Mra, without 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.
$410.15 with BCBS vs $20,950.35 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 | $410.15 | — |
| United | NarrowNetworkIndivExchange | $437.25 | — |
| United | AllPayerAppendix | $517.79 | — |
| United | SmallGroup | $517.79 | — |
| BCBS | BAV | $519.68 | — |
| BCBS | HMO | $792.34 | — |
| BCBS | EPOSOA | $878.56 | — |
| BCBS | PPO | $964.79 | — |
| Superior Health Plan | CHPFC | $1,396.69 | — |
| Superior Health Plan | STARPLUS | $1,396.69 | — |
| Superior Health Plan | STARKids | $1,396.69 | — |
| Superior Health Plan | STAR | $1,396.69 | — |
| Superior Health Plan | CHIP | $1,396.69 | — |
| Cigna | CSN | $2,127.00 | — |
| Cigna | OpenAccessPlus | $2,304.00 | — |
| Cigna | PPO | $2,739.00 | — |
| Community Health Choice MCD | CHIP | $3,026.16 | — |
| Community Health Choice MCD | CHIPPerinatal | $3,026.16 | — |
| Community Health Choice MCD | STAR | $3,026.16 | — |
| Community Health Choice MCD | STAR+PLUS | $3,026.16 | — |
| Amerigroup | MGMCD | $3,258.94 | — |
| Amerigroup | MCDCHIPBH | $3,258.94 | — |
| United | OptionsPPO | $4,096.96 | — |
| Texas Childrens Health Plans | CHIP | $4,748.75 | — |
| Texas Childrens Health Plans | STARKIDS | $5,516.93 | — |
| Texas Childrens Health Plans | STAR | $5,516.93 | — |
| TX Workforce Commission | GVT | $5,586.76 | — |
| Aetna | QHPExchange | $6,168.72 | — |
| Aetna | NBPPO | $7,472.29 | — |
| Aetna | NBHMO | $7,472.29 | — |
| Aetna | NBPOS | $7,472.29 | — |
| Aetna | COMMPOS | $7,961.13 | — |
| Aetna | COMMPPO | $7,961.13 | — |
| Aetna | COMMHMO | $7,961.13 | — |
| BCBS | Traditional | $8,147.36 | — |
| Christus (USFHP) | TRICARE | $9,311.27 | — |
| Aetna | OONPOS | $9,334.55 | — |
| Aetna | OONPPO | $9,334.55 | — |
| Aetna | OONHMO | $9,334.55 | — |
| HealthSmart Preferred Care | ACCEL | $10,009.61 | — |
| Aetna | ASAHMO | $10,079.45 | — |
| Aetna | ASAPOS | $10,079.45 | — |
| Aetna | ASAPPO | $10,079.45 | — |
| United | GlobalAppendix | $10,475.18 | — |
| Fidelis SecureCare of TX | MGMCR | $10,475.18 | — |
| Coventry National First Health | COMM | $12,407.26 | — |
| Physicians Cooperative of Texas | WC | $12,802.99 | — |
| Rockport Workers Comp | COMM | $12,802.99 | — |
| Independent Medical System | COMM | $13,966.90 | — |
| National Healthcare Solutions | COMM | $13,966.90 | — |
| SouthWest Medical | WORKERSCOMP | $13,966.90 | — |
| Coastal Comp | COMM | $15,130.81 | — |
| Multiplan | PHCSPrimaryNetwork | $17,458.63 | — |
| HealthSmart Preferred Care | PPO | $19,088.10 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $19,786.44 | — |
| Physicians, INC | COMM | $19,786.44 | — |
| Multiplan | ComplementaryNetwork | $19,786.44 | — |
| Affiliated PPO | COMM | $20,950.35 | — |
Visitor-reported prices
Comments
Mra, without dye, upper extr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,055.57 | $328.59 – $2,261.93 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $1,039.32 | $233.04 – $943.81 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $1,039.32 | $233.04 – $943.81 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $632.97 | $233.04 – $943.81 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $632.97 | $233.04 – $943.81 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $697.86 | $233.04 – $943.81 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $1,356.95 | $233.04 – $943.81 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $632.97 | $233.04 – $943.81 |