Tomosynthesis breast diagnostic left 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.
$12.35 with Oscar vs $2,160.90 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 |
|---|---|---|---|
| Oscar | MGMCR | $12.35 | — |
| WellMed | MGMCR | $12.54 | — |
| Kelsey Seybold | MGMCR | $12.60 | — |
| CHC Harris Health | Indigent | $12.60 | — |
| Amerigroup | DualEligible | $12.60 | — |
| Cigna HealthSpring | MCRHMO | $12.60 | — |
| BCBS | MedicareAdvantageHMO | $12.60 | — |
| Cigna HealthSpring | MCRPPO | $12.60 | — |
| BCBS | MCRPPO | $12.60 | — |
| TriWest Healthcare Alliance | Veterans | $12.60 | — |
| Humana | MedicareAdvantagePPOPFFS | $12.60 | — |
| Cigna HealthSpring | MCRSNP | $12.60 | — |
| Cigna HealthSpring | PFFS | $12.60 | — |
| Renaissance IPA Radiology | COMM | $12.60 | — |
| Renaissance IPA Radiology | MCR | $12.60 | — |
| Cigna HealthSpring | MMP | $12.60 | — |
| Humana | MedicareAdvantageHMO | $12.60 | — |
| Devoted Health | MGMCR | $12.60 | — |
| TriWest Health Alliance | TRCR | $12.61 | — |
| Christus (USFHP) | TRICARE | $12.61 | — |
| Aetna | MCR | $12.71 | — |
| Van Lang IPA | MCR | $12.73 | — |
| United | MCR | $12.85 | — |
| WellCare | PFFS | $12.98 | — |
| Integranet Amerigroup IPA | MCR | $12.98 | — |
| WellCare | POS | $12.98 | — |
| WellCare | MCRHMO | $12.98 | — |
| WellCare | SNP | $12.98 | — |
| WellCare | PPO | $12.98 | — |
| ProCare Advantage | MGMCR | $13.23 | — |
| Shared Health | MGMCR | $13.23 | — |
| American Health Plan | MGMCR | $13.23 | — |
| Superior Health Plan | DualEligible | $13.23 | — |
| Superior Health Plan | MCRHMO | $13.23 | — |
| Superior Health Plan | MCRPOS | $13.23 | — |
| Superior Health Plan | MCRPPO | $13.23 | — |
| Superior Health Plan | MCRSNP | $13.23 | — |
| Superior Health Plan | PFFS | $13.23 | — |
| Provider Partners Health Plan of Texas | PPO | $13.36 | — |
| Provider Partners Health Plan of Texas | POS | $13.36 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $13.36 | — |
| Provider Partners Health Plan of Texas | PFFS | $13.36 | — |
| Provider Partners Health Plan of Texas | SNP | $13.36 | — |
| Molina | MGMCR | $13.73 | — |
| Universal Healthcare Group | MCR | $15.12 | — |
| Verda Health Plan | MCR | $16.38 | — |
| Superior | ValueHMO | $18.27 | — |
| Community Health Choice | HIX | $18.27 | — |
| Superior | EPO | $19.53 | — |
| Superior | HMO | $19.53 | — |
| Corvel Corporation | WORKERSCOMP | $24.95 | — |
| OMNI Healthcare | WORKERSCOMP | $26.46 | — |
| Molina Healthcare | HIX | $27.09 | — |
| BCBS | MyBlueHealth | $44.40 | — |
| Texas Health Network | MCD | $46.50 | — |
| Amerigroup | MCDCHIPBH | $47.45 | — |
| Amerigroup | MGMCD | $47.45 | — |
| BCBS | BAV | $47.94 | — |
| United | NarrowNetworkIndivExchange | $48.39 | — |
| Molina Healthcare | STARPLUS | $52.20 | — |
| Molina Healthcare | CHIP | $52.20 | — |
| Molina Healthcare | STAR | $52.20 | — |
| Molina Healthcare | STARKIDS | $52.20 | — |
| Community Health Choice MCD | STAR | $52.79 | — |
| Community Health Choice MCD | STAR+PLUS | $52.79 | — |
| Community Health Choice MCD | CHIPPerinatal | $52.79 | — |
| Community Health Choice MCD | CHIP | $52.79 | — |
| United | MGMCD | $53.85 | — |
| Aetna Better Health | MGMCD | $57.01 | — |
| United | SmallGroup | $57.31 | — |
| United | AllPayerAppendix | $57.31 | — |
| Humana | MCD | $59.31 | — |
| BCBS | HMO | $85.78 | — |
| BCBS | EPOSOA | $89.06 | — |
| BCBS | PPO | $92.09 | — |
| Superior Health Plan | CHIP | $144.06 | — |
| Superior Health Plan | STARKids | $144.06 | — |
| Superior Health Plan | STARPLUS | $144.06 | — |
| Superior Health Plan | STAR | $144.06 | — |
| Superior Health Plan | CHPFC | $144.06 | — |
| Humana | PPO | $233.47 | — |
| Humana | HMO | $233.47 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Childrens Health Plans | CHIP | $398.57 | — |
| United | OptionsPPO | $403.37 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Cigna | CSN | $516.00 | — |
| Cigna | OpenAccessPlus | $559.00 | — |
| Texas Childrens Health Plans | STARKIDS | $569.04 | — |
| Texas Childrens Health Plans | STAR | $569.04 | — |
| Texas Workforce Commission | WCOMP | $576.24 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Healthcare Highways | NarrowNetwork | $612.25 | — |
| Aetna | QHPExchange | $636.26 | — |
| Evry Health | BroadNetwork | $655.47 | — |
| Cigna | PPO | $665.00 | — |
| Aetna | NBHMO | $770.72 | — |
| Aetna | NBPOS | $770.72 | — |
| Aetna | NBPPO | $770.72 | — |
| Aetna | COMMPOS | $821.14 | — |
| Aetna | COMMPPO | $821.14 | — |
| Aetna | COMMHMO | $821.14 | — |
| Imagine Health | PPO | $840.35 | — |
| BCBS | Traditional | $840.35 | — |
| Curative Administrators | COMM | $960.40 | — |
| Aetna | OONHMO | $962.80 | — |
| Aetna | OONPOS | $962.80 | — |
| Aetna | OONPPO | $962.80 | — |
| HealthSmart Preferred Care | ACCEL | $1,032.43 | — |
| Aetna | ASAPOS | $1,039.63 | — |
| Aetna | ASAHMO | $1,039.63 | — |
| Aetna | ASAPPO | $1,039.63 | — |
| United | GlobalAppendix | $1,080.45 | — |
| Averde Health | Commercial | $1,080.45 | — |
| Fidelis SecureCare of TX | MGMCR | $1,080.45 | — |
| Coventry National First Health | COMM | $1,279.73 | — |
| Physicians Cooperative of Texas | WC | $1,320.55 | — |
| Rockport Workers Comp | COMM | $1,320.55 | — |
| Triumph | COMM | $1,440.60 | — |
| National Healthcare Solutions | COMM | $1,440.60 | — |
| SouthWest Medical | WORKERSCOMP | $1,440.60 | — |
| Independent Medical System | COMM | $1,440.60 | — |
| Coastal Comp | COMM | $1,560.65 | — |
| Multiplan | PHCSPrimaryNetwork | $1,800.75 | — |
| Cigna Behavioral Health | COMMBH | $1,920.80 | — |
| HealthSmart Preferred Care | PPO | $1,968.82 | — |
| Multiplan | ComplementaryNetwork | $2,040.85 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $2,040.85 | — |
| Physicians, INC | COMM | $2,040.85 | — |
| Affiliated PPO | COMM | $2,160.90 | — |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $55.30 | $17.38 – $158.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $55.30 | $12.64 – $158.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $12.35 – $57.01 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $12.35 – $57.01 |
| Covenant Children's Hospital | Lubbock | $69.72 | $81.74 – $110.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.78 | $14.40 – $158.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.80 | $47.43 – $183.60 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $55.30 | $15.80 – $158.00 |