Assay of procainamide w/metab at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$42.70
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.
$122.00
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.
$12.06 with Renaissance vs $122.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $12.06 | ↓ -72% |
| Wellpoint | Medicaid|STARKIDS | $14.07 | ↓ -67% |
| TCHP | Medicaid|STARKIDS | $14.07 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $14.07 | ↓ -67% |
| Wellpoint | Medicaid|CHIP | $14.07 | ↓ -67% |
| TCHP | Medicaid|All Other Plans | $14.07 | ↓ -67% |
| UNITED | Medicaid|All Other Plans | $14.35 | ↓ -66% |
| UHC | Medicaid|CHIP | $14.35 | ↓ -66% |
| UHC | Medicaid|STARKIDS | $14.35 | ↓ -66% |
| BCBS | Medicaid|All Plans | $14.77 | ↓ -65% |
| CHC | Medicaid|All Other Plans | $16.18 | ↓ -62% |
| KELSEY | Medicare|All Plans | $16.75 | ↓ -61% |
| Humana | Medicare|All Other Plans | $16.75 | ↓ -61% |
| Humana | Medicare|TRANSPLANT | $16.75 | ↓ -61% |
| CIGNA HEALTHSPRING | Medicare|HMO | $16.75 | ↓ -61% |
| AETNA | Medicare|TRANSPLANT | $16.75 | ↓ -61% |
| BCBS | Medicare|All Plans | $16.75 | ↓ -61% |
| CIGNA HEALTHSPRING | Medicare|PPO | $16.92 | ↓ -60% |
| AETNA | Medicare|All Other Plans | $17.09 | ↓ -60% |
| UHC-SecureHorizons | Medicare|All Plans | $17.09 | ↓ -60% |
| Amerivantage | Medicare|All Plans | $17.25 | ↓ -60% |
| SELECTCARE | Medicare|All Plans | $17.59 | ↓ -59% |
| DEVOTED | Medicare|All Plans | $17.92 | ↓ -58% |
| SCANHealth | Medicare|All Plans | $17.92 | ↓ -58% |
| TCHP | Medicaid|STAR | $18.85 | ↓ -56% |
| Wellpoint | Medicaid|STAR | $18.85 | ↓ -56% |
| UNITED | Medicaid|STAR | $19.28 | ↓ -55% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $20.10 | ↓ -53% |
| KINDRED | Medicare|All Plans | $20.10 | ↓ -53% |
| CHC | Medicaid|STAR | $21.67 | ↓ -49% |
| KelseyCare | Commercial|Exchange | $22.61 | ↓ -47% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $23.28 | ↓ -45% |
| Employer Direct | Commercial|PPO | $23.45 | ↓ -45% |
| Community Health Choice | Commercial|Exchange | $25.13 | ↓ -41% |
| Superior Health Plan | Commercial|All Plans | $25.13 | ↓ -41% |
| Wellpoint | Commercial|Exchange | $25.13 | ↓ -41% |
| Community Health Choice | Commercial|All Other Plans | $25.13 | ↓ -41% |
| Harris Health | Commercial|ERS | $25.13 | ↓ -41% |
| Aetna | Commercial|Exchange | $25.80 | ↓ -40% |
| Bright Health | Commercial|All Plans | $27.64 | ↓ -35% |
| United | Commercial|Charter | $31.02 | ↓ -27% |
| United | Commercial|HMO | $31.02 | ↓ -27% |
| United | Commercial|Exchange | $31.02 | ↓ -27% |
| United | Commercial|PPO | $31.02 | ↓ -27% |
| OPTUM | Medicare|All Plans | $32.94 | ↓ -23% |
| Cigna | Commercial|Surefit | $39.65 | ↓ -7% |
| Cigna | Commercial|HMO | $43.75 | ↑ +2% |
| UNITED | Medicaid|STARPLUS | $43.90 | ↑ +3% |
| UHC | Medicaid|STARPLUS | $43.90 | ↑ +3% |
| OPTUM | Medicaid|STAR | $44.14 | ↑ +3% |
| BCBS - TX | Commercial|Premier | $48.41 | ↑ +13% |
| TCHPCHIP | Medicaid|HMO | $50.02 | ↑ +17% |
| NX Health | Commercial|PPO | $54.44 | ↑ +27% |
| TCH | Commercial|Transplant | $54.90 | ↑ +29% |
| United | Commercial|Optum | $57.34 | ↑ +34% |
| Cigna | Commercial|PPO | $59.82 | ↑ +40% |
| Shell | Commercial|All Plans | $61.00 | ↑ +43% |
| BCBS - TX | Commercial|Transplant | $62.37 | ↑ +46% |
| BCBS - TX | Commercial|PPO Trad | $64.32 | ↑ +51% |
| BCBS - TX | Commercial|HMO | $66.83 | ↑ +57% |
| CHC | Medicaid|HMO | $67.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $67.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $67.10 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $73.20 | ↑ +71% |
| Coventry | Commercial|PPO | $79.30 | ↑ +86% |
| First Health | Commercial|All Plans | $79.30 | ↑ +86% |
| Humana | Commercial|Transplant | $79.30 | ↑ +86% |
| Healthsmart | Commercial|PPO | $85.40 | ↑ +100% |
| Aetna | Commercial|HMO | $85.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $85.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $85.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $91.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $100.80 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $103.70 | ↑ +143% |
| MHealth Network | Commercial|PPO | $122.00 | ↑ +186% |
Visitor-reported prices
Comments
Assay of procainamide w/metab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $42.70 | $12.06 – $122.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $13.79 – $68.28 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $160.85 | $10.00 – $201.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $118.20 | $12.00 – $177.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $118.20 | $12.00 – $147.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $160.85 | $10.00 – $201.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $118.20 | $12.00 – $177.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $118.20 | $8.00 – $177.30 |