Tl-201 thallium diag per mci 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.
$44.15 with Superior Health Plan vs $662.29 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 | CHIP | $44.15 | — |
| Superior Health Plan | STARPLUS | $44.15 | — |
| Superior Health Plan | STARKids | $44.15 | — |
| Superior Health Plan | STAR | $44.15 | — |
| Superior Health Plan | CHPFC | $44.15 | — |
| Aetna | MCR | $48.79 | — |
| United | AllPayerAppendix | $78.80 | — |
| United | SmallGroup | $78.80 | — |
| United | NarrowNetworkIndivExchange | $78.80 | — |
| Cigna | CSN | $80.61 | — |
| Cigna | OpenAccessPlus | $87.27 | — |
| Community Health Choice MCD | CHIP | $95.66 | — |
| Community Health Choice MCD | STAR+PLUS | $95.66 | — |
| Community Health Choice MCD | STAR | $95.66 | — |
| Community Health Choice MCD | CHIPPerinatal | $95.66 | — |
| Amerigroup | MCDCHIPBH | $103.02 | — |
| Amerigroup | MGMCD | $103.02 | — |
| Cigna | PPO | $103.93 | — |
| Superior | HMO | $128.78 | — |
| Superior | EPO | $128.78 | — |
| United | OptionsPPO | $129.51 | — |
| Oscar | HIX | $143.50 | — |
| Superior | ValueHMO | $145.70 | — |
| Texas Childrens Health Plans | CHIP | $150.12 | — |
| Texas Childrens Health Plans | STAR | $174.40 | — |
| Texas Childrens Health Plans | STARKIDS | $174.40 | — |
| TX Workforce Commission | GVT | $176.61 | — |
| Healthcare Highways | NarrowNetwork | $187.65 | — |
| Molina Healthcare | HIX | $198.69 | — |
| Evry Health | BroadNetwork | $200.90 | — |
| Aetna | NBPOS | $236.22 | — |
| Aetna | NBHMO | $236.22 | — |
| Aetna | NBPPO | $236.22 | — |
| Aetna | COMMPOS | $251.67 | — |
| Aetna | COMMHMO | $251.67 | — |
| Aetna | COMMPPO | $251.67 | — |
| Imagine Health | PPO | $257.56 | — |
| BCBS | Traditional | $257.56 | — |
| Curative Administrators | COMM | $294.35 | — |
| Christus (USFHP) | TRICARE | $294.35 | — |
| Aetna | OONPPO | $295.09 | — |
| Aetna | OONHMO | $295.09 | — |
| Aetna | OONPOS | $295.09 | — |
| BCBS | MyBlueHealth | $297.53 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| HealthSmart Preferred Care | ACCEL | $316.43 | — |
| Aetna | ASAPOS | $318.64 | — |
| Aetna | ASAHMO | $318.64 | — |
| Aetna | ASAPPO | $318.64 | — |
| BCBS | BAV | $327.89 | — |
| Fidelis SecureCare of TX | MGMCR | $331.15 | — |
| United | GlobalAppendix | $331.15 | — |
| Averde Health | Commercial | $331.15 | — |
| Humana | PPO | $340.71 | — |
| Humana | HMO | $340.71 | — |
| Coventry National First Health | COMM | $392.22 | — |
| Rockport Workers Comp | COMM | $404.73 | — |
| Physicians Cooperative of Texas | WC | $404.73 | — |
| BCBS | PPO | $409.86 | — |
| BCBS | HMO | $409.86 | — |
| BCBS | EPOSOA | $409.86 | — |
| SouthWest Medical | WORKERSCOMP | $441.53 | — |
| National Healthcare Solutions | COMM | $441.53 | — |
| Independent Medical System | COMM | $441.53 | — |
| Coastal Comp | COMM | $478.32 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Multiplan | PHCSPrimaryNetwork | $551.91 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| HealthSmart Preferred Care | PPO | $603.42 | — |
| Physicians, INC | COMM | $625.50 | — |
| Multiplan | ComplementaryNetwork | $625.50 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $625.50 | — |
| Affiliated PPO | COMM | $662.29 | — |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $27.09 | $20.13 – $538.00 |
| Baylor St Luke's Medical Center | Houston | $28.35 | $21.87 – $538.00 |
| St. Joseph Health Madison Hospital | Madisonville | $33.78 | $24.59 – $193.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $171.90 | $38.72 – $954.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $28.35 | $21.06 – $538.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $28.35 | $21.06 – $538.00 |
| St. Joseph Health College Station Hospital | College Station | $33.78 | $38.60 – $193.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $28.35 | $21.06 – $538.00 |