Revasc lithotr-ather tib/per at HCA HOUSTON NORTHWEST

621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$102,891.97

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.

$102,891.97

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.

$2,156.00 with Aetna vs $54,841.42 with Coventry National First Health — 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
Aetna QHPExchange $2,156.00 ↓ -98%
Aetna NBPOS $2,864.00 ↓ -97%
Aetna NBHMO $2,864.00 ↓ -97%
Aetna COMMPOS $3,044.00 ↓ -97%
Aetna COMMHMO $3,044.00 ↓ -97%
Aetna NBPPO $3,108.00 ↓ -97%
Aetna COMMPPO $3,303.00 ↓ -97%
Aetna OONPOS $3,582.00 ↓ -97%
Aetna OONHMO $3,582.00 ↓ -97%
Aetna ASAPOS $3,870.00 ↓ -96%
Aetna ASAHMO $3,870.00 ↓ -96%
Aetna OONPPO $3,886.00 ↓ -96%
Aetna ASAPPO $4,197.00 ↓ -96%
Humana HMO $4,690.00 ↓ -95%
Humana PPO $4,690.00 ↓ -95%
Superior Health Plan STAR $6,173.52 ↓ -94%
Superior Health Plan STARPLUS $6,173.52 ↓ -94%
Superior Health Plan CHIP $6,173.52 ↓ -94%
Superior Health Plan CHPFC $6,173.52 ↓ -94%
Superior Health Plan STARKids $6,173.52 ↓ -94%
United MGMCD $9,247.86 ↓ -91%
Molina Healthcare STARKIDS $9,480.21 ↓ -91%
Molina Healthcare STAR $9,480.21 ↓ -91%
Molina Healthcare CHIP $9,480.21 ↓ -91%
Molina Healthcare STARPLUS $9,480.21 ↓ -91%
Community Health Choice MCD STAR $9,652.57 ↓ -91%
Community Health Choice MCD CHIP $9,652.57 ↓ -91%
Community Health Choice MCD STAR+PLUS $9,652.57 ↓ -91%
Community Health Choice MCD CHIPPerinatal $9,652.57 ↓ -91%
Curative Administrators COMM $9,875.00 ↓ -90%
Cigna CSN $10,740.00 ↓ -90%
Humana MCD $10,772.96 ↓ -90%
Aetna Better Health MGMCD $10,879.84 ↓ -89%
United SmallGroup $11,200.00 ↓ -89%
Cigna OpenAccessPlus $11,636.00 ↓ -89%
Cigna PPO $13,835.00 ↓ -87%
United NarrowNetworkIndivExchange $15,678.00 ↓ -85%
United AllPayerAppendix $16,000.00 ↓ -84%
Texas Childrens Health Plans CHIP $17,080.07 ↓ -83%
United OptionsPPO $17,285.85 ↓ -83%
Oscar HIX $20,063.93 ↓ -81%
Texas Childrens Health Plans STAR $24,385.40 ↓ -76%
Texas Childrens Health Plans STARKIDS $24,385.40 ↓ -76%
Healthcare Highways NarrowNetwork $26,237.45 ↓ -75%
Evry Health BroadNetwork $28,089.51 ↓ -73%
BCBS MyBlueHealth $28,593.92 ↓ -72%
BCBS BAV $31,485.44 ↓ -69%
BCBS HMO $33,252.48 ↓ -68%
BCBS Traditional $36,012.19 ↓ -65%
BCBS EPOSOA $36,144.00 ↓ -65%
BCBS PPO $38,874.88 ↓ -62%
Christus (USFHP) TRICARE $41,156.79 ↓ -60%
United GlobalAppendix $46,301.39 ↓ -55%
Coventry National First Health COMM $54,841.42 ↓ -47%

Visitor-reported prices

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Revasc lithotr-ather tib/per at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Springwoods Village Hospital Spring $8,999.90 $6,942.78 – $25,714.00
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $18,789.86 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Irving $21,307.71 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett $21,307.71 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney $21,307.71 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $21,307.71 $7,038.00 – $39,592.62
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $18,789.86 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON Denton $21,307.71 $7,038.00 – $43,439.01

All Texas hospitals for this procedure →