Diagnostic radio unlisted proc 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.
$21.73 with Superior Health Plan vs $382.33 with Cigna — 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 | STAR | $21.73 | — |
| Superior Health Plan | STARPLUS | $21.73 | — |
| Superior Health Plan | CHIP | $21.73 | — |
| Superior Health Plan | STARKids | $21.73 | — |
| Superior Health Plan | CHPFC | $21.73 | — |
| United | OptionsPPO | $63.74 | — |
| Texas Childrens Health Plans | CHIP | $73.88 | — |
| Community Health Choice MCD | STAR | $80.90 | — |
| Community Health Choice MCD | CHIP | $80.90 | — |
| Community Health Choice MCD | CHIPPerinatal | $80.90 | — |
| Community Health Choice MCD | STAR+PLUS | $80.90 | — |
| United | MGMCD | $82.52 | — |
| Texas Health Network | MCD | $84.85 | — |
| Texas Childrens Health Plans | STARKIDS | $86.58 | — |
| Liberty County Indigent | LOCALGOV | $86.58 | — |
| Texas Childrens Health Plans | STAR | $86.58 | — |
| Amerigroup | MGMCD | $86.58 | — |
| Amerigroup | MCDCHIPBH | $86.58 | — |
| TX Workforce Commission | GVT | $86.92 | — |
| Aetna Better Health | MGMCD | $87.37 | — |
| Healthcare Highways | NarrowNetwork | $92.35 | — |
| Molina Healthcare | STARKIDS | $95.24 | — |
| Molina Healthcare | STARPLUS | $95.24 | — |
| Molina Healthcare | CHIP | $95.24 | — |
| Molina Healthcare | STAR | $95.24 | — |
| Aetna | QHPExchange | $95.97 | — |
| Evry Health | BroadNetwork | $98.87 | — |
| Humana | MCD | $108.22 | — |
| Humana | HMO | $115.57 | — |
| Humana | PPO | $115.57 | — |
| Aetna | NBHMO | $116.25 | — |
| Aetna | NBPOS | $116.25 | — |
| Aetna | NBPPO | $116.25 | — |
| Aetna | COMMPPO | $123.86 | — |
| Aetna | COMMPOS | $123.86 | — |
| Aetna | COMMHMO | $123.86 | — |
| BCBS | Traditional | $126.76 | — |
| Imagine Health | PPO | $126.76 | — |
| BCBS | MyBlueHealth | $140.47 | — |
| Christus (USFHP) | TRICARE | $144.86 | — |
| Curative Administrators | COMM | $144.86 | — |
| Aetna | OONHMO | $145.23 | — |
| Aetna | OONPOS | $145.23 | — |
| Aetna | OONPPO | $145.23 | — |
| United | NarrowNetworkIndivExchange | $153.71 | — |
| HealthSmart Preferred Care | ACCEL | $155.73 | — |
| Aetna | ASAPOS | $156.82 | — |
| Aetna | ASAPPO | $156.82 | — |
| Aetna | ASAHMO | $156.82 | — |
| Averde Health | Commercial | $162.97 | — |
| United | GlobalAppendix | $162.97 | — |
| Fidelis SecureCare of TX | MGMCR | $162.97 | — |
| BCBS | BAV | $177.98 | — |
| United | AllPayerAppendix | $182.03 | — |
| United | SmallGroup | $182.03 | — |
| Coventry National First Health | COMM | $193.03 | — |
| Physicians Cooperative of Texas | WC | $199.19 | — |
| Rockport Workers Comp | COMM | $199.19 | — |
| Independent Medical System | COMM | $217.30 | — |
| National Healthcare Solutions | COMM | $217.30 | — |
| SouthWest Medical | WORKERSCOMP | $217.30 | — |
| Coastal Comp | COMM | $235.40 | — |
| BCBS | HMO | $271.35 | — |
| Multiplan | PHCSPrimaryNetwork | $271.62 | — |
| HealthSmart Preferred Care | PPO | $296.97 | — |
| Cigna | CSN | $297.19 | — |
| BCBS | EPOSOA | $300.88 | — |
| Physicians, INC | COMM | $307.84 | — |
| Multiplan | ComplementaryNetwork | $307.84 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $307.84 | — |
| Cigna | OpenAccessPlus | $321.63 | — |
| Affiliated PPO | COMM | $325.94 | — |
| BCBS | PPO | $330.41 | — |
| Cigna | PPO | $382.33 | — |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,679.11 | $83.19 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,679.11 | $83.05 – $1,197.31 |