Cyclophosphamide 25 mg capsule 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.
$1.36 with Superior Health Plan vs $47.34 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $1.36 | — |
| Superior Health Plan | STARPLUS | $1.36 | — |
| Superior Health Plan | STARKids | $1.36 | — |
| Superior Health Plan | STAR | $1.36 | — |
| Superior Health Plan | CHPFC | $1.36 | — |
| Aetna | MCR | $1.51 | — |
| Christus (USFHP) | TRICARE | $1.82 | — |
| Community Health Choice MCD | STAR+PLUS | $2.95 | — |
| Community Health Choice MCD | STAR | $2.95 | — |
| Community Health Choice MCD | CHIPPerinatal | $2.95 | — |
| Community Health Choice MCD | CHIP | $2.95 | — |
| United | NarrowNetworkIndivExchange | $3.00 | — |
| United | AllPayerAppendix | $3.00 | — |
| United | SmallGroup | $3.00 | — |
| Amerigroup | MCDCHIPBH | $3.18 | — |
| Amerigroup | MGMCD | $3.18 | — |
| Superior | EPO | $3.97 | — |
| Superior | HMO | $3.97 | — |
| United | OptionsPPO | $4.00 | — |
| Superior | ValueHMO | $4.50 | — |
| Texas Childrens Health Plans | CHIP | $4.63 | — |
| Cigna | CSN | $4.79 | — |
| Cigna | OpenAccessPlus | $5.19 | — |
| Texas Childrens Health Plans | STAR | $5.38 | — |
| Texas Childrens Health Plans | STARKIDS | $5.38 | — |
| TX Workforce Commission | GVT | $5.45 | — |
| Molina Healthcare | HIX | $6.13 | — |
| Cigna | PPO | $6.18 | — |
| BCBS | Traditional | $7.95 | — |
| BCBS | MyBlueHealth | $9.51 | — |
| HealthSmart Preferred Care | ACCEL | $9.77 | — |
| United | GlobalAppendix | $10.22 | — |
| BCBS | BAV | $10.48 | — |
| Coventry National First Health | COMM | $12.10 | — |
| Physicians Cooperative of Texas | WC | $12.49 | — |
| Rockport Workers Comp | COMM | $12.49 | — |
| BCBS | EPOSOA | $13.10 | — |
| BCBS | PPO | $13.10 | — |
| BCBS | HMO | $13.10 | — |
| National Healthcare Solutions | COMM | $13.63 | — |
| SouthWest Medical | WORKERSCOMP | $13.63 | — |
| Independent Medical System | COMM | $13.63 | — |
| Coastal Comp | COMM | $14.76 | — |
| Multiplan | PHCSPrimaryNetwork | $17.03 | — |
| HealthSmart Preferred Care | PPO | $18.62 | — |
| Physicians, INC | COMM | $19.30 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $19.30 | — |
| Multiplan | ComplementaryNetwork | $19.30 | — |
| Affiliated PPO | COMM | $20.44 | — |
| Humana | HMO | $47.34 | — |
| Humana | PPO | $47.34 | — |
| Aetna | NBHMO | not published by hospital | — |
| Aetna | OONPOS | not published by hospital | — |
| Aetna | OONPPO | not published by hospital | — |
| Aetna | QHPExchange | not published by hospital | — |
| Aetna | ASAHMO | not published by hospital | — |
| Aetna | OONHMO | not published by hospital | — |
| Aetna | COMMPPO | not published by hospital | — |
| Aetna | NBPOS | not published by hospital | — |
| Aetna | COMMPOS | not published by hospital | — |
| Aetna | COMMHMO | not published by hospital | — |
| Aetna | ASAPPO | not published by hospital | — |
| Aetna | ASAPOS | not published by hospital | — |
| Aetna | NBPPO | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $144.02 | $1.14 – $47.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $130.76 | $1.82 – $47.34 |
| Baylor St Luke's Medical Center | Houston | $1.81 | $0.35 – $1.57 |
| St. Joseph Health Madison Hospital | Madisonville | $1.71 | $0.84 – $8.79 |
| St. Luke's Health Memorial Lufkin | Lufkin | $12.49 | $1.24 – $36.33 |
| HCA HOUSTON PEARLAND | Pearland | $41.99 | $1.14 – $47.34 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1.81 | $0.35 – $1.57 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1.81 | $0.35 – $1.57 |