Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,241.05
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.
$6,403.00
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.
$48.14 with BCBS - TX vs $6,403.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $48.14 | ↓ -98% |
| Wellpoint | Medicaid|CHIP | $49.80 | ↓ -98% |
| Wellpoint | Medicaid|STARKIDS | $49.80 | ↓ -98% |
| TCHP | Medicaid|All Other Plans | $49.80 | ↓ -98% |
| TCHP | Medicaid|STARKIDS | $49.80 | ↓ -98% |
| Wellpoint | Medicaid|All Other Plans | $49.80 | ↓ -98% |
| UNITED | Medicaid|All Other Plans | $50.80 | ↓ -98% |
| UHC | Medicaid|CHIP | $50.80 | ↓ -98% |
| UHC | Medicaid|STARKIDS | $50.80 | ↓ -98% |
| BCBS | Medicaid|All Plans | $52.29 | ↓ -98% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $56.52 | ↓ -97% |
| CHC | Medicaid|All Other Plans | $57.27 | ↓ -97% |
| Wellpoint | Medicaid|STAR | $66.73 | ↓ -97% |
| TCHP | Medicaid|STAR | $66.73 | ↓ -97% |
| UNITED | Medicaid|STAR | $68.23 | ↓ -97% |
| CHC | Medicaid|STAR | $76.69 | ↓ -97% |
| BCBS - TX | Commercial|Premier | $87.39 | ↓ -96% |
| BCBS - TX | Commercial|HMO | $112.51 | ↓ -95% |
| BCBS - TX | Commercial|PPO Trad | $119.84 | ↓ -95% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -94% |
| Cigna | Commercial|HMO | $154.00 | ↓ -93% |
| UHC | Medicaid|STARPLUS | $155.38 | ↓ -93% |
| UNITED | Medicaid|STARPLUS | $155.38 | ↓ -93% |
| Renaissance | Commercial|All Plans | $212.88 | ↓ -91% |
| KELSEY | Medicare|All Plans | $295.67 | ↓ -87% |
| Humana | Medicare|All Other Plans | $295.67 | ↓ -87% |
| Humana | Medicare|TRANSPLANT | $295.67 | ↓ -87% |
| AETNA | Medicare|TRANSPLANT | $295.67 | ↓ -87% |
| CIGNA HEALTHSPRING | Medicare|HMO | $295.67 | ↓ -87% |
| BCBS | Medicare|All Plans | $295.67 | ↓ -87% |
| CIGNA HEALTHSPRING | Medicare|PPO | $298.63 | ↓ -87% |
| UHC-SecureHorizons | Medicare|All Plans | $301.58 | ↓ -87% |
| AETNA | Medicare|All Other Plans | $301.58 | ↓ -87% |
| Amerivantage | Medicare|All Plans | $304.54 | ↓ -86% |
| SELECTCARE | Medicare|All Plans | $310.45 | ↓ -86% |
| SCANHealth | Medicare|All Plans | $316.37 | ↓ -86% |
| DEVOTED | Medicare|All Plans | $316.37 | ↓ -86% |
| KINDRED | Medicare|All Plans | $354.80 | ↓ -84% |
| Cigna | Commercial|PPO | $387.00 | ↓ -83% |
| KelseyCare | Commercial|Exchange | $399.15 | ↓ -82% |
| Employer Direct | Commercial|PPO | $413.94 | ↓ -82% |
| Bright Health | Commercial|All Plans | $436.92 | ↓ -81% |
| Community Health Choice | Commercial|All Other Plans | $443.50 | ↓ -80% |
| Superior Health Plan | Commercial|All Plans | $443.50 | ↓ -80% |
| Wellpoint | Commercial|Exchange | $443.50 | ↓ -80% |
| Harris Health | Commercial|ERS | $443.50 | ↓ -80% |
| Community Health Choice | Commercial|Exchange | $443.50 | ↓ -80% |
| Aetna | Commercial|Exchange | $455.33 | ↓ -80% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -60% |
| NX Health | Commercial|PPO | $960.93 | ↓ -57% |
| Aetna | Commercial|HMO | $1,079.00 | ↓ -52% |
| United | Commercial|Exchange | $1,452.00 | ↓ -35% |
| OPTUM | Medicare|All Plans | $1,728.81 | ↓ -23% |
| United | Commercial|Charter | $1,955.00 | ↓ -13% |
| United | Commercial|HMO | $2,172.00 | ↓ -3% |
| United | Commercial|PPO | $2,172.00 | ↓ -3% |
| OPTUM | Medicaid|STAR | $2,316.61 | ↑ +3% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +7% |
| TCHPCHIP | Medicaid|HMO | $2,625.23 | ↑ +17% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +20% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +20% |
| TCH | Commercial|Transplant | $2,881.35 | ↑ +29% |
| United | Commercial|Optum | $3,009.41 | ↑ +34% |
| Shell | Commercial|All Plans | $3,201.50 | ↑ +43% |
| CHC | Medicaid|HMO | $3,521.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,521.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,521.65 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $3,841.80 | ↑ +71% |
| Coventry | Commercial|PPO | $4,161.95 | ↑ +86% |
| First Health | Commercial|All Plans | $4,161.95 | ↑ +86% |
| Humana | Commercial|Transplant | $4,161.95 | ↑ +86% |
| Healthsmart | Commercial|PPO | $4,482.10 | ↑ +100% |
| Aetna | Commercial|PPO | $4,482.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $4,482.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,482.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $4,802.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $4,866.28 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $5,290.16 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $5,442.55 | ↑ +143% |
| MHealth Network | Commercial|PPO | $6,403.00 | ↑ +186% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,241.05 | $1,728.81 – $6,403.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $50.80 – $377.82 |
| HCA HOUSTON WEST | HOUSTON | not published | $46.39 – $377.82 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $47.34 – $377.82 |
| Adventhealth Rollins Brook | Lampasas | $984.66 | $65.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,123.56 | $47.34 – $1,404.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $910.79 | $50.65 – $1,366.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,111.46 | $47.34 – $1,389.33 |