X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study 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

not published by hospital

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.

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

not published by hospital

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.

$119.52 with Texas Health Network vs $5,313.60 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 $119.52
Amerigroup MCDCHIPBH $121.96
Texas Childrens Health Plans STARKIDS $121.96
Amerigroup MGMCD $121.96
Texas Childrens Health Plans STAR $121.96
Community Health Choice MCD CHIP $124.30
Community Health Choice MCD STAR $124.30
Community Health Choice MCD CHIPPerinatal $124.30
Community Health Choice MCD STAR+PLUS $124.30
United MGMCD $126.79
Molina Healthcare STARPLUS $134.16
Molina Healthcare STAR $134.16
Molina Healthcare STARKIDS $134.16
Molina Healthcare CHIP $134.16
Aetna Better Health MGMCD $134.24
Humana MCD $152.45
Cigna CSN $312.87
BCBS MyBlueHealth $320.71
Cigna OpenAccessPlus $338.60
United NarrowNetworkIndivExchange $339.25
BCBS BAV $346.22
Superior Health Plan CHIP $354.24
Superior Health Plan CHPFC $354.24
Superior Health Plan STAR $354.24
Superior Health Plan STARKids $354.24
Superior Health Plan STARPLUS $354.24
United SmallGroup $401.74
United AllPayerAppendix $401.74
Cigna PPO $402.50
Aetna QHPExchange $521.58
BCBS HMO $619.55
BCBS EPOSOA $643.24
BCBS PPO $665.10
Aetna NBPOS $693.23
Aetna NBHMO $693.23
Aetna NBPPO $693.23
Aetna COMMPOS $737.44
Aetna COMMHMO $737.44
Aetna COMMPPO $737.44
Aetna OONPPO $867.10
Aetna OONPOS $867.10
Aetna OONHMO $867.10
Aetna ASAPOS $937.08
Aetna ASAHMO $937.08
Aetna ASAPPO $937.08
Texas Childrens Health Plans CHIP $980.06
United OptionsPPO $991.87
Humana HMO $1,397.11
Humana PPO $1,397.11
Texas Workforce Commission WCOMP $1,416.96
Healthcare Highways NarrowNetwork $1,505.52
Evry Health BroadNetwork $1,611.79
Imagine Health PPO $2,066.40
BCBS Traditional $2,066.40
Christus (USFHP) TRICARE $2,361.60
Curative Administrators COMM $2,361.60
HealthSmart Preferred Care ACCEL $2,538.72
Averde Health Commercial $2,656.80
United GlobalAppendix $2,656.80
Fidelis SecureCare of TX MGMCR $2,656.80
Coventry National First Health COMM $3,146.83
Rockport Workers Comp COMM $3,247.20
Physicians Cooperative of Texas WC $3,247.20
SouthWest Medical WORKERSCOMP $3,542.40
Triumph COMM $3,542.40
National Healthcare Solutions COMM $3,542.40
Independent Medical System COMM $3,542.40
Coastal Comp COMM $3,837.60
Multiplan PHCSPrimaryNetwork $4,428.00
Cigna Behavioral Health COMMBH $4,723.20
HealthSmart Preferred Care PPO $4,841.28
Multiplan ComplementaryNetwork $5,018.40
Physicians, INC COMM $5,018.40
HealthSmart Preferred Care ACCOUNTABLEPPO $5,018.40
Affiliated PPO COMM $5,313.60

Visitor-reported prices

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X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $676.20 $121.96 – $1,932.00
St. Luke's Health - The Vintage Hospital Houston $676.20 $121.96 – $1,932.00
HCA HOUSTON TOMBALL HOUSTON $5,417.92 $121.96 – $521.58
HCA HOUSTON MEDICAL CENTER Houston not published $124.30 – $521.58
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $561.67 $121.96 – $702.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $520.69 $107.18 – $781.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $602.88 $121.96 – $753.60
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $561.67 $121.96 – $702.09

All Texas hospitals for this procedure →