
| Superior Health Plan | CHIP | $37.80 | ↓ -94% |
| Superior Health Plan | STARPLUS | $37.80 | ↓ -94% |
| Superior Health Plan | STARKids | $37.80 | ↓ -94% |
| Superior Health Plan | STAR | $37.80 | ↓ -94% |
| Texas Childrens Health Plans | CHIP | $104.58 | ↓ -83% |
| United | OptionsPPO | $105.84 | ↓ -83% |
| Texas Health Network | MCD | $121.44 | ↓ -81% |
| Community Health Choice MCD | CHIPPerinatal | $123.92 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $123.92 | ↓ -80% |
| Texas Childrens Health Plans | STAR | $123.92 | ↓ -80% |
| Community Health Choice MCD | STAR+PLUS | $123.92 | ↓ -80% |
| Community Health Choice MCD | STAR | $123.92 | ↓ -80% |
| Amerigroup | MCDCHIPBH | $123.92 | ↓ -80% |
| Community Health Choice MCD | CHIP | $123.92 | ↓ -80% |
| Amerigroup | MGMCD | $123.92 | ↓ -80% |
| United | MGMCD | $126.40 | ↓ -80% |
| Aetna Better Health | MGMCD | $133.83 | ↓ -79% |
| Molina Healthcare | STAR | $136.31 | ↓ -78% |
| Molina Healthcare | STARPLUS | $136.31 | ↓ -78% |
| Molina Healthcare | CHIP | $136.31 | ↓ -78% |
| Molina Healthcare | STARKIDS | $136.31 | ↓ -78% |
| Oscar | MGMCR | $144.57 | ↓ -77% |
| WellMed | MGMCR | $146.78 | ↓ -77% |
| Renaissance IPA Radiology | COMM | $147.52 | ↓ -77% |
| TriWest Healthcare Alliance | Veterans | $147.52 | ↓ -77% |
| Kelsey Seybold | MGMCR | $147.52 | ↓ -77% |
| Cigna HealthSpring | MCRHMO | $147.52 | ↓ -77% |
| United | SmallGroup | $147.52 | ↓ -77% |
| Humana | MedicareAdvantageHMO | $147.52 | ↓ -77% |
| Renaissance IPA Radiology | MCR | $147.52 | ↓ -77% |
| Cigna HealthSpring | PFFS | $147.52 | ↓ -77% |
| Humana | MedicareAdvantagePPOPFFS | $147.52 | ↓ -77% |
| Devoted Health | MGMCR | $147.52 | ↓ -77% |
| Amerigroup | DualEligible | $147.52 | ↓ -77% |
| CHC Harris Health | Indigent | $147.52 | ↓ -77% |
| BCBS | MedicareAdvantageHMO | $147.52 | ↓ -77% |
| BCBS | MCRPPO | $147.52 | ↓ -77% |
| Cigna HealthSpring | MMP | $147.52 | ↓ -77% |
| United | NarrowNetworkIndivExchange | $147.52 | ↓ -77% |
| United | AllPayerAppendix | $147.52 | ↓ -77% |
| Cigna HealthSpring | MCRPPO | $147.52 | ↓ -77% |
| Cigna HealthSpring | MCRSNP | $147.52 | ↓ -77% |
| Aetna | MCR | $148.77 | ↓ -76% |
| Van Lang IPA | MCR | $149.00 | ↓ -76% |
| United | MCR | $150.47 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $151.20 | ↓ -76% |
| WellCare | PFFS | $151.95 | ↓ -76% |
| WellCare | MCRHMO | $151.95 | ↓ -76% |
| Integranet Amerigroup IPA | MCR | $151.95 | ↓ -76% |
| WellCare | POS | $151.95 | ↓ -76% |
| WellCare | SNP | $151.95 | ↓ -76% |
| WellCare | PPO | $151.95 | ↓ -76% |
| ProCare Advantage | MGMCR | $154.90 | ↓ -75% |
| Superior Health Plan | PFFS | $154.90 | ↓ -75% |
| Humana | MCD | $154.90 | ↓ -75% |
| American Health Plan | MGMCR | $154.90 | ↓ -75% |
| Shared Health | MGMCR | $154.90 | ↓ -75% |
| Superior Health Plan | MCRSNP | $154.90 | ↓ -75% |
| Superior Health Plan | MCRPPO | $154.90 | ↓ -75% |
| Superior Health Plan | MCRPOS | $154.90 | ↓ -75% |
| Superior Health Plan | MCRHMO | $154.90 | ↓ -75% |
| Superior Health Plan | DualEligible | $154.90 | ↓ -75% |
| Provider Partners Health Plan of Texas | SNP | $156.37 | ↓ -75% |
| Provider Partners Health Plan of Texas | PPO | $156.37 | ↓ -75% |
| Provider Partners Health Plan of Texas | POS | $156.37 | ↓ -75% |
| Provider Partners Health Plan of Texas | MCRHMO | $156.37 | ↓ -75% |
| Provider Partners Health Plan of Texas | PFFS | $156.37 | ↓ -75% |
| TriWest Health Alliance | TRCR | $159.66 | ↓ -75% |
| Christus (USFHP) | TRICARE | $159.66 | ↓ -75% |
| Molina | MGMCR | $160.80 | ↓ -74% |
| Evry Health | BroadNetwork | $171.99 | ↓ -73% |
| Universal Healthcare Group | MCR | $177.02 | ↓ -72% |
| Verda Health Plan | MCR | $191.78 | ↓ -70% |
| Superior | ValueHMO | $213.90 | ↓ -66% |
| Community Health Choice | HIX | $213.90 | ↓ -66% |
| Imagine Health | PPO | $220.50 | ↓ -65% |
| BCBS | Traditional | $220.50 | ↓ -65% |
| Superior | EPO | $228.66 | ↓ -64% |
| Superior | HMO | $228.66 | ↓ -64% |
| HealthSmart Preferred Care | ACCEL | $270.90 | ↓ -57% |
| United | GlobalAppendix | $283.50 | ↓ -55% |
| Averde Health | Commercial | $283.50 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $283.50 | ↓ -55% |
| Corvel Corporation | WORKERSCOMP | $292.09 | ↓ -54% |
| BCBS | MyBlueHealth | $297.99 | ↓ -53% |
| OMNI Healthcare | WORKERSCOMP | $309.79 | ↓ -51% |
| Molina Healthcare | HIX | $317.17 | ↓ -50% |
| BCBS | BAV | $328.97 | ↓ -48% |
| Coventry National First Health | COMM | $335.79 | ↓ -47% |
| Rockport Workers Comp | COMM | $346.50 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $346.50 | ↓ -45% |
| SouthWest Medical | WORKERSCOMP | $378.00 | ↓ -40% |
| Independent Medical System | COMM | $378.00 | ↓ -40% |
| National Healthcare Solutions | COMM | $378.00 | ↓ -40% |
| Triumph | COMM | $378.00 | ↓ -40% |
| Coastal Comp | COMM | $409.50 | ↓ -35% |
| BCBS | HMO | $411.58 | ↓ -35% |
| Oscar | HIX | $426.33 | ↓ -32% |
| BCBS | EPOSOA | $441.08 | ↓ -30% |
| Healthcare Highways | NarrowNetwork | $442.55 | ↓ -30% |
| BCBS | PPO | $470.59 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $472.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $504.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $516.60 | ↓ -18% |
| Physicians, INC | COMM | $535.50 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $535.50 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $535.50 | ↓ -15% |
| Aetna | QHPExchange | $540.42 | ↓ -14% |
| Affiliated PPO | COMM | $567.00 | ↓ -10% |
| Cigna | CSN | $606.37 | ↓ -4% |
| Cigna | OpenAccessPlus | $656.79 | ↑ +4% |
| Aetna | NBPOS | $718.69 | ↑ +14% |
| Aetna | NBHMO | $718.69 | ↑ +14% |
| Aetna | NBPPO | $718.69 | ↑ +14% |
| Aetna | COMMPOS | $763.54 | ↑ +21% |
| Aetna | COMMHMO | $763.54 | ↑ +21% |
| Aetna | COMMPPO | $763.54 | ↑ +21% |
| Cigna | PPO | $781.42 | ↑ +24% |
| Aetna | OONPOS | $896.96 | ↑ +42% |
| Aetna | OONPPO | $896.96 | ↑ +42% |
| Aetna | OONHMO | $896.96 | ↑ +42% |
| Aetna | ASAHMO | $969.84 | ↑ +54% |
| Aetna | ASAPOS | $969.84 | ↑ +54% |
| Aetna | ASAPPO | $969.84 | ↑ +54% |
| Humana | HMO | $1,970.54 | ↑ +213% |
| Humana | PPO | $1,970.54 | ↑ +213% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Tissue culture tumor at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $1,933.34 | $123.92 – $606.37 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $123.92 – $606.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $772.11 | $35.00 – $965.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $652.70 | $36.00 – $979.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $633.69 | $36.00 – $792.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $772.11 | $35.00 – $965.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $652.70 | $36.00 – $979.05 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $652.70 | $26.00 – $979.05 |