Trauma partial team response w/critical care services level 4 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.
$300.00 with Texas Athletic Network vs $11,272.50 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 |
|---|---|---|---|
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Community Health Choice MCD | STAR | $1,628.25 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,628.25 | — |
| Community Health Choice MCD | CHIP | $1,628.25 | — |
| Community Health Choice MCD | STAR+PLUS | $1,628.25 | — |
| Amerigroup | MGMCD | $1,753.50 | — |
| Amerigroup | MCDCHIPBH | $1,753.50 | — |
| Cigna | CSN | $1,853.70 | — |
| Cigna | OpenAccessPlus | $2,004.00 | — |
| Texas Childrens Health Plans | CHIP | $2,079.15 | — |
| BCBS | MyBlueHealth | $2,085.29 | — |
| United | OptionsPPO | $2,104.20 | — |
| BCBS | BAV | $2,299.17 | — |
| Cigna | PPO | $2,379.75 | — |
| Oscar | HIX | $2,442.38 | — |
| BCBS | HMO | $2,878.41 | — |
| Texas Childrens Health Plans | STARKIDS | $2,968.43 | — |
| Texas Childrens Health Plans | STAR | $2,968.43 | — |
| Texas Workforce Commission | WCOMP | $3,006.00 | — |
| Healthcare Highways | NarrowNetwork | $3,193.88 | — |
| BCBS | EPOSOA | $3,234.87 | — |
| Aetna | QHPExchange | $3,319.13 | — |
| Evry Health | BroadNetwork | $3,419.32 | — |
| BCBS | PPO | $3,582.42 | — |
| Humana | HMO | $3,996.73 | — |
| Humana | PPO | $3,996.73 | — |
| Aetna | NBPOS | $4,020.53 | — |
| Aetna | NBHMO | $4,020.53 | — |
| Aetna | NBPPO | $4,020.53 | — |
| Aetna | COMMHMO | $4,283.55 | — |
| Aetna | COMMPOS | $4,283.55 | — |
| Aetna | COMMPPO | $4,283.55 | — |
| BCBS | Traditional | $4,383.75 | — |
| Imagine Health | PPO | $4,383.75 | — |
| Curative Administrators | COMM | $5,010.00 | — |
| Christus (USFHP) | TRICARE | $5,010.00 | — |
| Aetna | OONHMO | $5,022.52 | — |
| Aetna | OONPOS | $5,022.52 | — |
| Aetna | OONPPO | $5,022.52 | — |
| HealthSmart Preferred Care | ACCEL | $5,385.75 | — |
| Aetna | ASAPOS | $5,423.32 | — |
| Aetna | ASAPPO | $5,423.32 | — |
| Aetna | ASAHMO | $5,423.32 | — |
| United | GlobalAppendix | $5,636.25 | — |
| Averde Health | Commercial | $5,636.25 | — |
| Fidelis SecureCare of TX | MGMCR | $5,636.25 | — |
| Coventry National First Health | COMM | $6,675.82 | — |
| Physicians Cooperative of Texas | WC | $6,888.75 | — |
| Rockport Workers Comp | COMM | $6,888.75 | — |
| Triumph | COMM | $7,515.00 | — |
| National Healthcare Solutions | COMM | $7,515.00 | — |
| SouthWest Medical | WORKERSCOMP | $7,515.00 | — |
| Independent Medical System | COMM | $7,515.00 | — |
| Coastal Comp | COMM | $8,141.25 | — |
| Multiplan | PHCSPrimaryNetwork | $9,393.75 | — |
| Cigna Behavioral Health | COMMBH | $10,020.00 | — |
| HealthSmart Preferred Care | PPO | $10,270.50 | — |
| Multiplan | ComplementaryNetwork | $10,646.25 | — |
| Physicians, INC | COMM | $10,646.25 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $10,646.25 | — |
| Affiliated PPO | COMM | $11,272.50 | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,085.29 – $2,085.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,085.29 – $2,085.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,026.96 | $167.57 – $6,858.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,026.96 | $121.74 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,026.96 | $118.29 – $3,391.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,026.96 | $157.71 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,026.96 | $189.85 – $6,292.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,026.96 | $305.57 – $3,391.62 |