CMS Price Transparency Data

MRI, brain (no contrast)

Facility: HCA Houston Healthcare Conroe

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,007
  • Cash Discount Price: $20,146
  • vs. Medicare Baseline: 8.23x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at HCA Houston Healthcare Conroe is $2,007. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,146. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.23x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$20,146

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,007

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $20,146 (8264%)
Insurance Median: $2,007 (823%)
Cash: $20,146 (8264% of Medicare)
Ins. Median: $2,007 (823% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 823% of the Medicare baseline (a markup of 723%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Texas Health Network $198 81%
Amerigroup $202 83%
Liberty County Indigent $202 83%
Texas Childrens Health Plans $202 - $6,551 83%
Community Health Choice Mcd $204 84%
United $208 - $14,451 85%
Aetna $220 - $2,168 90%
Molina Healthcare $222 91%
Humana $253 - $2,752 104%
Superior Health Plan $491 - $1,927 201%
Blue Cross Blue Shield $501 - $11,240 206%
Tx Workforce Commission $1,963 - $7,707 805%
Cigna $2,127 - $2,739 873%
Christus (Usfhp) $3,272 - $12,845 1342%
Healthsmart Preferred Care $3,517 - $27,296 1443%
Fidelis Securecare Of Tx $3,680 - $14,451 1510%
Coventry National First Health $4,359 - $17,116 1788%
Physicians Cooperative Of Texas $4,498 - $17,662 1845%
Rockport Workers Comp $4,498 - $17,662 1845%
Independent Medical System $4,907 - $19,268 2013%
National Healthcare Solutions $4,907 - $19,268 2013%
Southwest Medical $4,907 - $19,268 2013%
Coastal Comp $5,316 - $20,873 2181%
Multiplan $6,134 - $27,296 2516%
Physicians, Inc $6,952 - $27,296 2852%
Affiliated Ppo $7,361 - $28,902 3020%

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