Emergency department visit at Hca Houston Healthcare Conroe

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional

CONROE, TX

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Pricing by billing methodology

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How this price compares nationally

Hca Houston Healthcare Conroe’s median price of $458 is 218% above the median hospital's median price ($144), higher than 89% of the 2,608 hospitals reporting CPT 99281. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99281 at Hca Houston Healthcare Conroe

Negotiated rates from the hospital’s own file: 11 payers, 41 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare mgmcd fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
2	Humana mcd fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
3	Aetna Better Health mgmcd fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
4	Molina chip case rate · outpatient	$140	$140	—	—	—	$140 – $140
5	Molina star case rate · outpatient	$140	$140	—	—	—	$140 – $140
6	Molina starkids case rate · outpatient	$140	$140	—	—	—	$140 – $140
7	Molina starplus case rate · outpatient	$140	$140	—	—	—	$140 – $140
8	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
9	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$279	$279	—	—	—	$279 – $279
10	Blue Cross Blue Shield mybluehealth case rate · outpatient	$292	$292	—	—	—	$292 – $292
11	Oscar hix case rate · outpatient	$318	$318	—	—	—	$318 – $318
12	Blue Cross Blue Shield bav case rate · outpatient	$338	$338	—	—	—	$338 – $338
13	UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges	$358	$358	—	—	—	$358 – $358
14	Blue Cross Blue Shield eposoa case rate · outpatient	$422	$422	—	—	—	$422 – $422
15	Blue Cross Blue Shield hmo case rate · outpatient	$422	$422	—	—	—	$422 – $422
16	Blue Cross Blue Shield ppo case rate · outpatient	$422	$422	—	—	—	$422 – $422
17	First Health comm percent of total billed charges · outpatientfrom % of charges	$424	$424	—	—	—	$424 – $424
18	UnitedHealthcare narrownetworkindivexchange case rate · outpatient	$491	$491	—	—	—	$491 – $491
19	UnitedHealthcare smallgroup case rate · outpatient	$508	$508	—	—	—	$508 – $508
20	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$597	$597	—	—	—	$597 – $597
21	Healthcare Highways narrownetwork case rate · outpatient	$609	$609	—	—	—	$609 – $609
22	Cigna csn case rate · outpatient	$646	$646	—	—	—	$646 – $646
23	Aetna qhpexchange case rate · outpatient	$661	$661	—	—	—	$661 – $661
24	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
25	Cigna openaccessplus case rate · outpatient	$700	$700	—	—	—	$700 – $700

Page 1 of 2 · 41 rates

Last updated: May 14, 2026

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