X-ray exam entire spi 4/5 vw 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

$6,776.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$6,776.00

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.

Full explanation →

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

$77.94 with Texas Health Network vs $6,098.40 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 $77.94 ↓ -99%
Community Health Choice MCD STAR+PLUS $79.19 ↓ -99%
Community Health Choice MCD STAR $79.19 ↓ -99%
Community Health Choice MCD CHIPPerinatal $79.19 ↓ -99%
Community Health Choice MCD CHIP $79.19 ↓ -99%
Amerigroup MCDCHIPBH $79.53 ↓ -99%
Texas Childrens Health Plans STARKIDS $79.53 ↓ -99%
Texas Childrens Health Plans STAR $79.53 ↓ -99%
Amerigroup MGMCD $79.53 ↓ -99%
United MGMCD $80.77 ↓ -99%
Aetna Better Health MGMCD $85.53 ↓ -99%
Molina Healthcare CHIP $87.48 ↓ -99%
Molina Healthcare STARPLUS $87.48 ↓ -99%
Molina Healthcare STAR $87.48 ↓ -99%
Molina Healthcare STARKIDS $87.48 ↓ -99%
Humana MCD $99.41 ↓ -99%
BCBS MyBlueHealth $104.02 ↓ -98%
BCBS BAV $112.29 ↓ -98%
BCBS HMO $200.94 ↓ -97%
United NarrowNetworkIndivExchange $207.04 ↓ -97%
BCBS EPOSOA $208.62 ↓ -97%
BCBS PPO $215.72 ↓ -97%
Cigna CSN $225.48 ↓ -97%
Cigna OpenAccessPlus $244.02 ↓ -96%
United SmallGroup $245.18 ↓ -96%
United AllPayerAppendix $245.18 ↓ -96%
Cigna PPO $290.08 ↓ -96%
Aetna QHPExchange $366.25 ↓ -95%
Superior Health Plan STARKids $406.56 ↓ -94%
Superior Health Plan STARPLUS $406.56 ↓ -94%
Superior Health Plan STAR $406.56 ↓ -94%
Superior Health Plan CHPFC $406.56 ↓ -94%
Superior Health Plan CHIP $406.56 ↓ -94%
Aetna NBPOS $486.78 ↓ -93%
Aetna NBHMO $486.78 ↓ -93%
Aetna NBPPO $486.78 ↓ -93%
Aetna COMMPOS $517.82 ↓ -92%
Aetna COMMHMO $517.82 ↓ -92%
Aetna COMMPPO $517.82 ↓ -92%
Aetna OONPPO $608.86 ↓ -91%
Aetna OONPOS $608.86 ↓ -91%
Aetna OONHMO $608.86 ↓ -91%
Aetna ASAPPO $658.01 ↓ -90%
Aetna ASAHMO $658.01 ↓ -90%
Aetna ASAPOS $658.01 ↓ -90%
Humana PPO $993.23 ↓ -85%
Humana HMO $993.23 ↓ -85%
Texas Childrens Health Plans CHIP $1,124.82 ↓ -83%
United OptionsPPO $1,138.37 ↓ -83%
Texas Workforce Commission WCOMP $1,626.24 ↓ -76%
Healthcare Highways NarrowNetwork $1,727.88 ↓ -75%
Evry Health BroadNetwork $1,849.85 ↓ -73%
Imagine Health PPO $2,371.60 ↓ -65%
BCBS Traditional $2,371.60 ↓ -65%
Christus (USFHP) TRICARE $2,710.40 ↓ -60%
Curative Administrators COMM $2,710.40 ↓ -60%
HealthSmart Preferred Care ACCEL $2,913.68 ↓ -57%
Averde Health Commercial $3,049.20 ↓ -55%
United GlobalAppendix $3,049.20 ↓ -55%
Fidelis SecureCare of TX MGMCR $3,049.20 ↓ -55%
Coventry National First Health COMM $3,611.61 ↓ -47%
Rockport Workers Comp COMM $3,726.80 ↓ -45%
Physicians Cooperative of Texas WC $3,726.80 ↓ -45%
SouthWest Medical WORKERSCOMP $4,065.60 ↓ -40%
Triumph COMM $4,065.60 ↓ -40%
National Healthcare Solutions COMM $4,065.60 ↓ -40%
Independent Medical System COMM $4,065.60 ↓ -40%
Coastal Comp COMM $4,404.40 ↓ -35%
Multiplan PHCSPrimaryNetwork $5,082.00 ↓ -25%
Cigna Behavioral Health COMMBH $5,420.80 ↓ -20%
HealthSmart Preferred Care PPO $5,556.32 ↓ -18%
Multiplan ComplementaryNetwork $5,759.60 ↓ -15%
Physicians, INC COMM $5,759.60 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $5,759.60 ↓ -15%
Affiliated PPO COMM $6,098.40 ↓ -10%

Visitor-reported prices

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X-ray exam entire spi 4/5 vw at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $2,237.90 $70.92 – $6,394.00
St. Luke's Health - The Vintage Hospital Houston $2,237.90 $79.19 – $6,394.00
HCA HOUSTON TOMBALL HOUSTON $3,469.98 $79.19 – $366.25
Houston Methodist Willowbrook Hospital Houston $1,226.00 $105.02 – $204.79
Houston Methodist Hospital Houston $577.50 $105.02 – $420.09
Houston Methodist West Hospital Houston $1,226.00 $105.02 – $420.09
HCA HOUSTON MEDICAL CENTER Houston not published $79.19 – $366.25
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $539.81 $79.53 – $674.76

All Texas hospitals for this procedure →