New Patient Office Visit (level 4) 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.
$84.11 with Superior Health Plan vs $1,261.58 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 |
|---|---|---|---|
| Superior Health Plan | CHPFC | $84.11 | — |
| Superior Health Plan | CHIP | $84.11 | — |
| Superior Health Plan | STARPLUS | $84.11 | — |
| Superior Health Plan | STARKids | $84.11 | — |
| Superior Health Plan | STAR | $84.11 | — |
| Aetna | MCR | $92.94 | — |
| Community Health Choice MCD | CHIP | $182.23 | — |
| Community Health Choice MCD | STAR+PLUS | $182.23 | — |
| Community Health Choice MCD | STAR | $182.23 | — |
| Community Health Choice MCD | CHIPPerinatal | $182.23 | — |
| Amerigroup | MCDCHIPBH | $196.25 | — |
| Amerigroup | MGMCD | $196.25 | — |
| Superior | HMO | $245.31 | — |
| Superior | EPO | $245.31 | — |
| United | OptionsPPO | $246.71 | — |
| Superior | ValueHMO | $277.55 | — |
| Texas Childrens Health Plans | CHIP | $285.96 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| BCBS | MyBlueHealth | $306.96 | — |
| Humana | HMO | $325.61 | — |
| Humana | PPO | $325.61 | — |
| Texas Childrens Health Plans | STAR | $332.22 | — |
| Texas Childrens Health Plans | STARKIDS | $332.22 | — |
| TX Workforce Commission | GVT | $336.42 | — |
| BCBS | BAV | $338.44 | — |
| Healthcare Highways | NarrowNetwork | $357.45 | — |
| Molina Healthcare | HIX | $378.48 | — |
| Evry Health | BroadNetwork | $382.68 | — |
| BCBS | HMO | $423.71 | — |
| BCBS | EPOSOA | $431.58 | — |
| BCBS | PPO | $439.45 | — |
| Aetna | NBPOS | $449.96 | — |
| Aetna | NBPPO | $449.96 | — |
| Aetna | NBHMO | $449.96 | — |
| Aetna | COMMHMO | $479.40 | — |
| Aetna | COMMPOS | $479.40 | — |
| Aetna | COMMPPO | $479.40 | — |
| BCBS | Traditional | $490.62 | — |
| Imagine Health | PPO | $490.62 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Curative Administrators | COMM | $560.70 | — |
| Christus (USFHP) | TRICARE | $560.70 | — |
| Aetna | OONPPO | $562.11 | — |
| Aetna | OONHMO | $562.11 | — |
| Aetna | OONPOS | $562.11 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| HealthSmart Preferred Care | ACCEL | $602.76 | — |
| Aetna | ASAPPO | $606.96 | — |
| Aetna | ASAPOS | $606.96 | — |
| Aetna | ASAHMO | $606.96 | — |
| Fidelis SecureCare of TX | MGMCR | $630.79 | — |
| Averde Health | Commercial | $630.79 | — |
| United | GlobalAppendix | $630.79 | — |
| Coventry National First Health | COMM | $747.14 | — |
| Physicians Cooperative of Texas | WC | $770.97 | — |
| Rockport Workers Comp | COMM | $770.97 | — |
| National Healthcare Solutions | COMM | $841.06 | — |
| Independent Medical System | COMM | $841.06 | — |
| SouthWest Medical | WORKERSCOMP | $841.06 | — |
| Coastal Comp | COMM | $911.14 | — |
| Multiplan | PHCSPrimaryNetwork | $1,051.32 | — |
| HealthSmart Preferred Care | PPO | $1,149.44 | — |
| Multiplan | ComplementaryNetwork | $1,191.50 | — |
| Physicians, INC | COMM | $1,191.50 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,191.50 | — |
| Affiliated PPO | COMM | $1,261.58 | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $820.97 | $505.04 – $505.04 |
| Baylor St Luke's Medical Center | Houston | $238.35 | $82.00 – $681.00 |
| St. Joseph Health Madison Hospital | Madisonville | $261.63 | $34.53 – $261.05 |
| St. Luke's Health Memorial Lufkin | Lufkin | $102.36 | $94.25 – $565.49 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $238.35 | $74.00 – $681.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $238.35 | $74.00 – $681.00 |
| St. Joseph Health College Station Hospital | College Station | $261.63 | $77.00 – $517.44 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $238.35 | $74.00 – $681.00 |