CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Houston Healthcare Conroe

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,840
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Houston Healthcare Conroe is $16,840. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.31x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,840

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $16,840 (131%)
Ins. Median: $16,840 (131% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Coventry National First Health $1,941 - $2,855 15%
United $2,591 - $40,000 20%
Aetna $11,891 - $21,330 93%
Cigna $15,137 - $35,854 118%
Averde Health $15,867 124%
Humana $15,998 - $25,863 125%
Oscar $16,180 - $20,609 126%
Wellmed $16,374 128%
Amerigroup $16,510 129%
Geo Group - Joe Corley Detention Facility $16,510 129%
Integranet Amerigroup Ipa $16,510 129%
Kelsey Seybold $16,510 129%
Texas Healthcare Foundation $16,510 129%
Triwest Healthcare Alliance $16,510 129%
Blue Cross Blue Shield $16,539 129%
Texas Independent Health Plan $16,675 130%
Van Lang Ipa $16,675 130%
Wellcare $16,675 130%
Devoted Health $16,840 131%
Provider Partners Health Plan Of Texas $16,840 131%
American Health Plan $17,336 135%
Procare Advantage $17,336 135%
Superior Health Plan $17,336 135%
Imagine Health $17,491 137%
Shared Health $17,666 138%
Molina $17,996 141%
Verda Health Plan $18,161 142%
Fidelis Securecare Of Tx $19,317 151%
Universal Healthcare Group $21,133 165%
Healthcare Highways $21,450 167%
Corvel Corporation $23,373 183%
Community Health Choice $23,940 187%
Curative Administrators $24,061 188%
Evry Health $24,645 192%
Omni Healthcare $24,790 194%
Superior $25,591 200%
Molina Healthcare $26,385 206%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals