X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$6,252.00

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.

$6,252.00

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.

$76.63 with Texas Health Network vs $5,626.80 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 $76.63 ↓ -99%
Community Health Choice MCD STAR $77.19 ↓ -99%
Community Health Choice MCD STAR+PLUS $77.19 ↓ -99%
Community Health Choice MCD CHIP $77.19 ↓ -99%
Community Health Choice MCD CHIPPerinatal $77.19 ↓ -99%
Texas Childrens Health Plans STAR $78.19 ↓ -99%
Texas Childrens Health Plans STARKIDS $78.19 ↓ -99%
Amerigroup MGMCD $78.19 ↓ -99%
Amerigroup MCDCHIPBH $78.19 ↓ -99%
United MGMCD $78.73 ↓ -99%
BCBS MyBlueHealth $81.82 ↓ -99%
Aetna Better Health MGMCD $83.37 ↓ -99%
Molina Healthcare STARPLUS $86.01 ↓ -99%
Molina Healthcare STAR $86.01 ↓ -99%
Molina Healthcare STARKIDS $86.01 ↓ -99%
Molina Healthcare CHIP $86.01 ↓ -99%
BCBS BAV $88.33 ↓ -99%
Humana MCD $97.74 ↓ -98%
BCBS HMO $158.07 ↓ -97%
BCBS EPOSOA $164.11 ↓ -97%
BCBS PPO $169.69 ↓ -97%
Cigna CSN $192.72 ↓ -97%
Cigna OpenAccessPlus $208.57 ↓ -97%
Cigna PPO $247.93 ↓ -96%
Aetna QHPExchange $312.44 ↓ -95%
Superior Health Plan STARKids $375.12 ↓ -94%
Superior Health Plan STARPLUS $375.12 ↓ -94%
Superior Health Plan STAR $375.12 ↓ -94%
Superior Health Plan CHIP $375.12 ↓ -94%
Superior Health Plan CHPFC $375.12 ↓ -94%
Aetna NBHMO $415.26 ↓ -93%
Aetna NBPPO $415.26 ↓ -93%
Aetna NBPOS $415.26 ↓ -93%
Aetna COMMPOS $441.74 ↓ -93%
Aetna COMMHMO $441.74 ↓ -93%
Aetna COMMPPO $441.74 ↓ -93%
Aetna OONPOS $519.41 ↓ -92%
Aetna OONPPO $519.41 ↓ -92%
Aetna OONHMO $519.41 ↓ -92%
Aetna ASAPOS $561.33 ↓ -91%
Aetna ASAPPO $561.33 ↓ -91%
Aetna ASAHMO $561.33 ↓ -91%
United NarrowNetworkIndivExchange $699.43 ↓ -89%
United AllPayerAppendix $828.27 ↓ -87%
United SmallGroup $828.27 ↓ -87%
Texas Childrens Health Plans CHIP $1,037.83 ↓ -83%
United OptionsPPO $1,050.34 ↓ -83%
Texas Workforce Commission WCOMP $1,500.48 ↓ -76%
Healthcare Highways NarrowNetwork $1,594.26 ↓ -75%
Evry Health BroadNetwork $1,706.80 ↓ -73%
Humana PPO $2,114.53 ↓ -66%
Humana HMO $2,114.53 ↓ -66%
Imagine Health PPO $2,188.20 ↓ -65%
BCBS Traditional $2,188.20 ↓ -65%
Christus (USFHP) TRICARE $2,500.80 ↓ -60%
Curative Administrators COMM $2,500.80 ↓ -60%
HealthSmart Preferred Care ACCEL $2,688.36 ↓ -57%
Fidelis SecureCare of TX MGMCR $2,813.40 ↓ -55%
Averde Health Commercial $2,813.40 ↓ -55%
United GlobalAppendix $2,813.40 ↓ -55%
Coventry National First Health COMM $3,332.32 ↓ -47%
Rockport Workers Comp COMM $3,438.60 ↓ -45%
Physicians Cooperative of Texas WC $3,438.60 ↓ -45%
Triumph COMM $3,751.20 ↓ -40%
Independent Medical System COMM $3,751.20 ↓ -40%
National Healthcare Solutions COMM $3,751.20 ↓ -40%
SouthWest Medical WORKERSCOMP $3,751.20 ↓ -40%
Coastal Comp COMM $4,063.80 ↓ -35%
Multiplan PHCSPrimaryNetwork $4,689.00 ↓ -25%
Cigna Behavioral Health COMMBH $5,001.60 ↓ -20%
HealthSmart Preferred Care PPO $5,126.64 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $5,314.20 ↓ -15%
Multiplan ComplementaryNetwork $5,314.20 ↓ -15%
Physicians, INC COMM $5,314.20 ↓ -15%
Affiliated PPO COMM $5,626.80 ↓ -10%

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $1,771.70 $55.79 – $5,062.00
St. Luke's Health - The Vintage Hospital Houston $1,771.70 $65.55 – $5,062.00
HCA HOUSTON MEDICAL CENTER Houston not published $77.19 – $312.44
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $719.37 $78.19 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $849.37 $156.21 – $1,274.05
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $782.02 $78.19 – $977.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $719.37 $78.19 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $849.37 $83.66 – $1,274.05

All Texas hospitals for this procedure →