Tlso 2 piece rigid shell 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.
$929.89 with Oscar vs $7,298.67 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 |
|---|---|---|---|
| Oscar | MGMCR | $929.89 | — |
| WellMed | MGMCR | $944.13 | — |
| Cigna HealthSpring | MCRHMO | $948.87 | — |
| Cigna HealthSpring | MCRPPO | $948.87 | — |
| Cigna HealthSpring | MCRSNP | $948.87 | — |
| Humana | MedicareAdvantagePPOPFFS | $948.87 | — |
| Renaissance IPA Radiology | COMM | $948.87 | — |
| TriWest Healthcare Alliance | Veterans | $948.87 | — |
| Renaissance IPA Radiology | MCR | $948.87 | — |
| Cigna HealthSpring | PFFS | $948.87 | — |
| Devoted Health | MGMCR | $948.87 | — |
| Humana | MedicareAdvantageHMO | $948.87 | — |
| Amerigroup | DualEligible | $948.87 | — |
| BCBS | MCRPPO | $948.87 | — |
| TriWest Health Alliance | TRCR | $948.87 | — |
| Cigna HealthSpring | MMP | $948.87 | — |
| Kelsey Seybold | MGMCR | $948.87 | — |
| Christus (USFHP) | TRICARE | $948.87 | — |
| CHC Harris Health | Indigent | $948.87 | — |
| BCBS | MedicareAdvantageHMO | $948.87 | — |
| Aetna | MCR | $956.94 | — |
| Van Lang IPA | MCR | $958.36 | — |
| United | MCR | $967.85 | — |
| WellCare | PFFS | $977.34 | — |
| WellCare | PPO | $977.34 | — |
| WellCare | SNP | $977.34 | — |
| WellCare | POS | $977.34 | — |
| WellCare | MCRHMO | $977.34 | — |
| Integranet Amerigroup IPA | MCR | $977.34 | — |
| ProCare Advantage | MGMCR | $996.31 | — |
| Superior Health Plan | PFFS | $996.31 | — |
| Superior Health Plan | MCRSNP | $996.31 | — |
| Superior Health Plan | MCRPPO | $996.31 | — |
| Superior Health Plan | MCRPOS | $996.31 | — |
| Superior Health Plan | MCRHMO | $996.31 | — |
| Superior Health Plan | DualEligible | $996.31 | — |
| American Health Plan | MGMCR | $996.31 | — |
| Shared Health | MGMCR | $996.31 | — |
| Provider Partners Health Plan of Texas | PPO | $1,005.80 | — |
| Provider Partners Health Plan of Texas | PFFS | $1,005.80 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $1,005.80 | — |
| Provider Partners Health Plan of Texas | POS | $1,005.80 | — |
| Provider Partners Health Plan of Texas | SNP | $1,005.80 | — |
| Molina | MGMCR | $1,034.27 | — |
| Universal Healthcare Group | MCR | $1,138.64 | — |
| Verda Health Plan | MCR | $1,233.53 | — |
| Superior | ValueHMO | $1,375.86 | — |
| Community Health Choice | HIX | $1,375.86 | — |
| Superior | EPO | $1,470.75 | — |
| Superior | HMO | $1,470.75 | — |
| Corvel Corporation | WORKERSCOMP | $1,878.76 | — |
| OMNI Healthcare | WORKERSCOMP | $1,992.63 | — |
| Molina Healthcare | HIX | $2,040.07 | — |
| Humana | PPO | $7,298.67 | — |
| Humana | HMO | $7,298.67 | — |
Visitor-reported prices
Comments
Tlso 2 piece rigid shell at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $929.89 – $2,040.07 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $929.89 – $2,040.07 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $569.93 | $161.48 – $759.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $722.40 | $148.69 – $1,083.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $722.40 | $144.48 – $963.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $569.93 | $151.98 – $759.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $722.40 | $231.89 – $1,083.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $722.40 | $373.24 – $1,083.60 |