Applicator tag rfid localizer 12gx7cm at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$6,441.05
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.
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What you pay up front if you don't use insurance.
$18,403.00
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.
$100.00 with Cigna vs $7,229.00 with MHealth Network — 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 |
|---|---|---|---|
| Cigna | Commercial|PPO | $100.00 | ↓ -98% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -98% |
| Cigna | Commercial|HMO | $100.00 | ↓ -98% |
| OPTUM | Medicare|All Plans | $1,951.83 | ↓ -70% |
| OPTUM | Medicaid|STAR | $2,615.46 | ↓ -59% |
| TCHPCHIP | Medicaid|HMO | $2,963.89 | ↓ -54% |
| TCH | Commercial|Transplant | $3,253.05 | ↓ -49% |
| United | Commercial|Optum | $3,397.63 | ↓ -47% |
| Shell | Commercial|All Plans | $3,614.50 | ↓ -44% |
| CHC | Medicaid|CHIP | $3,975.95 | ↓ -38% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,975.95 | ↓ -38% |
| CHC | Medicaid|HMO | $3,975.95 | ↓ -38% |
| Cigna Lifesource | Commercial|Transplant | $4,337.40 | ↓ -33% |
| Coventry | Commercial|PPO | $4,698.85 | ↓ -27% |
| Humana | Commercial|Transplant | $4,698.85 | ↓ -27% |
| First Health | Commercial|All Plans | $4,698.85 | ↓ -27% |
| Cigna | Commercial|Transplant | $5,060.30 | ↓ -21% |
| Healthsmart | Commercial|PPO | $5,060.30 | ↓ -21% |
| Interlink | Commercial|Transplant | $5,060.30 | ↓ -21% |
| MultiPlan | Commercial|All Plans | $5,421.75 | ↓ -16% |
| OPTUM | Medicaid|STARPLUS | $5,972.60 | ↓ -7% |
| USA Health Network | Commercial|All Plans | $6,144.65 | ↓ -5% |
| MHealth Network | Commercial|PPO | $7,229.00 | ↑ +12% |