Cyclosporine modified 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.
$0.53 with Christus (USFHP) vs $46.89 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 | $0.53 | — |
| United | AllPayerAppendix | $0.87 | — |
| United | NarrowNetworkIndivExchange | $0.87 | — |
| United | SmallGroup | $0.87 | — |
| BCBS | MyBlueHealth | $1.55 | — |
| BCBS | BAV | $1.71 | — |
| Cigna | CSN | $1.86 | — |
| Cigna | OpenAccessPlus | $2.02 | — |
| BCBS | EPOSOA | $2.13 | — |
| BCBS | HMO | $2.13 | — |
| BCBS | PPO | $2.13 | — |
| Cigna | PPO | $2.40 | — |
| Superior Health Plan | CHPFC | $3.13 | — |
| Superior Health Plan | CHIP | $3.13 | — |
| Superior Health Plan | STAR | $3.13 | — |
| Superior Health Plan | STARKids | $3.13 | — |
| Superior Health Plan | STARPLUS | $3.13 | — |
| Aetna | MCR | $3.45 | — |
| Community Health Choice MCD | STAR+PLUS | $6.77 | — |
| Community Health Choice MCD | STAR | $6.77 | — |
| Community Health Choice MCD | CHIPPerinatal | $6.77 | — |
| Community Health Choice MCD | CHIP | $6.77 | — |
| Humana | HMO | $7.11 | — |
| Humana | PPO | $7.11 | — |
| Amerigroup | MGMCD | $7.29 | — |
| Amerigroup | MCDCHIPBH | $7.29 | — |
| Superior | HMO | $9.12 | — |
| Superior | EPO | $9.12 | — |
| United | OptionsPPO | $9.17 | — |
| Superior | ValueHMO | $10.32 | — |
| Texas Childrens Health Plans | CHIP | $10.63 | — |
| Texas Childrens Health Plans | STAR | $12.35 | — |
| Texas Childrens Health Plans | STARKIDS | $12.35 | — |
| TX Workforce Commission | GVT | $12.50 | — |
| Molina Healthcare | HIX | $14.07 | — |
| BCBS | Traditional | $18.23 | — |
| HealthSmart Preferred Care | ACCEL | $22.40 | — |
| United | GlobalAppendix | $23.45 | — |
| Coventry National First Health | COMM | $27.77 | — |
| Physicians Cooperative of Texas | WC | $28.66 | — |
| Rockport Workers Comp | COMM | $28.66 | — |
| SouthWest Medical | WORKERSCOMP | $31.26 | — |
| National Healthcare Solutions | COMM | $31.26 | — |
| Independent Medical System | COMM | $31.26 | — |
| Coastal Comp | COMM | $33.87 | — |
| Multiplan | PHCSPrimaryNetwork | $39.08 | — |
| HealthSmart Preferred Care | PPO | $42.72 | — |
| Physicians, INC | COMM | $44.28 | — |
| Multiplan | ComplementaryNetwork | $44.28 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $44.28 | — |
| Affiliated PPO | COMM | $46.89 | — |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $9.58 | $2.69 – $3.19 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1.11 | $0.86 – $3.15 |
| Baylor St Luke's Medical Center | Houston | $1.50 | $0.11 – $0.48 |
| St. Luke's Health Memorial Lufkin | Lufkin | $5.85 | $0.96 – $35.06 |
| HCA HOUSTON PEARLAND | Pearland | $7.87 | $0.74 – $7.11 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1.50 | $0.11 – $0.48 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1.50 | $0.11 – $0.48 |
| HCA HOUSTON SOUTHEAST | PASADENA | $36.74 | $0.74 – $7.11 |