Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$1,182.00
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.
$1,182.00
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.
$70.92 with Superior Health Plan vs $1,063.80 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $70.92 | ↓ -94% |
| Superior Health Plan | STARPLUS | $70.92 | ↓ -94% |
| Superior Health Plan | STARKids | $70.92 | ↓ -94% |
| Superior Health Plan | STAR | $70.92 | ↓ -94% |
| Superior Health Plan | CHPFC | $70.92 | ↓ -94% |
| Aetna | MCR | $78.37 | ↓ -93% |
| Christus (USFHP) | TRICARE | $133.47 | ↓ -89% |
| TriWest Health Alliance | TRCR | $133.47 | ↓ -89% |
| Community Health Choice MCD | STAR | $153.66 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $153.66 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $153.66 | ↓ -87% |
| Community Health Choice MCD | CHIP | $153.66 | ↓ -87% |
| Amerigroup | MGMCD | $165.48 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $165.48 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $196.21 | ↓ -83% |
| United | OptionsPPO | $198.58 | ↓ -83% |
| Superior | EPO | $206.85 | ↓ -83% |
| Superior | HMO | $206.85 | ↓ -83% |
| United | SmallGroup | $220.23 | ↓ -81% |
| United | AllPayerAppendix | $220.23 | ↓ -81% |
| United | NarrowNetworkIndivExchange | $220.23 | ↓ -81% |
| BCBS | MyBlueHealth | $229.75 | ↓ -81% |
| Superior | ValueHMO | $234.04 | ↓ -80% |
| BCBS | BAV | $253.20 | ↓ -79% |
| Texas Childrens Health Plans | STAR | $280.13 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $280.13 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $283.68 | ↓ -76% |
| BCBS | PPO | $316.49 | ↓ -73% |
| BCBS | HMO | $316.49 | ↓ -73% |
| BCBS | EPOSOA | $316.49 | ↓ -73% |
| Cigna | CSN | $317.33 | ↓ -73% |
| Molina Healthcare | HIX | $319.14 | ↓ -73% |
| Cigna | OpenAccessPlus | $343.56 | ↓ -71% |
| CHC Harris Health | Indigent | $354.60 | ↓ -70% |
| Cigna | PPO | $409.13 | ↓ -65% |
| BCBS | Traditional | $413.70 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $508.26 | ↓ -57% |
| United | GlobalAppendix | $531.90 | ↓ -55% |
| Coventry National First Health | COMM | $630.01 | ↓ -47% |
| Rockport Workers Comp | COMM | $650.10 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $650.10 | ↓ -45% |
| National Healthcare Solutions | COMM | $709.20 | ↓ -40% |
| Independent Medical System | COMM | $709.20 | ↓ -40% |
| Triumph | COMM | $709.20 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $709.20 | ↓ -40% |
| Coastal Comp | COMM | $768.30 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $886.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $945.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $969.24 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,004.70 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,004.70 | ↓ -15% |
| Physicians, INC | COMM | $1,004.70 | ↓ -15% |
| Humana | HMO | $1,049.49 | ↓ -11% |
| Humana | PPO | $1,049.49 | ↓ -11% |
| Affiliated PPO | COMM | $1,063.80 | ↓ -10% |
| WellMed | MGMCR | not published by hospital | — |
| BCBS | MedicareAdvantageHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $161.19 | $11.13 – $96.56 |
| St. Luke's Health - The Vintage Hospital | Houston | $161.19 | $6.26 – $96.56 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $133.47 – $1,049.49 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $133.47 – $1,049.49 |
| Adventhealth Rollins Brook | Lampasas | $620.18 | $451.30 – $451.30 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $804.01 | $133.47 – $1,049.49 |
| Covenant Children's Hospital | Lubbock | $858.60 | $438.40 – $507.19 |
| HCA HOUSTON CONROE | CONROE | $443.52 | $133.47 – $1,049.49 |