Venogram ext bil s&i 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.
$130.98 with Texas Health Network vs $6,734.70 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 Health Network | MCD | $130.98 | — |
| Community Health Choice MCD | STAR | $132.99 | — |
| Community Health Choice MCD | CHIPPerinatal | $132.99 | — |
| Community Health Choice MCD | CHIP | $132.99 | — |
| Community Health Choice MCD | STAR+PLUS | $132.99 | — |
| Texas Childrens Health Plans | STARKIDS | $133.65 | — |
| Texas Childrens Health Plans | STAR | $133.65 | — |
| Amerigroup | MGMCD | $133.65 | — |
| Amerigroup | MCDCHIPBH | $133.65 | — |
| United | MGMCD | $135.65 | — |
| BCBS | MyBlueHealth | $140.18 | — |
| Aetna Better Health | MGMCD | $143.63 | — |
| Molina Healthcare | STARPLUS | $147.02 | — |
| Molina Healthcare | CHIP | $147.02 | — |
| Molina Healthcare | STAR | $147.02 | — |
| Molina Healthcare | STARKIDS | $147.02 | — |
| BCBS | BAV | $151.34 | — |
| Humana | MCD | $167.06 | — |
| Cigna | CSN | $237.62 | — |
| Cigna | OpenAccessPlus | $257.16 | — |
| BCBS | HMO | $270.81 | — |
| BCBS | EPOSOA | $281.16 | — |
| BCBS | PPO | $290.72 | — |
| Cigna | PPO | $305.70 | — |
| Aetna | QHPExchange | $392.09 | — |
| Superior Health Plan | CHPFC | $448.98 | — |
| Superior Health Plan | CHIP | $448.98 | — |
| Superior Health Plan | STAR | $448.98 | — |
| Superior Health Plan | STARKids | $448.98 | — |
| Superior Health Plan | STARPLUS | $448.98 | — |
| Aetna | NBPOS | $521.13 | — |
| Aetna | NBHMO | $521.13 | — |
| Aetna | NBPPO | $521.13 | — |
| Aetna | COMMPPO | $554.35 | — |
| Aetna | COMMHMO | $554.35 | — |
| Aetna | COMMPOS | $554.35 | — |
| Aetna | OONHMO | $651.82 | — |
| Aetna | OONPOS | $651.82 | — |
| Aetna | OONPPO | $651.82 | — |
| Aetna | ASAPOS | $704.43 | — |
| Aetna | ASAPPO | $704.43 | — |
| Aetna | ASAHMO | $704.43 | — |
| Texas Childrens Health Plans | CHIP | $1,242.18 | — |
| United | OptionsPPO | $1,257.14 | — |
| Humana | PPO | $1,465.38 | — |
| Humana | HMO | $1,465.38 | — |
| Texas Workforce Commission | WCOMP | $1,795.92 | — |
| Healthcare Highways | NarrowNetwork | $1,908.16 | — |
| Evry Health | BroadNetwork | $2,042.86 | — |
| BCBS | Traditional | $2,619.05 | — |
| Imagine Health | PPO | $2,619.05 | — |
| United | NarrowNetworkIndivExchange | $2,671.67 | — |
| Christus (USFHP) | TRICARE | $2,993.20 | — |
| Curative Administrators | COMM | $2,993.20 | — |
| United | AllPayerAppendix | $3,163.82 | — |
| United | SmallGroup | $3,163.82 | — |
| HealthSmart Preferred Care | ACCEL | $3,217.69 | — |
| Averde Health | Commercial | $3,367.35 | — |
| United | GlobalAppendix | $3,367.35 | — |
| Fidelis SecureCare of TX | MGMCR | $3,367.35 | — |
| Coventry National First Health | COMM | $3,988.44 | — |
| Rockport Workers Comp | COMM | $4,115.65 | — |
| Physicians Cooperative of Texas | WC | $4,115.65 | — |
| Triumph | COMM | $4,489.80 | — |
| National Healthcare Solutions | COMM | $4,489.80 | — |
| Independent Medical System | COMM | $4,489.80 | — |
| SouthWest Medical | WORKERSCOMP | $4,489.80 | — |
| Coastal Comp | COMM | $4,863.95 | — |
| Multiplan | PHCSPrimaryNetwork | $5,612.25 | — |
| Cigna Behavioral Health | COMMBH | $5,986.40 | — |
| HealthSmart Preferred Care | PPO | $6,136.06 | — |
| Physicians, INC | COMM | $6,360.55 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $6,360.55 | — |
| Multiplan | ComplementaryNetwork | $6,360.55 | — |
| Affiliated PPO | COMM | $6,734.70 | — |
Visitor-reported prices
Comments
Venogram ext bil s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,512.70 | $95.58 – $4,322.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,512.70 | $112.31 – $4,322.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $132.99 – $392.09 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $132.99 – $392.09 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,438.01 | $133.65 – $3,967.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,026.94 | $267.62 – $3,967.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,010.86 | $133.65 – $3,967.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,438.01 | $133.65 – $3,967.42 |