Tc-99m exametazime 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 $17,017.34 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 |
|---|---|---|---|
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Superior Health Plan | CHIP | $679.96 | — |
| Superior Health Plan | STARPLUS | $679.96 | — |
| Superior Health Plan | STARKids | $679.96 | — |
| Superior Health Plan | STAR | $679.96 | — |
| Superior Health Plan | CHPFC | $679.96 | — |
| Aetna | MCR | $751.36 | — |
| Community Health Choice MCD | STAR | $1,473.25 | — |
| Community Health Choice MCD | CHIP | $1,473.25 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,473.25 | — |
| Community Health Choice MCD | STAR+PLUS | $1,473.25 | — |
| United | AllPayerAppendix | $1,530.72 | — |
| United | SmallGroup | $1,530.72 | — |
| United | NarrowNetworkIndivExchange | $1,530.72 | — |
| Amerigroup | MCDCHIPBH | $1,586.58 | — |
| Amerigroup | MGMCD | $1,586.58 | — |
| Superior | EPO | $1,983.22 | — |
| Superior | HMO | $1,983.22 | — |
| United | OptionsPPO | $1,994.55 | — |
| Oscar | HIX | $2,209.87 | — |
| Superior | ValueHMO | $2,243.87 | — |
| Texas Childrens Health Plans | CHIP | $2,311.87 | — |
| Texas Childrens Health Plans | STAR | $2,685.85 | — |
| Texas Childrens Health Plans | STARKIDS | $2,685.85 | — |
| TX Workforce Commission | GVT | $2,719.84 | — |
| BCBS | MyBlueHealth | $2,842.27 | — |
| Healthcare Highways | NarrowNetwork | $2,889.83 | — |
| Molina Healthcare | HIX | $3,059.82 | — |
| Evry Health | BroadNetwork | $3,093.82 | — |
| BCBS | BAV | $3,132.30 | — |
| Aetna | NBHMO | $3,637.79 | — |
| Aetna | NBPPO | $3,637.79 | — |
| Aetna | NBPOS | $3,637.79 | — |
| Aetna | COMMHMO | $3,875.78 | — |
| Aetna | COMMPPO | $3,875.78 | — |
| Aetna | COMMPOS | $3,875.78 | — |
| BCBS | PPO | $3,915.38 | — |
| BCBS | HMO | $3,915.38 | — |
| BCBS | EPOSOA | $3,915.38 | — |
| Imagine Health | PPO | $3,966.44 | — |
| BCBS | Traditional | $3,966.44 | — |
| Cigna | CSN | $4,230.77 | — |
| Christus (USFHP) | TRICARE | $4,533.07 | — |
| Curative Administrators | COMM | $4,533.07 | — |
| Aetna | OONPPO | $4,544.40 | — |
| Aetna | OONHMO | $4,544.40 | — |
| Aetna | OONPOS | $4,544.40 | — |
| Cigna | OpenAccessPlus | $4,580.41 | — |
| HealthSmart Preferred Care | ACCEL | $4,873.05 | — |
| Aetna | ASAPOS | $4,907.05 | — |
| Aetna | ASAPPO | $4,907.05 | — |
| Aetna | ASAHMO | $4,907.05 | — |
| United | GlobalAppendix | $5,099.71 | — |
| Averde Health | Commercial | $5,099.71 | — |
| Fidelis SecureCare of TX | MGMCR | $5,099.71 | — |
| Cigna | PPO | $5,454.54 | — |
| Coventry National First Health | COMM | $6,040.32 | — |
| Rockport Workers Comp | COMM | $6,232.97 | — |
| Physicians Cooperative of Texas | WC | $6,232.97 | — |
| National Healthcare Solutions | COMM | $6,799.61 | — |
| SouthWest Medical | WORKERSCOMP | $6,799.61 | — |
| Independent Medical System | COMM | $6,799.61 | — |
| Coastal Comp | COMM | $7,366.24 | — |
| Multiplan | PHCSPrimaryNetwork | $8,499.51 | — |
| HealthSmart Preferred Care | PPO | $9,292.80 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $9,632.78 | — |
| Physicians, INC | COMM | $9,632.78 | — |
| Multiplan | ComplementaryNetwork | $9,632.78 | — |
| Affiliated PPO | COMM | $10,199.41 | — |
| Humana | HMO | $17,017.34 | — |
| Humana | PPO | $17,017.34 | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,053.47 | $1,530.72 – $17,017.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,497.16 | $1,530.72 – $17,017.34 |
| HCA HOUSTON NORTHWEST | SPRING | $6,745.24 | $1,530.72 – $17,017.34 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,389.91 | $100.00 – $5,121.00 |
| Baylor St Luke's Medical Center | Houston | $2,135.70 | $100.00 – $6,102.00 |
| St. Joseph Health Madison Hospital | Madisonville | $494.55 | $360.04 – $2,543.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $524.70 | $100.00 – $3,148.20 |
| HCA HOUSTON PEARLAND | Pearland | $3,218.16 | $1,530.72 – $17,017.34 |