Ph1 assmt&mgmt nqhp 21-30 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.
$13.15 with Humana vs $130.38 with BCBS — 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 |
|---|---|---|---|
| Humana | PPO | $13.15 | — |
| Humana | HMO | $13.15 | — |
| Christus (USFHP) | TRICARE | $24.50 | — |
| Oscar | MGMCR | $33.53 | — |
| WellMed | MGMCR | $34.04 | — |
| Devoted Health | MGMCR | $34.21 | — |
| Humana | MedicareAdvantageHMO | $34.21 | — |
| Humana | MedicareAdvantagePPOPFFS | $34.21 | — |
| Amerigroup | DualEligible | $34.21 | — |
| Cigna HealthSpring | MCRHMO | $34.21 | — |
| Cigna HealthSpring | MCRPPO | $34.21 | — |
| Cigna HealthSpring | MCRSNP | $34.21 | — |
| Cigna HealthSpring | PFFS | $34.21 | — |
| Cigna HealthSpring | MMP | $34.21 | — |
| BCBS | MCRPPO | $34.21 | — |
| BCBS | MedicareAdvantageHMO | $34.21 | — |
| Kelsey Seybold | MGMCR | $34.21 | — |
| TriWest Healthcare Alliance | Veterans | $34.21 | — |
| GEO Group - Joe Corley Detention Facility | GVT | $34.21 | — |
| Aetna | MCR | $34.50 | — |
| Van Lang IPA | MCR | $34.55 | — |
| United | MCR | $34.89 | — |
| WellCare | MCRHMO | $35.24 | — |
| WellCare | POS | $35.24 | — |
| WellCare | PPO | $35.24 | — |
| WellCare | SNP | $35.24 | — |
| Integranet Amerigroup IPA | MCR | $35.24 | — |
| WellCare | PFFS | $35.24 | — |
| Superior Health Plan | PFFS | $35.92 | — |
| American Health Plan | MGMCR | $35.92 | — |
| ProCare Advantage | MGMCR | $35.92 | — |
| Shared Health | MGMCR | $35.92 | — |
| Superior Health Plan | DualEligible | $35.92 | — |
| Superior Health Plan | MCRHMO | $35.92 | — |
| Superior Health Plan | MCRPOS | $35.92 | — |
| Superior Health Plan | MCRPPO | $35.92 | — |
| Superior Health Plan | MCRSNP | $35.92 | — |
| Provider Partners Health Plan of Texas | PFFS | $36.26 | — |
| Provider Partners Health Plan of Texas | PPO | $36.26 | — |
| Provider Partners Health Plan of Texas | SNP | $36.26 | — |
| Provider Partners Health Plan of Texas | POS | $36.26 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $36.26 | — |
| Molina | MGMCR | $37.29 | — |
| Universal Healthcare Group | MCR | $41.05 | — |
| Verda Health Plan | MCR | $44.47 | — |
| Community Health Choice | HIX | $49.60 | — |
| Superior | ValueHMO | $49.60 | — |
| Superior | EPO | $53.03 | — |
| Superior | HMO | $53.03 | — |
| Corvel Corporation | WORKERSCOMP | $67.74 | — |
| OMNI Healthcare | WORKERSCOMP | $71.84 | — |
| Molina Healthcare | HIX | $73.55 | — |
| BCBS | MyBlueHealth | $91.07 | — |
| BCBS | BAV | $100.41 | — |
| BCBS | HMO | $125.71 | — |
| BCBS | EPOSOA | $128.05 | — |
| BCBS | PPO | $130.38 | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 21-30 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $87.78 | $24.87 – $124.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $92.30 | $19.00 – $138.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $87.78 | $17.56 – $117.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $87.78 | $23.41 – $124.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $92.30 | $29.63 – $143.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $92.30 | $47.69 – $138.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $87.78 | $29.26 – $131.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $87.78 | $23.41 – $124.36 |