Established Patient Office Visit (level 1) 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.
$9.46 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 | $9.46 | — |
| Superior Health Plan | CHIP | $9.46 | — |
| Superior Health Plan | CHPFC | $9.46 | — |
| Superior Health Plan | STAR | $9.46 | — |
| Superior Health Plan | STARKids | $9.46 | — |
| Aetna | MCR | $10.46 | — |
| Community Health Choice MCD | CHIP | $20.51 | — |
| Community Health Choice MCD | STAR+PLUS | $20.51 | — |
| Community Health Choice MCD | CHIPPerinatal | $20.51 | — |
| Community Health Choice MCD | STAR | $20.51 | — |
| BCBS | MyBlueHealth | $21.93 | — |
| Amerigroup | MCDCHIPBH | $22.08 | — |
| Amerigroup | MGMCD | $22.08 | — |
| BCBS | BAV | $24.17 | — |
| Superior | HMO | $27.60 | — |
| Superior | EPO | $27.60 | — |
| United | OptionsPPO | $27.76 | — |
| BCBS | HMO | $30.27 | — |
| BCBS | EPOSOA | $30.83 | — |
| Superior | ValueHMO | $31.23 | — |
| BCBS | PPO | $31.39 | — |
| Texas Childrens Health Plans | CHIP | $32.18 | — |
| Texas Childrens Health Plans | STARKIDS | $37.38 | — |
| Texas Childrens Health Plans | STAR | $37.38 | — |
| TX Workforce Commission | GVT | $37.86 | — |
| Healthcare Highways | NarrowNetwork | $40.22 | — |
| Molina Healthcare | HIX | $42.59 | — |
| Evry Health | BroadNetwork | $43.06 | — |
| Aetna | NBHMO | $50.63 | — |
| Aetna | NBPOS | $50.63 | — |
| Aetna | NBPPO | $50.63 | — |
| Aetna | COMMPOS | $53.95 | — |
| Aetna | COMMPPO | $53.95 | — |
| Aetna | COMMHMO | $53.95 | — |
| Imagine Health | PPO | $55.21 | — |
| BCBS | Traditional | $55.21 | — |
| Curative Administrators | COMM | $63.10 | — |
| Christus (USFHP) | TRICARE | $63.10 | — |
| Aetna | OONPOS | $63.25 | — |
| Aetna | OONHMO | $63.25 | — |
| Aetna | OONPPO | $63.25 | — |
| HealthSmart Preferred Care | ACCEL | $67.83 | — |
| Aetna | ASAPOS | $68.30 | — |
| Aetna | ASAHMO | $68.30 | — |
| Aetna | ASAPPO | $68.30 | — |
| Fidelis SecureCare of TX | MGMCR | $70.98 | — |
| Averde Health | Commercial | $70.98 | — |
| United | GlobalAppendix | $70.98 | — |
| Cigna | CSN | $72.64 | — |
| Cigna | OpenAccessPlus | $78.53 | — |
| Coventry National First Health | COMM | $84.08 | — |
| Physicians Cooperative of Texas | WC | $86.76 | — |
| Rockport Workers Comp | COMM | $86.76 | — |
| Cigna | PPO | $93.26 | — |
| Independent Medical System | COMM | $94.64 | — |
| National Healthcare Solutions | COMM | $94.64 | — |
| SouthWest Medical | WORKERSCOMP | $94.64 | — |
| Coastal Comp | COMM | $102.53 | — |
| Humana | PPO | $115.13 | — |
| Humana | HMO | $115.13 | — |
| Multiplan | PHCSPrimaryNetwork | $118.31 | — |
| HealthSmart Preferred Care | PPO | $129.35 | — |
| Aetna | QHPExchange | $130.07 | — |
| Physicians, INC | COMM | $134.08 | — |
| Multiplan | ComplementaryNetwork | $134.08 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $134.08 | — |
| Affiliated PPO | COMM | $141.97 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $256.64 | $36.07 – $36.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $96.94 | $25.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.02 | $15.00 – $106.25 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.02 | $8.82 – $112.50 |