X-ray of mammary ducts 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.
$68.11 with Texas Health Network vs $2,623.72 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 Health Network | MCD | $68.11 | — |
| Community Health Choice MCD | STAR+PLUS | $69.16 | — |
| Community Health Choice MCD | CHIPPerinatal | $69.16 | — |
| Community Health Choice MCD | STAR | $69.16 | — |
| Community Health Choice MCD | CHIP | $69.16 | — |
| Liberty County Indigent | LOCALGOV | $69.50 | — |
| Texas Childrens Health Plans | STARKIDS | $69.50 | — |
| Amerigroup | MGMCD | $69.50 | — |
| Amerigroup | MCDCHIPBH | $69.50 | — |
| Texas Childrens Health Plans | STAR | $69.50 | — |
| United | MGMCD | $70.54 | — |
| Aetna Better Health | MGMCD | $74.69 | — |
| Molina Healthcare | STAR | $76.45 | — |
| Molina Healthcare | STARKIDS | $76.45 | — |
| Molina Healthcare | STARPLUS | $76.45 | — |
| Molina Healthcare | CHIP | $76.45 | — |
| Humana | MCD | $86.88 | — |
| Cigna | CSN | $174.51 | — |
| Superior Health Plan | STARPLUS | $174.91 | — |
| Superior Health Plan | STARKids | $174.91 | — |
| Superior Health Plan | CHIP | $174.91 | — |
| Superior Health Plan | CHPFC | $174.91 | — |
| Superior Health Plan | STAR | $174.91 | — |
| Cigna | OpenAccessPlus | $188.86 | — |
| Cigna | PPO | $224.51 | — |
| Aetna | QHPExchange | $282.56 | — |
| Aetna | NBPPO | $375.55 | — |
| Aetna | NBPOS | $375.55 | — |
| Aetna | NBHMO | $375.55 | — |
| Aetna | COMMPPO | $399.50 | — |
| Aetna | COMMPOS | $399.50 | — |
| Aetna | COMMHMO | $399.50 | — |
| BCBS | MyBlueHealth | $410.15 | — |
| United | NarrowNetworkIndivExchange | $437.25 | — |
| Aetna | OONPPO | $469.74 | — |
| Aetna | OONPOS | $469.74 | — |
| Aetna | OONHMO | $469.74 | — |
| Aetna | ASAPOS | $507.66 | — |
| Aetna | ASAHMO | $507.66 | — |
| Aetna | ASAPPO | $507.66 | — |
| United | OptionsPPO | $513.08 | — |
| United | AllPayerAppendix | $517.79 | — |
| United | SmallGroup | $517.79 | — |
| BCBS | BAV | $519.68 | — |
| Texas Childrens Health Plans | CHIP | $594.71 | — |
| TX Workforce Commission | GVT | $699.66 | — |
| Healthcare Highways | NarrowNetwork | $743.39 | — |
| BCBS | HMO | $792.34 | — |
| Evry Health | BroadNetwork | $795.86 | — |
| BCBS | EPOSOA | $878.56 | — |
| Humana | PPO | $937.30 | — |
| Humana | HMO | $937.30 | — |
| BCBS | PPO | $964.79 | — |
| BCBS | Traditional | $1,020.34 | — |
| Imagine Health | PPO | $1,020.34 | — |
| Christus (USFHP) | TRICARE | $1,166.10 | — |
| Curative Administrators | COMM | $1,166.10 | — |
| HealthSmart Preferred Care | ACCEL | $1,253.56 | — |
| United | GlobalAppendix | $1,311.86 | — |
| Fidelis SecureCare of TX | MGMCR | $1,311.86 | — |
| Averde Health | Commercial | $1,311.86 | — |
| Coventry National First Health | COMM | $1,553.83 | — |
| Physicians Cooperative of Texas | WC | $1,603.39 | — |
| Rockport Workers Comp | COMM | $1,603.39 | — |
| National Healthcare Solutions | COMM | $1,749.15 | — |
| SouthWest Medical | WORKERSCOMP | $1,749.15 | — |
| Independent Medical System | COMM | $1,749.15 | — |
| Coastal Comp | COMM | $1,894.91 | — |
| Multiplan | PHCSPrimaryNetwork | $2,186.44 | — |
| HealthSmart Preferred Care | PPO | $2,390.51 | — |
| Multiplan | ComplementaryNetwork | $2,477.96 | — |
| Physicians, INC | COMM | $2,477.96 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $2,477.96 | — |
| Affiliated PPO | COMM | $2,623.72 | — |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $437.00 | $89.95 – $655.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $437.00 | $69.50 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $437.00 | $74.36 – $655.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $437.00 | $69.50 – $655.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $437.00 | $69.50 – $655.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $437.00 | $69.50 – $607.02 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $437.00 | $69.50 – $655.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $437.00 | $69.50 – $783.01 |