CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Houston Healthcare Conroe

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $347
  • Cash Discount Price: $3,795
  • vs. Medicare Baseline: 3.90x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Houston Healthcare Conroe is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,795. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.90x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$3,795

Average discount available for prompt cash payment at this facility.

Insurance Median
$347

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $3,795 (4268%)
Insurance Median: $347 (390%)
Cash: $3,795 (4268% of Medicare)
Ins. Median: $347 (390% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 390% of the Medicare baseline (a markup of 290%). 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 $34 38%
Amerigroup $35 39%
Community Health Choice Mcd $35 39%
Liberty County Indigent $35 39%
Texas Childrens Health Plans $35 - $929 39%
United $35 - $2,050 39%
Aetna $38 - $271 43%
Molina Healthcare $39 44%
Humana $44 - $347 49%
Cigna $93 - $120 105%
Blue Cross Blue Shield $140 - $1,594 157%
Superior Health Plan $182 - $273 205%
Tx Workforce Commission $728 - $1,093 819%
Healthcare Highways $774 - $1,162 871%
Evry Health $829 - $1,244 932%
Imagine Health $1,062 - $1,594 1194%
Christus (Usfhp) $1,214 - $1,822 1365%
Curative Administrators $1,214 - $1,822 1365%
Healthsmart Preferred Care $1,305 - $3,872 1468%
Averde Health $1,366 - $2,050 1536%
Fidelis Securecare Of Tx $1,366 - $2,050 1536%
Coventry National First Health $1,618 - $2,428 1820%
Physicians Cooperative Of Texas $1,669 - $2,506 1877%
Rockport Workers Comp $1,669 - $2,506 1877%
Independent Medical System $1,821 - $2,733 2048%
National Healthcare Solutions $1,821 - $2,733 2048%
Southwest Medical $1,821 - $2,733 2048%
Coastal Comp $1,973 - $2,961 2219%
Multiplan $2,276 - $3,872 2560%
Physicians, Inc $2,580 - $3,872 2902%
Affiliated Ppo $2,731 - $4,100 3072%

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