Established Patient Office Visit (level 5) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$109.75 with Superior Health Plan vs $1,646.32 with Affiliated PPO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $109.75 | — |
| Superior Health Plan | CHIP | $109.75 | — |
| Superior Health Plan | CHPFC | $109.75 | — |
| Superior Health Plan | STAR | $109.75 | — |
| Superior Health Plan | STARKids | $109.75 | — |
| Aetna | MCR | $121.28 | — |
| Community Health Choice MCD | CHIP | $237.80 | — |
| Community Health Choice MCD | STAR+PLUS | $237.80 | — |
| Community Health Choice MCD | STAR | $237.80 | — |
| Community Health Choice MCD | CHIPPerinatal | $237.80 | — |
| Amerigroup | MCDCHIPBH | $256.09 | — |
| Amerigroup | MGMCD | $256.09 | — |
| BCBS | MyBlueHealth | $263.95 | — |
| BCBS | BAV | $291.02 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Humana | HMO | $315.77 | — |
| Humana | PPO | $315.77 | — |
| Superior | HMO | $320.12 | — |
| Superior | EPO | $320.12 | — |
| United | OptionsPPO | $321.95 | — |
| Superior | ValueHMO | $362.19 | — |
| BCBS | HMO | $364.34 | — |
| BCBS | EPOSOA | $371.11 | — |
| Texas Childrens Health Plans | CHIP | $373.16 | — |
| BCBS | PPO | $377.88 | — |
| Texas Childrens Health Plans | STAR | $433.53 | — |
| Texas Childrens Health Plans | STARKIDS | $433.53 | — |
| TX Workforce Commission | GVT | $439.02 | — |
| Healthcare Highways | NarrowNetwork | $466.46 | — |
| Molina Healthcare | HIX | $493.89 | — |
| Evry Health | BroadNetwork | $499.38 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Aetna | NBPPO | $587.19 | — |
| Aetna | NBPOS | $587.19 | — |
| Aetna | NBHMO | $587.19 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Aetna | COMMHMO | $625.60 | — |
| Aetna | COMMPOS | $625.60 | — |
| Aetna | COMMPPO | $625.60 | — |
| BCBS | Traditional | $640.23 | — |
| Imagine Health | PPO | $640.23 | — |
| Curative Administrators | COMM | $731.70 | — |
| Christus (USFHP) | TRICARE | $731.70 | — |
| Aetna | OONPOS | $733.53 | — |
| Aetna | OONPPO | $733.53 | — |
| Aetna | OONHMO | $733.53 | — |
| HealthSmart Preferred Care | ACCEL | $786.57 | — |
| Aetna | ASAPPO | $792.06 | — |
| Aetna | ASAHMO | $792.06 | — |
| Aetna | ASAPOS | $792.06 | — |
| Averde Health | Commercial | $823.16 | — |
| Fidelis SecureCare of TX | MGMCR | $823.16 | — |
| United | GlobalAppendix | $823.16 | — |
| Coventry National First Health | COMM | $974.98 | — |
| Physicians Cooperative of Texas | WC | $1,006.08 | — |
| Rockport Workers Comp | COMM | $1,006.08 | — |
| National Healthcare Solutions | COMM | $1,097.54 | — |
| SouthWest Medical | WORKERSCOMP | $1,097.54 | — |
| Independent Medical System | COMM | $1,097.54 | — |
| Coastal Comp | COMM | $1,189.01 | — |
| Multiplan | PHCSPrimaryNetwork | $1,371.93 | — |
| HealthSmart Preferred Care | PPO | $1,499.98 | — |
| Physicians, INC | COMM | $1,554.85 | — |
| Multiplan | ComplementaryNetwork | $1,554.85 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,554.85 | — |
| Affiliated PPO | COMM | $1,646.32 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |
| St. Joseph Health Madison Hospital | Madisonville | $113.58 | $30.45 – $224.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $253.49 | $83.24 – $499.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $174.65 | $74.00 – $499.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $174.65 | $74.00 – $499.00 |