Vaccine pneumonococcal conjugate 15 valent (pcv15) 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

$1,228.00

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.

$1,228.00

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.

$73.68 with Superior Health Plan vs $1,105.20 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.

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Negotiated rate vs. cash
Superior Health Plan CHIP $73.68 ↓ -94%
Superior Health Plan CHPFC $73.68 ↓ -94%
Superior Health Plan STAR $73.68 ↓ -94%
Superior Health Plan STARKids $73.68 ↓ -94%
Superior Health Plan STARPLUS $73.68 ↓ -94%
Aetna MCR $81.42 ↓ -93%
Community Health Choice MCD CHIP $159.64 ↓ -87%
Community Health Choice MCD STAR $159.64 ↓ -87%
Community Health Choice MCD STAR+PLUS $159.64 ↓ -87%
Community Health Choice MCD CHIPPerinatal $159.64 ↓ -87%
Amerigroup MGMCD $171.92 ↓ -86%
Amerigroup MCDCHIPBH $171.92 ↓ -86%
Texas Childrens Health Plans CHIP $203.85 ↓ -83%
United OptionsPPO $206.30 ↓ -83%
Superior EPO $214.90 ↓ -83%
Superior HMO $214.90 ↓ -83%
Superior ValueHMO $243.14 ↓ -80%
Christus (USFHP) TRICARE $269.31 ↓ -78%
TriWest Health Alliance TRCR $269.31 ↓ -78%
Texas Childrens Health Plans STARKIDS $291.04 ↓ -76%
Texas Childrens Health Plans STAR $291.04 ↓ -76%
Texas Workforce Commission WCOMP $294.72 ↓ -76%
Molina Healthcare HIX $331.56 ↓ -73%
CHC Harris Health Indigent $368.40 ↓ -70%
Humana HMO $391.85 ↓ -68%
Humana PPO $391.85 ↓ -68%
BCBS Traditional $429.80 ↓ -65%
United SmallGroup $444.36 ↓ -64%
United AllPayerAppendix $444.36 ↓ -64%
United NarrowNetworkIndivExchange $444.36 ↓ -64%
BCBS MyBlueHealth $485.84 ↓ -60%
HealthSmart Preferred Care ACCEL $528.04 ↓ -57%
BCBS BAV $535.42 ↓ -56%
United GlobalAppendix $552.60 ↓ -55%
Cigna CSN $621.21 ↓ -49%
Coventry National First Health COMM $654.52 ↓ -47%
BCBS PPO $669.28 ↓ -45%
BCBS HMO $669.28 ↓ -45%
BCBS EPOSOA $669.28 ↓ -45%
Cigna OpenAccessPlus $672.55 ↓ -45%
Physicians Cooperative of Texas WC $675.40 ↓ -45%
Rockport Workers Comp COMM $675.40 ↓ -45%
Independent Medical System COMM $736.80 ↓ -40%
Triumph COMM $736.80 ↓ -40%
SouthWest Medical WORKERSCOMP $736.80 ↓ -40%
National Healthcare Solutions COMM $736.80 ↓ -40%
Coastal Comp COMM $798.20 ↓ -35%
Cigna PPO $800.90 ↓ -35%
Multiplan PHCSPrimaryNetwork $921.00 ↓ -25%
Cigna Behavioral Health COMMBH $982.40 ↓ -20%
HealthSmart Preferred Care PPO $1,006.96 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $1,043.80 ↓ -15%
Physicians, INC COMM $1,043.80 ↓ -15%
Multiplan ComplementaryNetwork $1,043.80 ↓ -15%
Affiliated PPO COMM $1,105.20 ↓ -10%
BCBS MedicareAdvantageHMO not published by hospital
WellMed MGMCR not published by hospital
BCBS MCRPPO not published by hospital

Visitor-reported prices

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Vaccine pneumonococcal conjugate 15 valent (pcv15) im at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $261.15 – $621.21
HCA HOUSTON TOMBALL HOUSTON not published $261.15 – $621.21
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $66.12 $261.15 – $621.21
HCA HOUSTON CONROE CONROE $641.71 $269.31 – $621.21
HCA HOUSTON KINGWOOD HUMBLE $1,295.32 $269.31 – $621.21
HCA HOUSTON SOUTHEAST PASADENA $654.67 $261.15 – $621.21
Ascension Seton Cedar Park Hospital Cedar Park $184.76 $246.20 – $1,038.62
MEDICAL CITY ARGYLE HOSPITAL Argyle $1,794.13 $253.32 – $1,553.29

All Texas hospitals for this procedure →