Established Patient Office Visit (level 3) 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.
$23.17 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 | CHIP | $23.17 | — |
| Superior Health Plan | STARPLUS | $23.17 | — |
| Superior Health Plan | STARKids | $23.17 | — |
| Superior Health Plan | STAR | $23.17 | — |
| Superior Health Plan | CHPFC | $23.17 | — |
| Aetna | MCR | $25.60 | — |
| Community Health Choice MCD | STAR | $50.20 | — |
| Community Health Choice MCD | CHIP | $50.20 | — |
| Community Health Choice MCD | CHIPPerinatal | $50.20 | — |
| Community Health Choice MCD | STAR+PLUS | $50.20 | — |
| Amerigroup | MGMCD | $54.06 | — |
| Amerigroup | MCDCHIPBH | $54.06 | — |
| Superior | HMO | $67.57 | — |
| Superior | EPO | $67.57 | — |
| United | OptionsPPO | $67.96 | — |
| Superior | ValueHMO | $76.45 | — |
| Texas Childrens Health Plans | CHIP | $78.77 | — |
| Texas Childrens Health Plans | STAR | $91.51 | — |
| Texas Childrens Health Plans | STARKIDS | $91.51 | — |
| TX Workforce Commission | GVT | $92.67 | — |
| Healthcare Highways | NarrowNetwork | $98.46 | — |
| Molina Healthcare | HIX | $104.25 | — |
| Evry Health | BroadNetwork | $105.41 | — |
| BCBS | MyBlueHealth | $121.45 | — |
| Aetna | NBPOS | $123.94 | — |
| Aetna | NBHMO | $123.94 | — |
| Aetna | NBPPO | $123.94 | — |
| Aetna | COMMPOS | $132.05 | — |
| Aetna | COMMHMO | $132.05 | — |
| Aetna | COMMPPO | $132.05 | — |
| BCBS | BAV | $133.90 | — |
| Imagine Health | PPO | $135.14 | — |
| BCBS | Traditional | $135.14 | — |
| Christus (USFHP) | TRICARE | $154.45 | — |
| Curative Administrators | COMM | $154.45 | — |
| Aetna | OONPOS | $154.83 | — |
| Aetna | OONHMO | $154.83 | — |
| Aetna | OONPPO | $154.83 | — |
| HealthSmart Preferred Care | ACCEL | $166.03 | — |
| Aetna | ASAHMO | $167.19 | — |
| Aetna | ASAPPO | $167.19 | — |
| Aetna | ASAPOS | $167.19 | — |
| BCBS | HMO | $167.64 | — |
| Cigna | CSN | $170.11 | — |
| BCBS | EPOSOA | $170.75 | — |
| Fidelis SecureCare of TX | MGMCR | $173.75 | — |
| Averde Health | Commercial | $173.75 | — |
| United | GlobalAppendix | $173.75 | — |
| BCBS | PPO | $173.87 | — |
| Cigna | OpenAccessPlus | $183.90 | — |
| Humana | PPO | $200.64 | — |
| Humana | HMO | $200.64 | — |
| Coventry National First Health | COMM | $205.80 | — |
| Physicians Cooperative of Texas | WC | $212.37 | — |
| Rockport Workers Comp | COMM | $212.37 | — |
| Cigna | PPO | $218.38 | — |
| Independent Medical System | COMM | $231.67 | — |
| SouthWest Medical | WORKERSCOMP | $231.67 | — |
| National Healthcare Solutions | COMM | $231.67 | — |
| Coastal Comp | COMM | $250.98 | — |
| Multiplan | PHCSPrimaryNetwork | $289.59 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Aetna | QHPExchange | $304.58 | — |
| HealthSmart Preferred Care | PPO | $316.62 | — |
| Multiplan | ComplementaryNetwork | $328.20 | — |
| Physicians, INC | COMM | $328.20 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $328.20 | — |
| Affiliated PPO | COMM | $347.51 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $361.22 | $199.82 – $199.82 |
| Baylor St Luke's Medical Center | Houston | $148.40 | $61.24 – $424.00 |
| St. Joseph Health Madison Hospital | Madisonville | $214.20 | $15.42 – $108.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $66.87 | $20.50 – $100.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $148.40 | $74.00 – $424.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $148.40 | $74.00 – $424.00 |
| St. Joseph Health College Station Hospital | College Station | $214.20 | $66.55 – $190.12 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $148.40 | $74.00 – $424.00 |