X-ray scapula complete (both sides) 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.
$23.58 with Texas Health Network vs $2,085.30 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 | $23.58 | — |
| Community Health Choice MCD | CHIP | $23.73 | — |
| Community Health Choice MCD | STAR | $23.73 | — |
| Community Health Choice MCD | STAR+PLUS | $23.73 | — |
| Community Health Choice MCD | CHIPPerinatal | $23.73 | — |
| Amerigroup | MGMCD | $24.06 | — |
| Texas Childrens Health Plans | STARKIDS | $24.06 | — |
| Texas Childrens Health Plans | STAR | $24.06 | — |
| Amerigroup | MCDCHIPBH | $24.06 | — |
| United | MGMCD | $24.20 | — |
| Aetna Better Health | MGMCD | $25.63 | — |
| Molina Healthcare | STARKIDS | $26.47 | — |
| Molina Healthcare | STARPLUS | $26.47 | — |
| Molina Healthcare | CHIP | $26.47 | — |
| Molina Healthcare | STAR | $26.47 | — |
| Humana | MCD | $30.07 | — |
| Cigna | CSN | $54.36 | — |
| Cigna | OpenAccessPlus | $58.83 | — |
| Cigna | PPO | $69.94 | — |
| Aetna | QHPExchange | $89.35 | — |
| Aetna | NBPPO | $118.75 | — |
| Aetna | NBHMO | $118.75 | — |
| Aetna | NBPOS | $118.75 | — |
| Aetna | COMMPPO | $126.33 | — |
| Aetna | COMMPOS | $126.33 | — |
| Aetna | COMMHMO | $126.33 | — |
| Superior Health Plan | STARKids | $139.02 | — |
| Superior Health Plan | CHIP | $139.02 | — |
| Superior Health Plan | CHPFC | $139.02 | — |
| Superior Health Plan | STAR | $139.02 | — |
| Superior Health Plan | STARPLUS | $139.02 | — |
| Aetna | OONPPO | $148.54 | — |
| Aetna | OONPOS | $148.54 | — |
| Aetna | OONHMO | $148.54 | — |
| Aetna | ASAPPO | $160.53 | — |
| Aetna | ASAPOS | $160.53 | — |
| Aetna | ASAHMO | $160.53 | — |
| BCBS | MyBlueHealth | $197.26 | — |
| United | NarrowNetworkIndivExchange | $207.04 | — |
| BCBS | BAV | $212.95 | — |
| United | SmallGroup | $245.18 | — |
| United | AllPayerAppendix | $245.18 | — |
| Humana | HMO | $371.86 | — |
| Humana | PPO | $371.86 | — |
| BCBS | HMO | $381.07 | — |
| Texas Childrens Health Plans | CHIP | $384.62 | — |
| United | OptionsPPO | $389.26 | — |
| BCBS | EPOSOA | $395.64 | — |
| BCBS | PPO | $409.09 | — |
| Texas Workforce Commission | WCOMP | $556.08 | — |
| Healthcare Highways | NarrowNetwork | $590.84 | — |
| Evry Health | BroadNetwork | $632.54 | — |
| Imagine Health | PPO | $810.95 | — |
| BCBS | Traditional | $810.95 | — |
| Christus (USFHP) | TRICARE | $926.80 | — |
| Curative Administrators | COMM | $926.80 | — |
| HealthSmart Preferred Care | ACCEL | $996.31 | — |
| Averde Health | Commercial | $1,042.65 | — |
| United | GlobalAppendix | $1,042.65 | — |
| Fidelis SecureCare of TX | MGMCR | $1,042.65 | — |
| Coventry National First Health | COMM | $1,234.96 | — |
| Rockport Workers Comp | COMM | $1,274.35 | — |
| Physicians Cooperative of Texas | WC | $1,274.35 | — |
| SouthWest Medical | WORKERSCOMP | $1,390.20 | — |
| Triumph | COMM | $1,390.20 | — |
| National Healthcare Solutions | COMM | $1,390.20 | — |
| Independent Medical System | COMM | $1,390.20 | — |
| Coastal Comp | COMM | $1,506.05 | — |
| Multiplan | PHCSPrimaryNetwork | $1,737.75 | — |
| Cigna Behavioral Health | COMMBH | $1,853.60 | — |
| HealthSmart Preferred Care | PPO | $1,899.94 | — |
| Multiplan | ComplementaryNetwork | $1,969.45 | — |
| Physicians, INC | COMM | $1,969.45 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,969.45 | — |
| Affiliated PPO | COMM | $2,085.30 | — |
Visitor-reported prices
Comments
X-ray scapula complete (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $374.50 | $23.73 – $1,070.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $374.50 | $23.73 – $1,070.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $23.73 – $197.26 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $23.73 – $197.26 |
| Adventhealth Rollins Brook | Lampasas | $540.58 | $431.51 – $431.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $223.85 | $24.06 – $279.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $276.52 | $56.92 – $414.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $311.92 | $24.06 – $389.89 |