Tc-99m apcitide diag 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.
$300.00 with Texas Athletic Network vs $9,093.13 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 |
|---|---|---|---|
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Superior Health Plan | STAR | $606.21 | — |
| Superior Health Plan | CHPFC | $606.21 | — |
| Superior Health Plan | CHIP | $606.21 | — |
| Superior Health Plan | STARPLUS | $606.21 | — |
| Superior Health Plan | STARKids | $606.21 | — |
| Aetna | MCR | $669.86 | — |
| United | NarrowNetworkIndivExchange | $867.45 | — |
| United | AllPayerAppendix | $867.45 | — |
| United | SmallGroup | $867.45 | — |
| Cigna | CSN | $995.49 | — |
| Cigna | OpenAccessPlus | $1,077.76 | — |
| Cigna | PPO | $1,283.44 | — |
| Community Health Choice MCD | STAR | $1,313.45 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,313.45 | — |
| Community Health Choice MCD | CHIP | $1,313.45 | — |
| Community Health Choice MCD | STAR+PLUS | $1,313.45 | — |
| Amerigroup | MCDCHIPBH | $1,414.49 | — |
| Amerigroup | MGMCD | $1,414.49 | — |
| BCBS | MyBlueHealth | $1,646.87 | — |
| Superior | HMO | $1,768.11 | — |
| Superior | EPO | $1,768.11 | — |
| United | OptionsPPO | $1,778.21 | — |
| BCBS | BAV | $1,818.63 | — |
| Oscar | HIX | $1,970.18 | — |
| Superior | ValueHMO | $2,000.49 | — |
| Texas Childrens Health Plans | CHIP | $2,061.11 | — |
| BCBS | HMO | $2,273.28 | — |
| BCBS | EPOSOA | $2,323.80 | — |
| BCBS | PPO | $2,364.21 | — |
| Texas Childrens Health Plans | STARKIDS | $2,394.52 | — |
| Texas Childrens Health Plans | STAR | $2,394.52 | — |
| TX Workforce Commission | GVT | $2,424.84 | — |
| Healthcare Highways | NarrowNetwork | $2,576.39 | — |
| Molina Healthcare | HIX | $2,727.94 | — |
| Evry Health | BroadNetwork | $2,758.25 | — |
| Aetna | NBHMO | $3,243.22 | — |
| Aetna | NBPOS | $3,243.22 | — |
| Aetna | NBPPO | $3,243.22 | — |
| Aetna | COMMHMO | $3,455.39 | — |
| Aetna | COMMPOS | $3,455.39 | — |
| Aetna | COMMPPO | $3,455.39 | — |
| Imagine Health | PPO | $3,536.22 | — |
| BCBS | Traditional | $3,536.22 | — |
| Curative Administrators | COMM | $4,041.39 | — |
| Christus (USFHP) | TRICARE | $4,041.39 | — |
| Aetna | OONPPO | $4,051.50 | — |
| Aetna | OONHMO | $4,051.50 | — |
| Aetna | OONPOS | $4,051.50 | — |
| HealthSmart Preferred Care | ACCEL | $4,344.50 | — |
| Aetna | ASAPPO | $4,374.81 | — |
| Aetna | ASAHMO | $4,374.81 | — |
| Aetna | ASAPOS | $4,374.81 | — |
| Humana | HMO | $4,480.40 | — |
| Humana | PPO | $4,480.40 | — |
| United | GlobalAppendix | $4,546.57 | — |
| Fidelis SecureCare of TX | MGMCR | $4,546.57 | — |
| Averde Health | Commercial | $4,546.57 | — |
| Coventry National First Health | COMM | $5,385.15 | — |
| Physicians Cooperative of Texas | WC | $5,556.91 | — |
| Rockport Workers Comp | COMM | $5,556.91 | — |
| Independent Medical System | COMM | $6,062.09 | — |
| National Healthcare Solutions | COMM | $6,062.09 | — |
| SouthWest Medical | WORKERSCOMP | $6,062.09 | — |
| Coastal Comp | COMM | $6,567.26 | — |
| Multiplan | PHCSPrimaryNetwork | $7,577.61 | — |
| HealthSmart Preferred Care | PPO | $8,284.85 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $8,587.96 | — |
| Multiplan | ComplementaryNetwork | $8,587.96 | — |
| Physicians, INC | COMM | $8,587.96 | — |
| Affiliated PPO | COMM | $9,093.13 | — |
Visitor-reported prices
Comments
Tc-99m apcitide diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $3,437.80 | $867.45 – $4,480.40 |
| St. Luke's Health - Patients Medical Center | Pasadena | $383.99 | $100.00 – $822.83 |
| St. Luke's Health Memorial Lufkin | Lufkin | $157.80 | $100.00 – $946.80 |
| St. Luke's Health Memorial Livingston | Livingston | $157.80 | $100.00 – $946.80 |
| St. Luke's Health Memorial San Augustine | San Augustine | $157.80 | $100.00 – $1,094.08 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $867.45 – $4,480.40 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $867.45 – $4,480.40 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $867.45 – $4,480.40 |