Injection, caplacizumab-yhdp 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.
$1,323.71 with United vs $2,479.87 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 |
|---|---|---|---|
| United | AllPayerAppendix | $1,323.71 | — |
| United | NarrowNetworkIndivExchange | $1,323.71 | — |
| United | SmallGroup | $1,323.71 | — |
| BCBS | MyBlueHealth | $1,351.20 | — |
| BCBS | BAV | $1,489.08 | — |
| BCBS | PPO | $1,861.35 | — |
| BCBS | HMO | $1,861.35 | — |
| BCBS | EPOSOA | $1,861.35 | — |
| Cigna | CSN | $1,923.49 | — |
| Cigna | OpenAccessPlus | $2,082.45 | — |
| Cigna | PPO | $2,479.87 | — |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $16,745.11 | $620.45 – $47,843.16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - The Vintage Hospital | Houston | $16,745.11 | $751.44 – $47,843.16 |
| Covenant Medical Center | Lubbock | $47,821.09 | $801.26 – $2,999.57 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $14,289.03 | $744.95 – $744.95 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $14,289.03 | $744.95 – $744.95 |