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Short Term Acute Care HospitalProprietary

Hca Houston Healthcare Conroe

HCA Healthcare · Conroe, TX

504 Medical Boulevard, Conroe, TX 77304(936) 539-1111

2 of 5

CMS star rating

289

Beds

16,795

Inpatient discharges a year

$358.7M

Net patient revenue a year

36

In-network payers

About this hospital

Hca Houston Healthcare Conroe is a 289-bed proprietary hospital in Conroe, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 501 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
450222
NPI
1962455816
Health system
HCA Healthcare
Teaching
Teaching hospital
County
Montgomery County
Metro area
Houston-Pasadena-The Woodlands, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1978
Last CMS survey
2024

Prices for common services

The 24 services Hca Houston Healthcare Conroe most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,509 - $9,431

from 3 insurers · median $6,935

Aetna$9,431
Insurer A*$6,509
Insurer B*$6,935

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,227 - $12,300

from 4 insurers · median $9,740

Aetna$12,300
Insurer A*$8,227
Insurer B*$8,966
Insurer C*$10,513

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Ear, nose and throat

Correction of the nasal septum

CPT 30520

$3,044 - $4,453

from 3 insurers · median $4,219

Blue Cross$4,453
Insurer A*$3,044
Insurer B*$4,219
Medicare $3,235Nearby hospitals $3,9856% above nearby hospitals

68 Medicare claims in Level 4 ENT Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$71,672 - $167,325

from 4 insurers · median $107,813

Aetna$71,672
Insurer A*$77,526
Insurer B*$138,101
Insurer C*$167,325
Medicare $90,833Nearby hospitals $122,12812% below nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

How the insurers pay at Hca Houston Healthcare Conroe

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
313%
811
Insurer B*8
273%
33
Insurer C*23
184%
317
Insurer D*23
143%
79

How we chose these services: 4 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hca Houston Healthcare Conroe, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 158 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.94%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 39 services, including trauma care
    • 367 affiliated clinicians
    See doctors and services
  • Finances

    $358.7M net patient revenue

    • Operating margin on patient care 28.1%
    • $35M unreimbursed and uncompensated care
    • $101.6M net income
    See finances
  • Ownership and leadership

    Owned by Columbia/hca Of Houston, Inc

    • Private (for profit)
    • Christopher M Davis, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hca Houston Healthcare Conroe in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
62-1801361Chca Conroe LP60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1962455816 Chca Conroe LP1700219037 Chca Conroe LP1699729665 Chca Conroe L.P.

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

504 Medical Boulevard, Conroe, TX 77304

(936) 539-1111

Get directions

Frequently asked questions

About Hca Houston Healthcare Conroe's rates and hospital price transparency.

How much does an MRI cost at Hca Houston Healthcare Conroe?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hca Houston Healthcare Conroe range from $699 to $1,371 across 3 insurers. UnitedHealthcare's rate is $699. The median at nearby comparable hospitals is $864. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Hca Houston Healthcare Conroe?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hca Houston Healthcare Conroe range from $699 to $1,760 across 3 insurers. Blue Cross Blue Shield's rate is $1,440. The median at nearby comparable hospitals is $1,329. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Hca Houston Healthcare Conroe?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Hca Houston Healthcare Conroe range from $1,315 to $2,229 across 3 insurers. UnitedHealthcare's rate is $1,315. The median at nearby comparable hospitals is $1,532. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Hca Houston Healthcare Conroe?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hca Houston Healthcare Conroe range from $6,509 to $9,431 across 3 insurers. Aetna's rate is $9,431. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Hca Houston Healthcare Conroe?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hca Houston Healthcare Conroe range from $184 to $601 across 4 insurers. Cigna's rate is $350. The median at nearby comparable hospitals is $307. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Hca Houston Healthcare Conroe?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Hca Houston Healthcare Conroe range from $18,647 to $47,378 across 4 insurers. Aetna's rate is $18,647. The median at nearby comparable hospitals is $27,926. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Hca Houston Healthcare Conroe's CMS star rating?

Hca Houston Healthcare Conroe has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Hca Houston Healthcare Conroe a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at Hca Houston Healthcare Conroe for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Hca Houston Healthcare Conroe for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hca Houston Healthcare Conroe's base inpatient payments by an estimated 0.94% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Hca Houston Healthcare Conroe?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (166 discharges), heart failure and shock with mcc (88 discharges), percutaneous and other intracardiac procedures without mcc (43 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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