Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

$1,182.00

Cash price

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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

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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 →

Payer
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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
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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

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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

All Texas hospitals for this procedure →