Surgical pathology level 6 gross & microscopic examination at HCA HOUSTON CONROE
504 MEDICAL CENTER BOULEVARD, CONROE, TX · HCA Houston Healthcare · · NPI 1962455816
$4,818.56
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.
$4,818.56
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.
$289.11 with Superior Health Plan vs $4,336.70 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 | STARPLUS | $289.11 | ↓ -94% |
| Superior Health Plan | CHIP | $289.11 | ↓ -94% |
| Superior Health Plan | CHPFC | $289.11 | ↓ -94% |
| Superior Health Plan | STAR | $289.11 | ↓ -94% |
| Superior Health Plan | STARKids | $289.11 | ↓ -94% |
| Community Health Choice MCD | CHIP | $626.41 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $626.41 | ↓ -87% |
| Community Health Choice MCD | STAR | $626.41 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $626.41 | ↓ -87% |
| United | SmallGroup | $656.15 | ↓ -86% |
| United | AllPayerAppendix | $656.15 | ↓ -86% |
| United | NarrowNetworkIndivExchange | $656.15 | ↓ -86% |
| Amerigroup | MGMCD | $674.60 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $674.60 | ↓ -86% |
| United | OptionsPPO | $848.07 | ↓ -82% |
| Oscar | HIX | $939.62 | ↓ -80% |
| Texas Childrens Health Plans | CHIP | $982.99 | ↓ -80% |
| Aetna | QHPExchange | $1,118.58 | ↓ -77% |
| Texas Childrens Health Plans | STARKIDS | $1,142.00 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $1,142.00 | ↓ -76% |
| TX Workforce Commission | GVT | $1,156.45 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,228.73 | ↓ -75% |
| Cigna | CSN | $1,229.72 | ↓ -74% |
| BCBS | MyBlueHealth | $1,268.96 | ↓ -74% |
| Evry Health | BroadNetwork | $1,315.47 | ↓ -73% |
| Cigna | OpenAccessPlus | $1,331.96 | ↓ -72% |
| BCBS | BAV | $1,400.89 | ↓ -71% |
| Aetna | NBPOS | $1,487.57 | ↓ -69% |
| Aetna | NBHMO | $1,487.57 | ↓ -69% |
| Aetna | NBPPO | $1,487.57 | ↓ -69% |
| Aetna | COMMPOS | $1,580.40 | ↓ -67% |
| Aetna | COMMPPO | $1,580.40 | ↓ -67% |
| Aetna | COMMHMO | $1,580.40 | ↓ -67% |
| Cigna | PPO | $1,584.72 | ↓ -67% |
| Imagine Health | PPO | $1,686.50 | ↓ -65% |
| BCBS | Traditional | $1,686.50 | ↓ -65% |
| BCBS | HMO | $1,752.68 | ↓ -64% |
| Aetna | OONHMO | $1,856.56 | ↓ -61% |
| Aetna | OONPPO | $1,856.56 | ↓ -61% |
| Aetna | OONPOS | $1,856.56 | ↓ -61% |
| BCBS | EPOSOA | $1,878.32 | ↓ -61% |
| Christus (USFHP) | TRICARE | $1,927.42 | ↓ -60% |
| BCBS | PPO | $2,003.96 | ↓ -58% |
| Aetna | ASAPPO | $2,007.41 | ↓ -58% |
| Aetna | ASAPOS | $2,007.41 | ↓ -58% |
| Aetna | ASAHMO | $2,007.41 | ↓ -58% |
| HealthSmart Preferred Care | ACCEL | $2,071.98 | ↓ -57% |
| Fidelis SecureCare of TX | MGMCR | $2,168.35 | ↓ -55% |
| United | GlobalAppendix | $2,168.35 | ↓ -55% |
| Averde Health | Commercial | $2,168.35 | ↓ -55% |
| Coventry National First Health | COMM | $2,568.29 | ↓ -47% |
| Humana | HMO | $2,577.76 | ↓ -47% |
| Humana | PPO | $2,577.76 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $2,650.21 | ↓ -45% |
| Rockport Workers Comp | COMM | $2,650.21 | ↓ -45% |
| SouthWest Medical | WORKERSCOMP | $2,891.14 | ↓ -40% |
| National Healthcare Solutions | COMM | $2,891.14 | ↓ -40% |
| Independent Medical System | COMM | $2,891.14 | ↓ -40% |
| Coastal Comp | COMM | $3,132.06 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $3,613.92 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $3,951.22 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $4,095.78 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $4,095.78 | ↓ -15% |
| Physicians, INC | COMM | $4,095.78 | ↓ -15% |
| Affiliated PPO | COMM | $4,336.70 | ↓ -10% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $657.12 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $880.68 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $677.44 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $657.12 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $880.68 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $880.68 | $26.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $677.44 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $657.12 | $35.00 – $2,130.15 |