Biopsy of heart lining at HCA HOUSTON CONROE
504 MEDICAL CENTER BOULEVARD, CONROE, TX · HCA Houston Healthcare · · NPI 1962455816
$5,977.56
Cash price 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.
$5,977.56
Gross charge 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.
$300.00 with Texas Athletic Network vs $17,384.00 with Curative Administrators — 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 →
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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 ?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 ?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 Athletic Network | Premier | $300.00 | ↓ -95% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -92% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -90% |
| Community Health Choice MCD | CHIP | $777.08 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $777.08 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $777.08 | ↓ -87% |
| Community Health Choice MCD | STAR | $777.08 | ↓ -87% |
| Amerigroup | MGMCD | $836.86 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $836.86 | ↓ -86% |
| United | OptionsPPO | $1,052.05 | ↓ -82% |
| Texas Childrens Health Plans | CHIP | $1,219.42 | ↓ -80% |
| Texas Childrens Health Plans | STAR | $1,416.68 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $1,416.68 | ↓ -76% |
| TX Workforce Commission | GVT | $1,434.61 | ↓ -76% |
| BCBS | Traditional | $2,092.15 | ↓ -65% |
| Christus (USFHP) | TRICARE | $2,391.02 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $2,570.35 | ↓ -57% |
| United | GlobalAppendix | $2,689.90 | ↓ -55% |
| Superior Health Plan | STAR | $2,795.00 | ↓ -53% |
| Superior Health Plan | STARKids | $2,795.00 | ↓ -53% |
| Superior Health Plan | STARPLUS | $2,795.00 | ↓ -53% |
| Superior Health Plan | CHIP | $2,795.00 | ↓ -53% |
| Superior Health Plan | CHPFC | $2,795.00 | ↓ -53% |
| Coventry National First Health | COMM | $3,186.04 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $3,287.66 | ↓ -45% |
| Rockport Workers Comp | COMM | $3,287.66 | ↓ -45% |
| Fidelis SecureCare of TX | MGMCR | $3,498.00 | ↓ -41% |
| National Healthcare Solutions | COMM | $3,586.54 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $3,586.54 | ↓ -40% |
| Independent Medical System | COMM | $3,586.54 | ↓ -40% |
| Coastal Comp | COMM | $3,885.41 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $4,483.17 | ↓ -25% |
| Humana | HMO | $4,690.00 | ↓ -22% |
| Humana | PPO | $4,690.00 | ↓ -22% |
| United | SmallGroup | $4,760.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $4,901.60 | ↓ -18% |
| Averde Health | Commercial | $5,000.00 | ↓ -16% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $5,080.93 | ↓ -15% |
| Physicians, INC | COMM | $5,080.93 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $5,080.93 | ↓ -15% |
| Affiliated PPO | COMM | $5,379.80 | ↓ -10% |
| Oscar | HIX | $5,571.00 | ↓ -7% |
| United | NarrowNetworkIndivExchange | $5,951.00 | ↓ -0% |
| BCBS | MyBlueHealth | $6,124.53 | ↑ +2% |
| BCBS | BAV | $6,734.21 | ↑ +13% |
| United | AllPayerAppendix | $6,800.00 | ↑ +14% |
| Aetna | QHPExchange | $9,064.00 | ↑ +52% |
| BCBS | HMO | $9,339.21 | ↑ +56% |
| BCBS | EPOSOA | $9,976.61 | ↑ +67% |
| Healthcare Highways | NarrowNetwork | $10,342.00 | ↑ +73% |
| BCBS | PPO | $10,614.00 | ↑ +78% |
| Aetna | NBPPO | $12,039.00 | ↑ +101% |
| Aetna | NBHMO | $12,039.00 | ↑ +101% |
| Aetna | NBPOS | $12,039.00 | ↑ +101% |
| Aetna | COMMPOS | $12,794.00 | ↑ +114% |
| Aetna | COMMPPO | $12,794.00 | ↑ +114% |
| Aetna | COMMHMO | $12,794.00 | ↑ +114% |
| Aetna | OONHMO | $15,050.00 | ↑ +152% |
| Aetna | OONPPO | $15,050.00 | ↑ +152% |
| Aetna | OONPOS | $15,050.00 | ↑ +152% |
| Aetna | ASAPPO | $16,261.00 | ↑ +172% |
| Aetna | ASAPOS | $16,261.00 | ↑ +172% |
| Aetna | ASAHMO | $16,261.00 | ↑ +172% |
| Evry Health | BroadNetwork | $16,640.00 | ↑ +178% |
| Curative Administrators | COMM | $17,384.00 | ↑ +191% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,306.49 | $2,024.38 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,306.49 | $3,258.35 – $9,459.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,099.77 | $1,699.92 – $7,896.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,819.15 | $1,551.77 – $7,896.23 |