Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,723.75
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.
$4,925.00
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.
$28.56 with BCBS - TX vs $5,160.00 with Cigna — 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $28.56 | ↓ -98% |
| Wellpoint | Medicaid|STARKIDS | $29.41 | ↓ -98% |
| Wellpoint | Medicaid|All Other Plans | $29.41 | ↓ -98% |
| TCHP | Medicaid|All Other Plans | $29.41 | ↓ -98% |
| TCHP | Medicaid|STARKIDS | $29.41 | ↓ -98% |
| Wellpoint | Medicaid|CHIP | $29.41 | ↓ -98% |
| UNITED | Medicaid|All Other Plans | $30.00 | ↓ -98% |
| UHC | Medicaid|STARKIDS | $30.00 | ↓ -98% |
| UHC | Medicaid|CHIP | $30.00 | ↓ -98% |
| BCBS | Medicaid|All Plans | $30.88 | ↓ -98% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $33.52 | ↓ -98% |
| CHC | Medicaid|All Other Plans | $33.82 | ↓ -98% |
| Wellpoint | Medicaid|STAR | $39.41 | ↓ -98% |
| TCHP | Medicaid|STAR | $39.41 | ↓ -98% |
| UNITED | Medicaid|STAR | $40.29 | ↓ -98% |
| CHC | Medicaid|STAR | $45.29 | ↓ -97% |
| BCBS - TX | Commercial|Premier | $51.84 | ↓ -97% |
| BCBS - TX | Commercial|Transplant | $65.64 | ↓ -96% |
| BCBS - TX | Commercial|HMO | $66.74 | ↓ -96% |
| BCBS - TX | Commercial|PPO Trad | $71.08 | ↓ -96% |
| UHC | Medicaid|STARPLUS | $91.76 | ↓ -95% |
| UNITED | Medicaid|STARPLUS | $91.76 | ↓ -95% |
| Renaissance | Commercial|All Plans | $212.88 | ↓ -88% |
| BCBS | Medicare|All Plans | $295.67 | ↓ -83% |
| AETNA | Medicare|TRANSPLANT | $295.67 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicare|HMO | $295.67 | ↓ -83% |
| Humana | Medicare|TRANSPLANT | $295.67 | ↓ -83% |
| Humana | Medicare|All Other Plans | $295.67 | ↓ -83% |
| KELSEY | Medicare|All Plans | $295.67 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicare|PPO | $298.63 | ↓ -83% |
| AETNA | Medicare|All Other Plans | $301.58 | ↓ -83% |
| UHC-SecureHorizons | Medicare|All Plans | $301.58 | ↓ -83% |
| Amerivantage | Medicare|All Plans | $304.54 | ↓ -82% |
| SELECTCARE | Medicare|All Plans | $310.45 | ↓ -82% |
| DEVOTED | Medicare|All Plans | $316.37 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $316.37 | ↓ -82% |
| KINDRED | Medicare|All Plans | $354.80 | ↓ -79% |
| KelseyCare | Commercial|Exchange | $399.15 | ↓ -77% |
| Employer Direct | Commercial|PPO | $413.94 | ↓ -76% |
| Bright Health | Commercial|All Plans | $436.92 | ↓ -75% |
| Harris Health | Commercial|ERS | $443.50 | ↓ -74% |
| Community Health Choice | Commercial|Exchange | $443.50 | ↓ -74% |
| Community Health Choice | Commercial|All Other Plans | $443.50 | ↓ -74% |
| Superior Health Plan | Commercial|All Plans | $443.50 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $443.50 | ↓ -74% |
| Aetna | Commercial|Exchange | $455.33 | ↓ -74% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -48% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↓ -45% |
| NX Health | Commercial|PPO | $960.93 | ↓ -44% |
| Aetna | Commercial|HMO | $1,079.00 | ↓ -37% |
| OPTUM | Medicare|All Plans | $1,329.75 | ↓ -23% |
| United | Commercial|Exchange | $1,452.00 | ↓ -16% |
| OPTUM | Medicaid|STAR | $1,781.87 | ↑ +3% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +8% |
| United | Commercial|Charter | $1,955.00 | ↑ +13% |
| TCHPCHIP | Medicaid|HMO | $2,019.25 | ↑ +17% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +19% |
| United | Commercial|HMO | $2,172.00 | ↑ +26% |
| United | Commercial|PPO | $2,172.00 | ↑ +26% |
| TCH | Commercial|Transplant | $2,216.25 | ↑ +29% |
| United | Commercial|Optum | $2,314.75 | ↑ +34% |
| Shell | Commercial|All Plans | $2,462.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $2,708.75 | ↑ +57% |
| CHC | Medicaid|HMO | $2,708.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,708.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,955.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $2,955.00 | ↑ +71% |
| PHCS Savility | Commercial|PPO | $3,201.25 | ↑ +86% |
| PHCS | Commercial|PPO | $3,201.25 | ↑ +86% |
| First Health | Commercial|All Plans | $3,201.25 | ↑ +86% |
| Coventry | Commercial|PPO | $3,201.25 | ↑ +86% |
| Humana | Commercial|Transplant | $3,201.25 | ↑ +86% |
| Healthsmart | Commercial|PPO | $3,447.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,447.50 | ↑ +100% |
| Aetna | Commercial|PPO | $3,447.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,447.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,693.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,743.00 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $4,069.04 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $4,186.25 | ↑ +143% |
| Humana | Commercial|PPO | $4,300.00 | ↑ +149% |
| Humana | Commercial|HMO | $4,300.00 | ↑ +149% |
| MHealth Network | Commercial|PPO | $4,925.00 | ↑ +186% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +199% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,723.75 | $1,329.75 – $4,925.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $30.00 – $224.11 |
| HCA HOUSTON WEST | HOUSTON | not published | $27.40 – $309.89 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $27.96 – $224.11 |
| Adventhealth Rollins Brook | Lampasas | $658.01 | $38.80 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $715.37 | $27.96 – $894.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $592.44 | $29.92 – $888.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,080.06 | $27.96 – $1,350.08 |