X-ray exam of arm infant 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.
$87.12 with Cigna vs $1,719.90 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 |
|---|---|---|---|
| Cigna | CSN | $87.12 | — |
| Cigna | OpenAccessPlus | $94.29 | — |
| Texas Health Network | MCD | $102.66 | — |
| Texas Childrens Health Plans | STAR | $104.75 | — |
| Amerigroup | MGMCD | $104.75 | — |
| Amerigroup | MCDCHIPBH | $104.75 | — |
| Texas Childrens Health Plans | STARKIDS | $104.75 | — |
| Community Health Choice MCD | CHIP | $106.88 | — |
| Community Health Choice MCD | STAR | $106.88 | — |
| Community Health Choice MCD | STAR+PLUS | $106.88 | — |
| Community Health Choice MCD | CHIPPerinatal | $106.88 | — |
| United | MGMCD | $109.02 | — |
| Cigna | PPO | $112.08 | — |
| Superior Health Plan | CHIP | $114.66 | — |
| Superior Health Plan | STARPLUS | $114.66 | — |
| Superior Health Plan | STARKids | $114.66 | — |
| Superior Health Plan | STAR | $114.66 | — |
| Superior Health Plan | CHPFC | $114.66 | — |
| Molina Healthcare | STARKIDS | $115.23 | — |
| Molina Healthcare | CHIP | $115.23 | — |
| Molina Healthcare | STAR | $115.23 | — |
| Molina Healthcare | STARPLUS | $115.23 | — |
| Aetna Better Health | MGMCD | $115.43 | — |
| Humana | MCD | $130.94 | — |
| Aetna | QHPExchange | $143.16 | — |
| Aetna | NBPPO | $190.27 | — |
| Aetna | NBPOS | $190.27 | — |
| Aetna | NBHMO | $190.27 | — |
| BCBS | MyBlueHealth | $197.26 | — |
| Aetna | COMMPPO | $202.40 | — |
| Aetna | COMMPOS | $202.40 | — |
| Aetna | COMMHMO | $202.40 | — |
| United | NarrowNetworkIndivExchange | $207.04 | — |
| BCBS | BAV | $212.95 | — |
| Aetna | OONHMO | $237.99 | — |
| Aetna | OONPPO | $237.99 | — |
| Aetna | OONPOS | $237.99 | — |
| United | AllPayerAppendix | $245.18 | — |
| United | SmallGroup | $245.18 | — |
| Aetna | ASAPOS | $257.20 | — |
| Aetna | ASAPPO | $257.20 | — |
| Aetna | ASAHMO | $257.20 | — |
| Texas Childrens Health Plans | CHIP | $317.23 | — |
| United | OptionsPPO | $321.05 | — |
| Humana | PPO | $334.70 | — |
| Humana | HMO | $334.70 | — |
| BCBS | HMO | $381.07 | — |
| BCBS | EPOSOA | $395.64 | — |
| BCBS | PPO | $409.09 | — |
| Texas Workforce Commission | WCOMP | $458.64 | — |
| Healthcare Highways | NarrowNetwork | $487.31 | — |
| Evry Health | BroadNetwork | $521.70 | — |
| Imagine Health | PPO | $668.85 | — |
| BCBS | Traditional | $668.85 | — |
| Christus (USFHP) | TRICARE | $764.40 | — |
| Curative Administrators | COMM | $764.40 | — |
| HealthSmart Preferred Care | ACCEL | $821.73 | — |
| Averde Health | Commercial | $859.95 | — |
| United | GlobalAppendix | $859.95 | — |
| Fidelis SecureCare of TX | MGMCR | $859.95 | — |
| Coventry National First Health | COMM | $1,018.56 | — |
| Rockport Workers Comp | COMM | $1,051.05 | — |
| Physicians Cooperative of Texas | WC | $1,051.05 | — |
| SouthWest Medical | WORKERSCOMP | $1,146.60 | — |
| Triumph | COMM | $1,146.60 | — |
| National Healthcare Solutions | COMM | $1,146.60 | — |
| Independent Medical System | COMM | $1,146.60 | — |
| Coastal Comp | COMM | $1,242.15 | — |
| Multiplan | PHCSPrimaryNetwork | $1,433.25 | — |
| Cigna Behavioral Health | COMMBH | $1,528.80 | — |
| HealthSmart Preferred Care | PPO | $1,567.02 | — |
| Multiplan | ComplementaryNetwork | $1,624.35 | — |
| Physicians, INC | COMM | $1,624.35 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,624.35 | — |
| Affiliated PPO | COMM | $1,719.90 | — |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $110.60 | $34.76 – $316.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $110.60 | $25.28 – $316.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $87.12 – $197.26 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $87.12 – $197.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.43 | $68.06 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $248.44 | $51.14 – $372.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $253.40 | $99.77 – $316.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.43 | $88.85 – $272.35 |