Appl cast shoulder spica at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$102.55
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.
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What you pay up front if you don't use insurance.
$293.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$79.11 with OPTUM vs $4,300.00 with Humana — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $79.11 | ↓ -23% |
| Wellpoint | Medicaid|All Other Plans | $105.05 | ↑ +2% |
| TCHP | Medicaid|STARKIDS | $105.05 | ↑ +2% |
| TCHP | Medicaid|All Other Plans | $105.05 | ↑ +2% |
| Wellpoint | Medicaid|STARKIDS | $105.05 | ↑ +2% |
| Wellpoint | Medicaid|CHIP | $105.05 | ↑ +2% |
| OPTUM | Medicaid|STAR | $106.01 | ↑ +3% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $106.83 | ↑ +4% |
| UHC | Medicaid|STARKIDS | $107.15 | ↑ +4% |
| UHC | Medicaid|CHIP | $107.15 | ↑ +4% |
| UNITED | Medicaid|All Other Plans | $107.15 | ↑ +4% |
| BCBS | Medicaid|All Plans | $110.30 | ↑ +8% |
| TCHPCHIP | Medicaid|HMO | $120.13 | ↑ +17% |
| CHC | Medicaid|All Other Plans | $120.81 | ↑ +18% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $125.41 | ↑ +22% |
| TCH | Commercial|Transplant | $131.85 | ↑ +29% |
| United | Commercial|Optum | $137.71 | ↑ +34% |
| Cigna | Commercial|Surefit | $140.00 | ↑ +37% |
| Wellpoint | Medicaid|STAR | $140.77 | ↑ +37% |
| TCHP | Medicaid|STAR | $140.77 | ↑ +37% |
| UNITED | Medicaid|STAR | $143.92 | ↑ +40% |
| Shell | Commercial|All Plans | $146.50 | ↑ +43% |
| Cigna | Commercial|HMO | $154.00 | ↑ +50% |
| CHC | Medicaid|CHIP | $161.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $161.15 | ↑ +57% |
| CHC | Medicaid|HMO | $161.15 | ↑ +57% |
| CHC | Medicaid|STAR | $161.78 | ↑ +58% |
| BCBS - TX | Commercial|Transplant | $171.68 | ↑ +67% |
| Independent Med System | Commercial|All Plans | $175.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $175.80 | ↑ +71% |
| PHCS | Commercial|PPO | $190.45 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $190.45 | ↑ +86% |
| Humana | Commercial|Transplant | $190.45 | ↑ +86% |
| First Health | Commercial|All Plans | $190.45 | ↑ +86% |
| Coventry | Commercial|PPO | $190.45 | ↑ +86% |
| Renaissance | Commercial|All Plans | $191.53 | ↑ +87% |
| BCBS - TX | Commercial|Premier | $193.92 | ↑ +89% |
| Cigna | Commercial|Transplant | $205.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $205.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $205.10 | ↑ +100% |
| Aetna | Commercial|PPO | $205.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $219.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $222.68 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $242.08 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $249.05 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $249.66 | ↑ +143% |
| BCBS - TX | Commercial|PPO Trad | $265.91 | ↑ +159% |
| Humana | Medicare|All Other Plans | $266.01 | ↑ +159% |
| AETNA | Medicare|TRANSPLANT | $266.01 | ↑ +159% |
| CIGNA HEALTHSPRING | Medicare|HMO | $266.01 | ↑ +159% |
| BCBS | Medicare|All Plans | $266.01 | ↑ +159% |
| Humana | Medicare|TRANSPLANT | $266.01 | ↑ +159% |
| KELSEY | Medicare|All Plans | $266.01 | ↑ +159% |
| CIGNA HEALTHSPRING | Medicare|PPO | $268.67 | ↑ +162% |
| AETNA | Medicare|All Other Plans | $271.33 | ↑ +165% |
| UHC-SecureHorizons | Medicare|All Plans | $271.33 | ↑ +165% |
| Amerivantage | Medicare|All Plans | $273.99 | ↑ +167% |
| SELECTCARE | Medicare|All Plans | $279.31 | ↑ +172% |
| SCANHealth | Medicare|All Plans | $284.63 | ↑ +178% |
| DEVOTED | Medicare|All Plans | $284.63 | ↑ +178% |
| MHealth Network | Commercial|PPO | $293.00 | ↑ +186% |
| KINDRED | Medicare|All Plans | $319.21 | ↑ +211% |
| UHC | Medicaid|STARPLUS | $327.76 | ↑ +220% |
| UNITED | Medicaid|STARPLUS | $327.76 | ↑ +220% |
| KelseyCare | Commercial|Exchange | $359.11 | ↑ +250% |
| Employer Direct | Commercial|PPO | $372.41 | ↑ +263% |
| Cigna | Commercial|PPO | $387.00 | ↑ +277% |
| Wellpoint | Commercial|Exchange | $399.01 | ↑ +289% |
| Community Health Choice | Commercial|Exchange | $399.01 | ↑ +289% |
| Community Health Choice | Commercial|All Other Plans | $399.01 | ↑ +289% |
| Harris Health | Commercial|ERS | $399.01 | ↑ +289% |
| Superior Health Plan | Commercial|All Plans | $399.01 | ↑ +289% |
| Bright Health | Commercial|All Plans | $403.43 | ↑ +293% |
| Aetna | Commercial|Exchange | $409.66 | ↑ +299% |
| NX Health | Commercial|PPO | $864.53 | ↑ +743% |
| United | Commercial|Exchange | $1,452.00 | ↑ +1316% |
| United | Commercial|Charter | $1,955.00 | ↑ +1806% |
| United | Commercial|HMO | $2,172.00 | ↑ +2018% |
| United | Commercial|PPO | $2,172.00 | ↑ +2018% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +2245% |
| Humana | Commercial|HMO | $4,300.00 | ↑ +4093% |
| Humana | Commercial|PPO | $4,300.00 | ↑ +4093% |
Visitor-reported prices
Comments
Appl cast shoulder spica at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $102.55 | $79.11 – $293.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $107.15 – $838.39 |
| HCA HOUSTON WEST | HOUSTON | not published | $97.86 – $838.39 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $99.86 – $838.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $278.22 | $99.86 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $744.63 | $71.00 – $1,116.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $744.63 | $71.00 – $930.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $278.22 | $99.86 – $665.29 |