X-ray exam of mastoids 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.
$37.66 with Texas Health Network vs $1,885.50 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 | $37.66 | — |
| Texas Childrens Health Plans | STARKIDS | $38.43 | — |
| Amerigroup | MGMCD | $38.43 | — |
| Amerigroup | MCDCHIPBH | $38.43 | — |
| Texas Childrens Health Plans | STAR | $38.43 | — |
| Community Health Choice MCD | STAR | $38.76 | — |
| Community Health Choice MCD | STAR+PLUS | $38.76 | — |
| Community Health Choice MCD | CHIP | $38.76 | — |
| Community Health Choice MCD | CHIPPerinatal | $38.76 | — |
| United | MGMCD | $39.54 | — |
| Aetna Better Health | MGMCD | $41.86 | — |
| Molina Healthcare | STARKIDS | $42.27 | — |
| Molina Healthcare | STARPLUS | $42.27 | — |
| Molina Healthcare | CHIP | $42.27 | — |
| Molina Healthcare | STAR | $42.27 | — |
| Humana | MCD | $48.04 | — |
| Cigna | CSN | $108.99 | — |
| Cigna | OpenAccessPlus | $117.95 | — |
| Superior Health Plan | STARKids | $125.70 | — |
| Superior Health Plan | STARPLUS | $125.70 | — |
| Superior Health Plan | CHIP | $125.70 | — |
| Superior Health Plan | CHPFC | $125.70 | — |
| Superior Health Plan | STAR | $125.70 | — |
| Cigna | PPO | $140.21 | — |
| Aetna | QHPExchange | $178.98 | — |
| BCBS | MyBlueHealth | $197.26 | — |
| United | NarrowNetworkIndivExchange | $207.04 | — |
| BCBS | BAV | $212.95 | — |
| Aetna | NBPOS | $237.88 | — |
| Aetna | NBHMO | $237.88 | — |
| Aetna | NBPPO | $237.88 | — |
| United | SmallGroup | $245.18 | — |
| United | AllPayerAppendix | $245.18 | — |
| Aetna | COMMPOS | $253.05 | — |
| Aetna | COMMHMO | $253.05 | — |
| Aetna | COMMPPO | $253.05 | — |
| Aetna | OONHMO | $297.55 | — |
| Aetna | OONPPO | $297.55 | — |
| Aetna | OONPOS | $297.55 | — |
| Aetna | ASAPPO | $321.56 | — |
| Aetna | ASAHMO | $321.56 | — |
| Aetna | ASAPOS | $321.56 | — |
| Texas Childrens Health Plans | CHIP | $347.77 | — |
| United | OptionsPPO | $351.96 | — |
| BCBS | HMO | $381.07 | — |
| BCBS | EPOSOA | $395.64 | — |
| BCBS | PPO | $409.09 | — |
| Humana | HMO | $421.54 | — |
| Humana | PPO | $421.54 | — |
| Texas Workforce Commission | WCOMP | $502.80 | — |
| Healthcare Highways | NarrowNetwork | $534.23 | — |
| Evry Health | BroadNetwork | $571.93 | — |
| Imagine Health | PPO | $733.25 | — |
| BCBS | Traditional | $733.25 | — |
| Christus (USFHP) | TRICARE | $838.00 | — |
| Curative Administrators | COMM | $838.00 | — |
| HealthSmart Preferred Care | ACCEL | $900.85 | — |
| Averde Health | Commercial | $942.75 | — |
| United | GlobalAppendix | $942.75 | — |
| Fidelis SecureCare of TX | MGMCR | $942.75 | — |
| Coventry National First Health | COMM | $1,116.63 | — |
| Rockport Workers Comp | COMM | $1,152.25 | — |
| Physicians Cooperative of Texas | WC | $1,152.25 | — |
| SouthWest Medical | WORKERSCOMP | $1,257.00 | — |
| Triumph | COMM | $1,257.00 | — |
| National Healthcare Solutions | COMM | $1,257.00 | — |
| Independent Medical System | COMM | $1,257.00 | — |
| Coastal Comp | COMM | $1,361.75 | — |
| Multiplan | PHCSPrimaryNetwork | $1,571.25 | — |
| Cigna Behavioral Health | COMMBH | $1,676.00 | — |
| HealthSmart Preferred Care | PPO | $1,717.90 | — |
| Multiplan | ComplementaryNetwork | $1,780.75 | — |
| Physicians, INC | COMM | $1,780.75 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,780.75 | — |
| Affiliated PPO | COMM | $1,885.50 | — |
Visitor-reported prices
Comments
X-ray exam of mastoids at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $38.76 – $197.26 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $38.43 – $197.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $193.41 | $38.43 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $279.82 | $57.60 – $419.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $293.81 | $38.43 – $367.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $193.41 | $38.43 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $279.82 | $41.12 – $419.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $279.82 | $38.43 – $419.72 |