Bivalirudin at HCA HOUSTON CONROE
504 MEDICAL CENTER BOULEVARD, CONROE, TX · HCA Houston Healthcare · · NPI 1962455816
not published by hospital
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.
not published by hospital
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.
$0.16 with Christus (USFHP) vs $1,484.88 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.
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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $0.16 | — |
| United | NarrowNetworkIndivExchange | $0.26 | — |
| United | SmallGroup | $0.26 | — |
| United | AllPayerAppendix | $0.26 | — |
| Cigna | CSN | $0.41 | — |
| Cigna | OpenAccessPlus | $0.45 | — |
| Cigna | PPO | $0.53 | — |
| BCBS | MyBlueHealth | $2.70 | — |
| BCBS | BAV | $2.98 | — |
| BCBS | PPO | $3.73 | — |
| BCBS | EPOSOA | $3.73 | — |
| BCBS | HMO | $3.73 | — |
| Humana | HMO | $9.45 | — |
| Humana | PPO | $9.45 | — |
| Superior Health Plan | CHPFC | $98.99 | — |
| Superior Health Plan | CHIP | $98.99 | — |
| Superior Health Plan | STAR | $98.99 | — |
| Superior Health Plan | STARKids | $98.99 | — |
| Superior Health Plan | STARPLUS | $98.99 | — |
| Aetna | MCR | $109.39 | — |
| Community Health Choice MCD | CHIP | $214.48 | — |
| Community Health Choice MCD | STAR+PLUS | $214.48 | — |
| Community Health Choice MCD | STAR | $214.48 | — |
| Community Health Choice MCD | CHIPPerinatal | $214.48 | — |
| Amerigroup | MCDCHIPBH | $230.98 | — |
| Amerigroup | MGMCD | $230.98 | — |
| Superior | EPO | $288.73 | — |
| Superior | HMO | $288.73 | — |
| United | OptionsPPO | $290.38 | — |
| Superior | ValueHMO | $326.67 | — |
| Texas Childrens Health Plans | CHIP | $336.57 | — |
| Texas Childrens Health Plans | STARKIDS | $391.02 | — |
| Texas Childrens Health Plans | STAR | $391.02 | — |
| TX Workforce Commission | GVT | $395.97 | — |
| Molina Healthcare | HIX | $445.46 | — |
| BCBS | Traditional | $577.45 | — |
| HealthSmart Preferred Care | ACCEL | $709.44 | — |
| United | GlobalAppendix | $742.44 | — |
| Coventry National First Health | COMM | $879.38 | — |
| Rockport Workers Comp | COMM | $907.43 | — |
| Physicians Cooperative of Texas | WC | $907.43 | — |
| SouthWest Medical | WORKERSCOMP | $989.92 | — |
| National Healthcare Solutions | COMM | $989.92 | — |
| Independent Medical System | COMM | $989.92 | — |
| Coastal Comp | COMM | $1,072.42 | — |
| Multiplan | PHCSPrimaryNetwork | $1,237.40 | — |
| HealthSmart Preferred Care | PPO | $1,352.89 | — |
| Physicians, INC | COMM | $1,402.39 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,402.39 | — |
| Multiplan | ComplementaryNetwork | $1,402.39 | — |
| Affiliated PPO | COMM | $1,484.88 | — |
Visitor-reported prices
Comments
Bivalirudin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $7,681.72 | $0.15 – $9.45 |
| St. Luke's Health - Patients Medical Center | Pasadena | $863.63 | $0.23 – $1,850.63 |
| Baylor St Luke's Medical Center | Houston | $2,412.12 | $0.28 – $581.76 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3,323.61 | $0.19 – $2,290.47 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,412.12 | $0.23 – $581.76 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,412.12 | $0.23 – $581.76 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,412.12 | $0.23 – $581.76 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $1,038.91 | $0.20 – $1,929.39 |