Sirolimus, oral 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.
$0.97 with Christus (USFHP) vs $75.87 with Humana — 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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $0.97 | — |
| United | SmallGroup | $1.60 | — |
| United | AllPayerAppendix | $1.60 | — |
| United | NarrowNetworkIndivExchange | $1.60 | — |
| Superior Health Plan | STARKids | $1.92 | — |
| Superior Health Plan | STARPLUS | $1.92 | — |
| Superior Health Plan | CHIP | $1.92 | — |
| Superior Health Plan | CHPFC | $1.92 | — |
| Superior Health Plan | STAR | $1.92 | — |
| Aetna | MCR | $2.12 | — |
| Cigna | CSN | $2.32 | — |
| Cigna | OpenAccessPlus | $2.52 | — |
| Cigna | PPO | $3.00 | — |
| Community Health Choice MCD | CHIP | $4.17 | — |
| Community Health Choice MCD | STAR+PLUS | $4.17 | — |
| Community Health Choice MCD | STAR | $4.17 | — |
| Community Health Choice MCD | CHIPPerinatal | $4.17 | — |
| Amerigroup | MCDCHIPBH | $4.49 | — |
| Amerigroup | MGMCD | $4.49 | — |
| Superior | EPO | $5.61 | — |
| Superior | HMO | $5.61 | — |
| United | OptionsPPO | $5.64 | — |
| Superior | ValueHMO | $6.35 | — |
| Texas Childrens Health Plans | CHIP | $6.54 | — |
| Texas Childrens Health Plans | STAR | $7.60 | — |
| Texas Childrens Health Plans | STARKIDS | $7.60 | — |
| TX Workforce Commission | GVT | $7.69 | — |
| Molina Healthcare | HIX | $8.65 | — |
| BCBS | Traditional | $11.22 | — |
| HealthSmart Preferred Care | ACCEL | $13.78 | — |
| United | GlobalAppendix | $14.42 | — |
| Coventry National First Health | COMM | $17.08 | — |
| Physicians Cooperative of Texas | WC | $17.63 | — |
| Rockport Workers Comp | COMM | $17.63 | — |
| BCBS | MyBlueHealth | $17.78 | — |
| National Healthcare Solutions | COMM | $19.23 | — |
| SouthWest Medical | WORKERSCOMP | $19.23 | — |
| Independent Medical System | COMM | $19.23 | — |
| BCBS | BAV | $19.59 | — |
| Coastal Comp | COMM | $20.83 | — |
| Multiplan | PHCSPrimaryNetwork | $24.04 | — |
| BCBS | PPO | $24.49 | — |
| BCBS | EPOSOA | $24.49 | — |
| BCBS | HMO | $24.49 | — |
| HealthSmart Preferred Care | PPO | $26.28 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $27.24 | — |
| Physicians, INC | COMM | $27.24 | — |
| Multiplan | ComplementaryNetwork | $27.24 | — |
| Affiliated PPO | COMM | $28.84 | — |
| Humana | HMO | $75.87 | — |
| Humana | PPO | $75.87 | — |
Visitor-reported prices
Comments
Sirolimus, oral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.11 | $1.08 – $7.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.11 | $1.05 – $24.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.11 | $1.39 – $7.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $42.11 | $1.39 – $24.32 |