X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast 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.

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The hospital's undiscounted list price — almost no one pays this.

$136.55 with Texas Health Network vs $5,350.50 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.

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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 $136.55
Amerigroup MCDCHIPBH $139.34
Texas Childrens Health Plans STARKIDS $139.34
Amerigroup MGMCD $139.34
Texas Childrens Health Plans STAR $139.34
Community Health Choice MCD STAR $141.68
Community Health Choice MCD STAR+PLUS $141.68
Community Health Choice MCD CHIPPerinatal $141.68
Community Health Choice MCD CHIP $141.68
United MGMCD $144.51
Aetna Better Health MGMCD $153.01
Molina Healthcare STAR $153.27
Molina Healthcare CHIP $153.27
Molina Healthcare STARPLUS $153.27
Molina Healthcare STARKIDS $153.27
Humana MCD $174.18
BCBS MyBlueHealth $320.71
United NarrowNetworkIndivExchange $339.25
BCBS BAV $346.22
Superior Health Plan STARPLUS $356.70
Superior Health Plan STARKids $356.70
Superior Health Plan STAR $356.70
Superior Health Plan CHPFC $356.70
Superior Health Plan CHIP $356.70
Cigna CSN $361.43
Cigna OpenAccessPlus $391.15
United AllPayerAppendix $401.74
United SmallGroup $401.74
Cigna PPO $464.97
Aetna QHPExchange $605.27
BCBS HMO $619.55
BCBS EPOSOA $643.24
BCBS PPO $665.10
Aetna NBPOS $804.46
Aetna NBHMO $804.46
Aetna NBPPO $804.46
Aetna COMMHMO $855.75
Aetna COMMPPO $855.75
Aetna COMMPOS $855.75
Texas Childrens Health Plans CHIP $986.87
United OptionsPPO $998.76
Aetna OONPPO $1,006.22
Aetna OONHMO $1,006.22
Aetna OONPOS $1,006.22
Aetna ASAPOS $1,087.43
Aetna ASAPPO $1,087.43
Aetna ASAHMO $1,087.43
Texas Workforce Commission WCOMP $1,426.80
Healthcare Highways NarrowNetwork $1,515.97
Humana PPO $1,608.16
Humana HMO $1,608.16
Evry Health BroadNetwork $1,622.98
Imagine Health PPO $2,080.75
BCBS Traditional $2,080.75
Christus (USFHP) TRICARE $2,378.00
Curative Administrators COMM $2,378.00
HealthSmart Preferred Care ACCEL $2,556.35
Fidelis SecureCare of TX MGMCR $2,675.25
Averde Health Commercial $2,675.25
United GlobalAppendix $2,675.25
Coventry National First Health COMM $3,168.68
Rockport Workers Comp COMM $3,269.75
Physicians Cooperative of Texas WC $3,269.75
Triumph COMM $3,567.00
Independent Medical System COMM $3,567.00
National Healthcare Solutions COMM $3,567.00
SouthWest Medical WORKERSCOMP $3,567.00
Coastal Comp COMM $3,864.25
Multiplan PHCSPrimaryNetwork $4,458.75
Cigna Behavioral Health COMMBH $4,756.00
HealthSmart Preferred Care PPO $4,874.90
HealthSmart Preferred Care ACCOUNTABLEPPO $5,053.25
Multiplan ComplementaryNetwork $5,053.25
Physicians, INC COMM $5,053.25
Affiliated PPO COMM $5,350.50

Visitor-reported prices

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X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $1,152.55 $139.34 – $3,293.00
St. Luke's Health - The Vintage Hospital Houston $1,152.55 $139.34 – $3,293.00
HCA HOUSTON TOMBALL HOUSTON $4,637.25 $139.34 – $605.27
HCA HOUSTON MEDICAL CENTER Houston not published $141.68 – $605.27
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $657.77 $139.34 – $822.22
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $704.42 $144.99 – $1,056.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $665.87 $139.34 – $832.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $657.77 $139.34 – $822.22

All Texas hospitals for this procedure →