Ketamine and metabolite screen - quest 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.
$0.05 with Aetna vs $127.56 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 |
|---|---|---|---|
| Aetna | QHPExchange | $0.05 | — |
| Aetna | NBPOS | $0.06 | — |
| Aetna | NBPPO | $0.06 | — |
| Aetna | NBHMO | $0.06 | — |
| Aetna | COMMPOS | $0.07 | — |
| Aetna | COMMHMO | $0.07 | — |
| Aetna | COMMPPO | $0.07 | — |
| Aetna | OONPOS | $0.08 | — |
| Aetna | OONHMO | $0.08 | — |
| Aetna | OONPPO | $0.08 | — |
| Aetna | ASAPOS | $0.09 | — |
| Aetna | ASAHMO | $0.09 | — |
| Aetna | ASAPPO | $0.09 | — |
| Texas Health Network | MCD | $10.12 | — |
| Liberty County Indigent | LOCALGOV | $10.33 | — |
| Amerigroup | MGMCD | $10.33 | — |
| Amerigroup | MCDCHIPBH | $10.33 | — |
| Community Health Choice MCD | CHIP | $10.33 | — |
| Community Health Choice MCD | CHIPPerinatal | $10.33 | — |
| Community Health Choice MCD | STAR | $10.33 | — |
| Community Health Choice MCD | STAR+PLUS | $10.33 | — |
| Texas Childrens Health Plans | STAR | $10.33 | — |
| Texas Childrens Health Plans | STARKIDS | $10.33 | — |
| United | MGMCD | $10.54 | — |
| Aetna Better Health | MGMCD | $11.16 | — |
| Molina Healthcare | STARPLUS | $11.36 | — |
| Molina Healthcare | CHIP | $11.36 | — |
| Molina Healthcare | STAR | $11.36 | — |
| Molina Healthcare | STARKIDS | $11.36 | — |
| Humana | MCD | $12.91 | — |
| Cigna | CSN | $98.98 | — |
| Cigna | OpenAccessPlus | $107.21 | — |
| Humana | HMO | $124.21 | — |
| Humana | PPO | $124.21 | — |
| Cigna | PPO | $127.56 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Ketamine and metabolite screen - quest at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $3.68 | $2.68 – $21.00 |
| St. Joseph Health College Station Hospital | College Station | $3.68 | $10.29 – $21.00 |
| St. Joseph Health Grimes Hospital | Navasota | $3.68 | $7.62 – $23.31 |
| St. Joseph Health Burleson Hospital | Caldwell | $3.68 | $4.62 – $21.00 |
| Texas Health Hospital Mansfield | Mansfield | $138.16 | not published |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.05 – $98.98 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.05 – $98.98 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $0.05 – $98.98 |