Anoscopy and biopsy at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$981.05
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$2,803.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$196.56 with BCBS - TX vs $9,158.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $196.56 | ↓ -80% |
| Wellpoint | Medicaid|CHIP | $211.74 | ↓ -78% |
| TCHP | Medicaid|STARKIDS | $211.74 | ↓ -78% |
| TCHP | Medicaid|All Other Plans | $211.74 | ↓ -78% |
| Wellpoint | Medicaid|STARKIDS | $211.74 | ↓ -78% |
| Wellpoint | Medicaid|All Other Plans | $211.74 | ↓ -78% |
| UNITED | Medicaid|All Other Plans | $215.97 | ↓ -78% |
| UHC | Medicaid|CHIP | $215.97 | ↓ -78% |
| UHC | Medicaid|STARKIDS | $215.97 | ↓ -78% |
| BCBS | Medicaid|All Plans | $222.33 | ↓ -77% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $230.74 | ↓ -76% |
| BCBS - TX | Commercial|Transplant | $242.38 | ↓ -75% |
| CHC | Medicaid|All Other Plans | $243.50 | ↓ -75% |
| TCHP | Medicaid|STAR | $283.73 | ↓ -71% |
| Wellpoint | Medicaid|STAR | $283.73 | ↓ -71% |
| UNITED | Medicaid|STAR | $290.08 | ↓ -70% |
| CHC | Medicaid|STAR | $326.08 | ↓ -67% |
| BCBS - TX | Commercial|Premier | $356.80 | ↓ -64% |
| BCBS - TX | Commercial|HMO | $459.35 | ↓ -53% |
| BCBS - TX | Commercial|PPO Trad | $489.26 | ↓ -50% |
| UNITED | Medicaid|STARPLUS | $660.63 | ↓ -33% |
| UHC | Medicaid|STARPLUS | $660.63 | ↓ -33% |
| OPTUM | Medicare|All Plans | $756.81 | ↓ -23% |
| Renaissance | Commercial|All Plans | $850.31 | ↓ -13% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -9% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↓ -4% |
| OPTUM | Medicaid|STAR | $1,014.13 | ↑ +3% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $1,149.23 | ↑ +17% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,180.99 | ↑ +20% |
| AETNA | Medicare|TRANSPLANT | $1,180.99 | ↑ +20% |
| KELSEY | Medicare|All Plans | $1,180.99 | ↑ +20% |
| Humana | Medicare|TRANSPLANT | $1,180.99 | ↑ +20% |
| Humana | Medicare|All Other Plans | $1,180.99 | ↑ +20% |
| BCBS | Medicare|All Plans | $1,180.99 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,192.80 | ↑ +22% |
| UHC-SecureHorizons | Medicare|All Plans | $1,204.61 | ↑ +23% |
| AETNA | Medicare|All Other Plans | $1,204.61 | ↑ +23% |
| Amerivantage | Medicare|All Plans | $1,216.42 | ↑ +24% |
| SELECTCARE | Medicare|All Plans | $1,240.04 | ↑ +26% |
| TCH | Commercial|Transplant | $1,261.35 | ↑ +29% |
| DEVOTED | Medicare|All Plans | $1,263.66 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $1,263.66 | ↑ +29% |
| United | Commercial|Optum | $1,317.41 | ↑ +34% |
| Shell | Commercial|All Plans | $1,401.50 | ↑ +43% |
| KINDRED | Medicare|All Plans | $1,417.19 | ↑ +44% |
| CHC | Medicaid|HMO | $1,541.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,541.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,541.65 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $1,594.34 | ↑ +63% |
| Employer Direct | Commercial|PPO | $1,653.39 | ↑ +69% |
| Independent Med System | Commercial|All Plans | $1,681.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $1,681.80 | ↑ +71% |
| Bright Health | Commercial|All Plans | $1,734.13 | ↑ +77% |
| Wellpoint | Commercial|Exchange | $1,771.48 | ↑ +81% |
| Harris Health | Commercial|ERS | $1,771.48 | ↑ +81% |
| Community Health Choice | Commercial|All Other Plans | $1,771.48 | ↑ +81% |
| Community Health Choice | Commercial|Exchange | $1,771.48 | ↑ +81% |
| Superior Health Plan | Commercial|All Plans | $1,771.48 | ↑ +81% |
| Aetna | Commercial|Exchange | $1,818.72 | ↑ +85% |
| First Health | Commercial|All Plans | $1,821.95 | ↑ +86% |
| PHCS | Commercial|PPO | $1,821.95 | ↑ +86% |
| Coventry | Commercial|PPO | $1,821.95 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,821.95 | ↑ +86% |
| Humana | Commercial|Transplant | $1,821.95 | ↑ +86% |
| Aetna | Commercial|PPO | $1,962.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,962.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,962.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,962.10 | ↑ +100% |
| United | Commercial|Exchange | $1,984.00 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $2,102.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,130.28 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $2,315.84 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,382.55 | ↑ +143% |
| United | Commercial|Charter | $2,669.00 | ↑ +172% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +175% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +175% |
| MHealth Network | Commercial|PPO | $2,803.00 | ↑ +186% |
| United | Commercial|PPO | $2,968.00 | ↑ +203% |
| United | Commercial|HMO | $2,968.00 | ↑ +203% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +237% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +272% |
| NX Health | Commercial|PPO | $3,838.22 | ↑ +291% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +833% |
Visitor-reported prices
Comments
Anoscopy and biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $981.05 | $756.81 – $2,803.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $215.97 – $1,542.55 |
| HCA HOUSTON WEST | HOUSTON | not published | $197.24 – $1,542.55 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $201.27 – $1,542.55 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $981.05 | $756.81 – $2,803.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $981.05 | $756.81 – $2,803.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $981.05 | $756.81 – $2,803.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,961.22 | $225.61 – $2,761.00 |