How many shoppable procedure prices are published for HCA Houston Healthcare West?

HCA Houston Healthcare West in Houston, TX currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do HCA Houston Healthcare West's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, HCA Houston Healthcare West's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is HCA Houston Healthcare West's CMS Care Compare overall star rating?

CMS Care Compare assigns HCA Houston Healthcare West an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 223 Beds · urban Updated: 2026-05-14

HCA Houston Healthcare West

12141 Richmond Ave, Houston, TX 77082 · 122 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.25×vs. Fair Market Price

Typical commercial prices here are +25% above the fair benchmark (1.25×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness50

Price Logic94

Peer Alignment70

Clean Billing87

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.25× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +73% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Houston Healthcare West prices routine shoppable procedures at 1.8× Medicare (median 1.04× Fair BaseRate) while upper-quartile commercial rates jump +73% to 1.80× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#188 of 307 in TX · 60th State Percentile#2,144 of 3,385 in U.S. · 63rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 56% patient recommendation (60/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
Commercial insurance median sits at 1.04× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.80×) jump +73% above the median procedure ratio (Q50 1.04×)
Unnegotiated chargemaster list prices average 21.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.61× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+73% Upper Tail

Q25 0.91× · Q50 1.04× · Q75 1.80×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.6× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.0× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.9× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 60/100Elevated

Procedure Prices at HCA Houston Healthcare West

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,989	$30,775	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,841	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,747	$19,087	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,285	$17,936	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$13,992	$2,975	4.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,180	$8,223	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,160	$6,109	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,365	$3,372	unverified
Total hip replacement CPT Code: `27130`	—	$4,907	$13,413	0.4×
Total knee replacement CPT Code: `27447`	—	$4,907	$13,523	0.4×
Inguinal hernia repair CPT Code: `49505`	—	$3,747	$3,629	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,684	$2,540	1.5×
Bunion correction surgery CPT Code: `28296`	—	$3,376	$3,446	1.0×
Breast lump removal CPT Code: `19120`	—	$3,348	$3,875	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$16,176	$3,051	$1,021	3.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,266	$855	2.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,259	$1,256	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,212	$981	2.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,212	$987	2.2×
Trauma team activation HCPCS Code: `G0390`	$12,525	$2,192	$1,453	1.5×
Blood transfusion CPT Code: `36430`	$2,852	$1,899	$498	3.8×
Rabies immune globulin HCPCS Code: `90375`	—	$668	$322	2.1×
Review of medical records for care CPT Code: `90889`	—	$642	$114	5.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$11,511	$496	$583	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$34,566	$429	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$25,098	$451	$511	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$4,550	$455	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$4,578	$442	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,822	$402	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$4,198	$425	$130	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$12,930	$341	$272	1.3×
X-ray, lower back CPT Code: `72110`	$4,736	$307	$112	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$820	$280	$123	2.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$4,712	$265	$151	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$31,983	$259	$303	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$15,853	$278	$343	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$19,795	$271	$338	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$20,844	$287	$369	0.8×
X-ray, hip CPT Code: `73502`	$4,665	$271	$93	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$656	$289	$110	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$2,917	$227	$93	2.4×
X-ray, ankle CPT Code: `73610`	$2,784	$225	$93	2.4×
X-ray, hand CPT Code: `73130`	$2,674	$222	$93	2.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$18,583	$241	$258	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$244	$244	$201	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$656	$201	$87	2.3×
X-ray, foot CPT Code: `73630`	$2,542	$209	$92	2.3×
X-ray, shoulder CPT Code: `73030`	$2,600	$201	$92	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$3,708	$218	$148	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$16,071	$209	$242	0.9×
X-ray, chest (two views) CPT Code: `71046`	$2,728	$182	$93	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$2,060	$180	$123	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,236	$189	$64	unverified
X-ray, chest (single view) CPT Code: `71045`	$2,216	$141	$92	1.5×
X-ray, pelvis CPT Code: `72170`	$2,190	$160	$110	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$131	$131	$86	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$13,743	$144	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$14,672	$144	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$14,508	$144	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$17,587	$144	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$21,752	$144	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$18,976	$144	$169	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$1,524	$115	$86	1.3×
Care planning with family CPT Code: `90887`	—	$115	$107	1.1×
Typhoid vaccine HCPCS Code: `90675`	$3,593	$610	$347	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$429	$203	2.1×
Pneumococcal vaccine HCPCS Code: `90732`	$1,182	$316	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,158	$193	$111	1.7×
Drug screening test HCPCS Code: `G0480`	—	$123	$116	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$107	$107	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$107	$107	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$107	$107	$49	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$1,001	$81	$56	1.4×
Psychological testing evaluation CPT Code: `96136`	—	$74	$128	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$76	$231	0.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$50	$25	2.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$282	$75	$39	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$149	$46	$25	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$66	$62	$37	1.7×
Psychological testing by technician CPT Code: `96138`	—	$74	$395	0.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$28	$20	1.4×
Speech therapy (group session) CPT Code: `92508`	—	$35	$27	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$1,511	$11	$9	1.2×
Behavioral health living support HCPCS Code: `H2019`	—	$35	$34	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,959	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,045	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$1,693	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$620	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$886	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$663	$31	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$650	$46	$51	0.9×
Blood test, calcium CPT Code: `82310`	$528	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$553	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$779	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$997	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$357	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$575	$10	$10	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$501	$34	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$34	$38	0.9×
Blood test, lipase CPT Code: `83690`	$657	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$731	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$465	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$827	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$484	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,306	$18	$18	1.0×
Prosthetic fitting and training CPT Code: `97761`	$487	$43	$45	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$487	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$646	$37	$40	0.9×
Physical therapy (gait training) CPT Code: `97116`	$722	$30	$33	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$545	$34	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$665	$30	$35	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$487	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$286	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$620	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$433	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$1,490	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$1,076	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$926	$9	$9	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$681	$29	$34	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$18	$35	0.5×
Blood antibody screen CPT Code: `86850`	$584	$15	$46	0.3×

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at HCA Houston Healthcare West (Zero PHI Required)

CMS CCN: 450644

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,989

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Houston Healthcare West’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask HCA Houston Healthcare West's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$43,599 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($74,374) is $43,599 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 621801363

Public IRS & CMS ownership records classify HCA Houston Healthcare West as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite60/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait112 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at HCA Houston Healthcare West. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-03·administrative_or_closure
Met Requirements
Recorded
2023-10-12·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (647 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Houston Healthcare West.

Price Index: 1.15× regional baseline

Quality: 47/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-76.3%

Molina

-52.8%

Humana

+66.4%

Independent Medical System

+154.4%

Fidelis Care

+271.4%

Median Household Income$73,104U.S. Census ACS

Local Uninsured Share21.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 64/100 · Caution CMS CCN 450644 EIN 621801363

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (62-1801363_HCA-HOUSTON-HEALTHCARE-WEST_standardcharges.json) Verify on CMS Medicare.gov (CCN 450644) ↗ Verify IRS Form 990 (EIN 621801363) ↗ CMS HCRIS Cost Reports ↗

Published MRF File62-1801363_HCA-HOUSTON-HEALTHCARE-WEST_standardcharges.json

Publication / Vintage2026-05-14 · 637.52 MB

Validated Rate Rows12,529 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450644

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy