Mra, w/o&w/dye, upper extr 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.
$672.06 with BCBS vs $28,429.51 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $672.06 | — |
| United | NarrowNetworkIndivExchange | $699.43 | — |
| United | AllPayerAppendix | $828.27 | — |
| United | SmallGroup | $828.27 | — |
| BCBS | BAV | $851.53 | — |
| BCBS | HMO | $1,298.29 | — |
| BCBS | EPOSOA | $1,439.57 | — |
| BCBS | PPO | $1,580.86 | — |
| Superior Health Plan | CHPFC | $1,895.30 | — |
| Superior Health Plan | STARPLUS | $1,895.30 | — |
| Superior Health Plan | STARKids | $1,895.30 | — |
| Superior Health Plan | STAR | $1,895.30 | — |
| Superior Health Plan | CHIP | $1,895.30 | — |
| Cigna | CSN | $2,127.00 | — |
| Cigna | OpenAccessPlus | $2,304.00 | — |
| Cigna | PPO | $2,739.00 | — |
| Community Health Choice MCD | CHIP | $4,106.49 | — |
| Community Health Choice MCD | CHIPPerinatal | $4,106.49 | — |
| Community Health Choice MCD | STAR | $4,106.49 | — |
| Community Health Choice MCD | STAR+PLUS | $4,106.49 | — |
| Amerigroup | MGMCD | $4,422.37 | — |
| Amerigroup | MCDCHIPBH | $4,422.37 | — |
| United | OptionsPPO | $5,559.55 | — |
| Texas Childrens Health Plans | CHIP | $6,444.02 | — |
| Texas Childrens Health Plans | STARKIDS | $7,486.44 | — |
| Texas Childrens Health Plans | STAR | $7,486.44 | — |
| TX Workforce Commission | GVT | $7,581.20 | — |
| Aetna | QHPExchange | $8,370.91 | — |
| Aetna | NBPPO | $10,139.86 | — |
| Aetna | NBHMO | $10,139.86 | — |
| Aetna | NBPOS | $10,139.86 | — |
| Aetna | COMMPOS | $10,803.22 | — |
| Aetna | COMMPPO | $10,803.22 | — |
| Aetna | COMMHMO | $10,803.22 | — |
| BCBS | Traditional | $11,055.92 | — |
| Christus (USFHP) | TRICARE | $12,635.34 | — |
| Aetna | OONPOS | $12,666.93 | — |
| Aetna | OONPPO | $12,666.93 | — |
| Aetna | OONHMO | $12,666.93 | — |
| HealthSmart Preferred Care | ACCEL | $13,582.99 | — |
| Aetna | ASAHMO | $13,677.76 | — |
| Aetna | ASAPOS | $13,677.76 | — |
| Aetna | ASAPPO | $13,677.76 | — |
| United | GlobalAppendix | $14,214.76 | — |
| Fidelis SecureCare of TX | MGMCR | $14,214.76 | — |
| Coventry National First Health | COMM | $16,836.59 | — |
| Physicians Cooperative of Texas | WC | $17,373.59 | — |
| Rockport Workers Comp | COMM | $17,373.59 | — |
| Independent Medical System | COMM | $18,953.01 | — |
| National Healthcare Solutions | COMM | $18,953.01 | — |
| SouthWest Medical | WORKERSCOMP | $18,953.01 | — |
| Coastal Comp | COMM | $20,532.43 | — |
| Multiplan | PHCSPrimaryNetwork | $23,691.26 | — |
| HealthSmart Preferred Care | PPO | $25,902.45 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $26,850.10 | — |
| Physicians, INC | COMM | $26,850.10 | — |
| Multiplan | ComplementaryNetwork | $26,850.10 | — |
| Affiliated PPO | COMM | $28,429.51 | — |
Visitor-reported prices
Comments
Mra, w/o&w/dye, upper extr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,055.57 | $538.41 – $2,261.93 |
| Baylor St Luke's Medical Center | Houston | $712.60 | $458.22 – $2,036.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $687.45 | $400.00 – $4,124.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health Memorial Livingston | Livingston | $687.45 | $400.00 – $4,124.70 |