Diphtheria-tetanus toxoids 0.5 ml (peds) at HCA HOUSTON CONROE
504 MEDICAL CENTER BOULEVARD, CONROE, TX · HCA Houston Healthcare · · NPI 1962455816
$145.63
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.
$145.63
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.
$8.74 with Superior Health Plan vs $575.34 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 | STARPLUS | $8.74 | ↓ -94% |
| Superior Health Plan | CHIP | $8.74 | ↓ -94% |
| Superior Health Plan | CHPFC | $8.74 | ↓ -94% |
| Superior Health Plan | STAR | $8.74 | ↓ -94% |
| Superior Health Plan | STARKids | $8.74 | ↓ -94% |
| Aetna | MCR | $9.66 | ↓ -93% |
| Community Health Choice MCD | STAR | $18.93 | ↓ -87% |
| Community Health Choice MCD | CHIP | $18.93 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $18.93 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $18.93 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $20.39 | ↓ -86% |
| Amerigroup | MGMCD | $20.39 | ↓ -86% |
| Superior | HMO | $25.49 | ↓ -82% |
| Superior | EPO | $25.49 | ↓ -82% |
| United | OptionsPPO | $25.63 | ↓ -82% |
| Superior | ValueHMO | $28.83 | ↓ -80% |
| Texas Childrens Health Plans | CHIP | $29.71 | ↓ -80% |
| United | AllPayerAppendix | $30.31 | ↓ -79% |
| United | SmallGroup | $30.31 | ↓ -79% |
| United | NarrowNetworkIndivExchange | $30.31 | ↓ -79% |
| Texas Childrens Health Plans | STARKIDS | $34.51 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $34.51 | ↓ -76% |
| TX Workforce Commission | GVT | $34.95 | ↓ -76% |
| Molina Healthcare | HIX | $39.32 | ↓ -73% |
| BCBS | Traditional | $50.97 | ↓ -65% |
| Christus (USFHP) | TRICARE | $58.25 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $62.62 | ↓ -57% |
| United | GlobalAppendix | $65.53 | ↓ -55% |
| BCBS | MyBlueHealth | $73.62 | ↓ -49% |
| Coventry National First Health | COMM | $77.62 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $80.10 | ↓ -45% |
| Rockport Workers Comp | COMM | $80.10 | ↓ -45% |
| BCBS | BAV | $81.13 | ↓ -44% |
| SouthWest Medical | WORKERSCOMP | $87.38 | ↓ -40% |
| National Healthcare Solutions | COMM | $87.38 | ↓ -40% |
| Independent Medical System | COMM | $87.38 | ↓ -40% |
| Coastal Comp | COMM | $94.66 | ↓ -35% |
| BCBS | PPO | $101.41 | ↓ -30% |
| BCBS | HMO | $101.41 | ↓ -30% |
| BCBS | EPOSOA | $101.41 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $109.22 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $119.42 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $123.79 | ↓ -15% |
| Physicians, INC | COMM | $123.79 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $123.79 | ↓ -15% |
| Affiliated PPO | COMM | $131.07 | ↓ -10% |
| Cigna | CSN | $179.13 | ↑ +23% |
| Cigna | OpenAccessPlus | $193.93 | ↑ +33% |
| Cigna | PPO | $230.94 | ↑ +59% |
| Humana | HMO | $575.34 | ↑ +295% |
| Humana | PPO | $575.34 | ↑ +295% |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $1,011.19 | $30.31 – $575.34 |
| St. Luke's Health Memorial Lufkin | Lufkin | $133.96 | $80.38 – $803.75 |
| HCA HOUSTON SOUTHEAST | PASADENA | $521.18 | $30.31 – $575.34 |
| St. Luke's Health Memorial Livingston | Livingston | $133.96 | $80.38 – $803.75 |
| St. Luke's Health Memorial San Augustine | San Augustine | $133.96 | $80.38 – $803.75 |
| Covenant Hospital Plainview | Plainview | $5.88 | $139.35 – $139.35 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $67.32 | $126.20 – $157.38 |
| Adventhealth Rollins Brook | Lampasas | not published | $144.61 – $144.61 |