X-ray upper gastrointestinal tract scout abdominal radiographs 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.

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

$120.50 with Texas Health Network vs $4,967.10 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 $120.50
Amerigroup MGMCD $122.96
Amerigroup MCDCHIPBH $122.96
Texas Childrens Health Plans STAR $122.96
Texas Childrens Health Plans STARKIDS $122.96
Community Health Choice MCD CHIPPerinatal $124.96
Community Health Choice MCD STAR $124.96
Community Health Choice MCD STAR+PLUS $124.96
Community Health Choice MCD CHIP $124.96
United MGMCD $127.46
Aetna Better Health MGMCD $134.96
Molina Healthcare STARPLUS $135.26
Molina Healthcare STAR $135.26
Molina Healthcare CHIP $135.26
Molina Healthcare STARKIDS $135.26
Humana MCD $153.70
Cigna CSN $315.32
BCBS MyBlueHealth $320.71
Superior Health Plan STARPLUS $331.14
Superior Health Plan STARKids $331.14
Superior Health Plan STAR $331.14
Superior Health Plan CHPFC $331.14
Superior Health Plan CHIP $331.14
United NarrowNetworkIndivExchange $339.25
Cigna OpenAccessPlus $341.25
BCBS BAV $346.22
United AllPayerAppendix $401.74
United SmallGroup $401.74
Cigna PPO $405.65
Aetna QHPExchange $525.55
BCBS HMO $619.55
BCBS EPOSOA $643.24
BCBS PPO $665.10
Aetna NBHMO $698.50
Aetna NBPOS $698.50
Aetna NBPPO $698.50
Aetna COMMHMO $743.04
Aetna COMMPOS $743.04
Aetna COMMPPO $743.04
Aetna OONPPO $873.69
Aetna OONHMO $873.69
Aetna OONPOS $873.69
Texas Childrens Health Plans CHIP $916.15
United OptionsPPO $927.19
Aetna ASAPPO $944.21
Aetna ASAPOS $944.21
Aetna ASAHMO $944.21
Texas Workforce Commission WCOMP $1,324.56
Humana PPO $1,365.83
Humana HMO $1,365.83
Healthcare Highways NarrowNetwork $1,407.35
Evry Health BroadNetwork $1,506.69
Imagine Health PPO $1,931.65
BCBS Traditional $1,931.65
Christus (USFHP) TRICARE $2,207.60
Curative Administrators COMM $2,207.60
HealthSmart Preferred Care ACCEL $2,373.17
Fidelis SecureCare of TX MGMCR $2,483.55
Averde Health Commercial $2,483.55
United GlobalAppendix $2,483.55
Coventry National First Health COMM $2,941.63
Rockport Workers Comp COMM $3,035.45
Physicians Cooperative of Texas WC $3,035.45
Triumph COMM $3,311.40
Independent Medical System COMM $3,311.40
National Healthcare Solutions COMM $3,311.40
SouthWest Medical WORKERSCOMP $3,311.40
Coastal Comp COMM $3,587.35
Multiplan PHCSPrimaryNetwork $4,139.25
Cigna Behavioral Health COMMBH $4,415.20
HealthSmart Preferred Care PPO $4,525.58
HealthSmart Preferred Care ACCOUNTABLEPPO $4,691.15
Multiplan ComplementaryNetwork $4,691.15
Physicians, INC COMM $4,691.15
Affiliated PPO COMM $4,967.10

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $801.15 $122.96 – $2,289.00
St. Luke's Health - The Vintage Hospital Houston $801.15 $122.96 – $2,289.00
HCA HOUSTON TOMBALL HOUSTON $5,054.61 $122.96 – $525.55
HCA HOUSTON MEDICAL CENTER Houston not published $124.96 – $525.55
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $555.04 $122.96 – $693.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $771.95 $158.89 – $1,157.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $622.09 $122.96 – $777.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $555.04 $122.96 – $693.79

All Texas hospitals for this procedure →