Wrist X-ray 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

not published by hospital

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.

not published by hospital

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$40.61 with Texas Health Network vs $2,246.40 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
Texas Health Network MCD $40.61
Community Health Choice MCD CHIPPerinatal $41.10
Community Health Choice MCD CHIP $41.10
Community Health Choice MCD STAR+PLUS $41.10
Community Health Choice MCD STAR $41.10
Amerigroup MCDCHIPBH $41.44
Amerigroup MGMCD $41.44
Texas Childrens Health Plans STARKIDS $41.44
Texas Childrens Health Plans STAR $41.44
United MGMCD $41.92
Aetna Better Health MGMCD $44.39
Molina Healthcare STAR $45.58
Molina Healthcare STARPLUS $45.58
Molina Healthcare STARKIDS $45.58
Molina Healthcare CHIP $45.58
Humana MCD $51.80
Cigna CSN $118.68
Cigna OpenAccessPlus $128.44
BCBS MyBlueHealth $140.47
Superior Health Plan STARPLUS $149.76
Superior Health Plan CHIP $149.76
Superior Health Plan CHPFC $149.76
Superior Health Plan STAR $149.76
Superior Health Plan STARKids $149.76
BCBS BAV $151.64
Cigna PPO $152.68
United NarrowNetworkIndivExchange $153.71
United SmallGroup $182.03
United AllPayerAppendix $182.03
Aetna QHPExchange $192.93
Aetna NBPOS $256.42
Aetna NBHMO $256.42
Aetna NBPPO $256.42
BCBS HMO $271.35
Aetna COMMPPO $272.77
Aetna COMMHMO $272.77
Aetna COMMPOS $272.77
BCBS EPOSOA $281.73
BCBS PPO $291.31
Aetna OONHMO $320.73
Aetna OONPOS $320.73
Aetna OONPPO $320.73
Aetna ASAPPO $346.62
Aetna ASAPOS $346.62
Aetna ASAHMO $346.62
Texas Childrens Health Plans CHIP $414.34
United OptionsPPO $419.33
Humana HMO $458.90
Humana PPO $458.90
Texas Workforce Commission WCOMP $599.04
Healthcare Highways NarrowNetwork $636.48
Evry Health BroadNetwork $681.41
Imagine Health PPO $873.60
BCBS Traditional $873.60
Christus (USFHP) TRICARE $998.40
Curative Administrators COMM $998.40
HealthSmart Preferred Care ACCEL $1,073.28
Averde Health Commercial $1,123.20
United GlobalAppendix $1,123.20
Fidelis SecureCare of TX MGMCR $1,123.20
Coventry National First Health COMM $1,330.37
Rockport Workers Comp COMM $1,372.80
Physicians Cooperative of Texas WC $1,372.80
SouthWest Medical WORKERSCOMP $1,497.60
Triumph COMM $1,497.60
National Healthcare Solutions COMM $1,497.60
Independent Medical System COMM $1,497.60
Coastal Comp COMM $1,622.40
Multiplan PHCSPrimaryNetwork $1,872.00
Cigna Behavioral Health COMMBH $1,996.80
HealthSmart Preferred Care PPO $2,046.72
Multiplan ComplementaryNetwork $2,121.60
Physicians, INC COMM $2,121.60
HealthSmart Preferred Care ACCOUNTABLEPPO $2,121.60
Affiliated PPO COMM $2,246.40

Visitor-reported prices

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Wrist X-ray at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $462.35 $41.10 – $1,321.00
St. Luke's Health - The Vintage Hospital Houston $462.35 $41.10 – $1,321.00
HCA HOUSTON MEDICAL CENTER Houston not published $41.10 – $192.93
HCA HOUSTON TOMBALL HOUSTON not published $41.10 – $192.93
Adventhealth Rollins Brook Lampasas $533.77 $307.27 – $307.27
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $309.46 $41.44 – $386.82
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $359.02 $73.90 – $538.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $415.32 $41.44 – $519.15

All Texas hospitals for this procedure →