Lower Back (Lumbar Spine) CT scan (with contrast) 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.
$170.28 with Texas Health Network vs $5,928.60 with Affiliated PPO — 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 |
|---|---|---|---|
| Texas Health Network | MCD | $170.28 | — |
| Amerigroup | MGMCD | $173.75 | — |
| Texas Childrens Health Plans | STARKIDS | $173.75 | — |
| Texas Childrens Health Plans | STAR | $173.75 | — |
| Amerigroup | MCDCHIPBH | $173.75 | — |
| Liberty County Indigent | LOCALGOV | $173.75 | — |
| Community Health Choice MCD | STAR | $175.43 | — |
| Community Health Choice MCD | CHIP | $175.43 | — |
| Community Health Choice MCD | CHIPPerinatal | $175.43 | — |
| Community Health Choice MCD | STAR+PLUS | $175.43 | — |
| United | MGMCD | $178.94 | — |
| Aetna Better Health | MGMCD | $189.46 | — |
| Molina Healthcare | STAR | $191.13 | — |
| Molina Healthcare | STARPLUS | $191.13 | — |
| Molina Healthcare | STARKIDS | $191.13 | — |
| Molina Healthcare | CHIP | $191.13 | — |
| Humana | MCD | $217.19 | — |
| Superior Health Plan | CHIP | $395.24 | — |
| Superior Health Plan | STARKids | $395.24 | — |
| Superior Health Plan | STAR | $395.24 | — |
| Superior Health Plan | STARPLUS | $395.24 | — |
| Superior Health Plan | CHPFC | $395.24 | — |
| United | NarrowNetworkIndivExchange | $699.43 | — |
| Aetna | QHPExchange | $725.00 | — |
| BCBS | MyBlueHealth | $820.98 | — |
| United | AllPayerAppendix | $828.27 | — |
| United | SmallGroup | $828.27 | — |
| BCBS | BAV | $946.99 | — |
| Aetna | NBPPO | $963.00 | — |
| Aetna | NBHMO | $963.00 | — |
| Aetna | NBPOS | $963.00 | — |
| Aetna | COMMPPO | $1,024.00 | — |
| Aetna | COMMHMO | $1,024.00 | — |
| Aetna | COMMPOS | $1,024.00 | — |
| United | OptionsPPO | $1,159.37 | — |
| Aetna | OONHMO | $1,203.00 | — |
| Aetna | OONPOS | $1,203.00 | — |
| Aetna | OONPPO | $1,203.00 | — |
| Aetna | ASAPOS | $1,301.00 | — |
| Aetna | ASAPPO | $1,301.00 | — |
| Aetna | ASAHMO | $1,301.00 | — |
| Texas Childrens Health Plans | CHIP | $1,343.82 | — |
| BCBS | HMO | $1,439.57 | — |
| BCBS | EPOSOA | $1,577.04 | — |
| TX Workforce Commission | GVT | $1,580.96 | — |
| Cigna | CSN | $1,635.00 | — |
| BCBS | PPO | $1,710.69 | — |
| Cigna | OpenAccessPlus | $1,771.00 | — |
| Cigna | PPO | $2,106.00 | — |
| BCBS | Traditional | $2,305.57 | — |
| Christus (USFHP) | TRICARE | $2,634.93 | — |
| HealthSmart Preferred Care | ACCEL | $2,832.55 | — |
| Humana | HMO | $2,925.60 | — |
| Humana | PPO | $2,925.60 | — |
| United | GlobalAppendix | $2,964.30 | — |
| Fidelis SecureCare of TX | MGMCR | $2,964.30 | — |
| Coventry National First Health | COMM | $3,511.05 | — |
| Rockport Workers Comp | COMM | $3,623.03 | — |
| Physicians Cooperative of Texas | WC | $3,623.03 | — |
| SouthWest Medical | WORKERSCOMP | $3,952.40 | — |
| Independent Medical System | COMM | $3,952.40 | — |
| National Healthcare Solutions | COMM | $3,952.40 | — |
| Coastal Comp | COMM | $4,281.76 | — |
| Multiplan | PHCSPrimaryNetwork | $4,940.50 | — |
| HealthSmart Preferred Care | PPO | $5,401.61 | — |
| Multiplan | ComplementaryNetwork | $5,599.23 | — |
| Physicians, INC | COMM | $5,599.23 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $5,599.23 | — |
| Affiliated PPO | COMM | $5,928.60 | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $4,302.62 | $1,779.42 – $1,779.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,381.40 | $173.75 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,041.20 | $420.15 – $3,061.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,381.40 | $173.75 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,381.40 | $173.75 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,041.20 | $185.91 – $3,061.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,041.20 | $173.75 – $3,061.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,381.40 | $173.75 – $3,572.10 |