Assay of PSA complexed at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$43.40
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.
$124.00
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.
$13.24 with Renaissance vs $124.00 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 | $13.24 | ↓ -69% |
| Wellpoint | Medicaid|CHIP | $15.45 | ↓ -64% |
| TCHP | Medicaid|STARKIDS | $15.45 | ↓ -64% |
| TCHP | Medicaid|All Other Plans | $15.45 | ↓ -64% |
| Wellpoint | Medicaid|STARKIDS | $15.45 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $15.45 | ↓ -64% |
| UHC | Medicaid|STARKIDS | $15.76 | ↓ -64% |
| UNITED | Medicaid|All Other Plans | $15.76 | ↓ -64% |
| UHC | Medicaid|CHIP | $15.76 | ↓ -64% |
| BCBS | Medicaid|All Plans | $16.22 | ↓ -63% |
| CHC | Medicaid|All Other Plans | $17.77 | ↓ -59% |
| Humana | Medicare|TRANSPLANT | $18.39 | ↓ -58% |
| CIGNA HEALTHSPRING | Medicare|HMO | $18.39 | ↓ -58% |
| AETNA | Medicare|TRANSPLANT | $18.39 | ↓ -58% |
| KELSEY | Medicare|All Plans | $18.39 | ↓ -58% |
| BCBS | Medicare|All Plans | $18.39 | ↓ -58% |
| Humana | Medicare|All Other Plans | $18.39 | ↓ -58% |
| CIGNA HEALTHSPRING | Medicare|PPO | $18.57 | ↓ -57% |
| AETNA | Medicare|All Other Plans | $18.76 | ↓ -57% |
| UHC-SecureHorizons | Medicare|All Plans | $18.76 | ↓ -57% |
| Amerivantage | Medicare|All Plans | $18.94 | ↓ -56% |
| SELECTCARE | Medicare|All Plans | $19.31 | ↓ -56% |
| SCANHealth | Medicare|All Plans | $19.68 | ↓ -55% |
| DEVOTED | Medicare|All Plans | $19.68 | ↓ -55% |
| TCHP | Medicaid|STAR | $20.70 | ↓ -52% |
| Wellpoint | Medicaid|STAR | $20.70 | ↓ -52% |
| UNITED | Medicaid|STAR | $21.17 | ↓ -51% |
| KINDRED | Medicare|All Plans | $22.07 | ↓ -49% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $22.07 | ↓ -49% |
| CHC | Medicaid|STAR | $23.79 | ↓ -45% |
| KelseyCare | Commercial|Exchange | $24.83 | ↓ -43% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $25.56 | ↓ -41% |
| Employer Direct | Commercial|PPO | $25.75 | ↓ -41% |
| Community Health Choice | Commercial|Exchange | $27.59 | ↓ -36% |
| Harris Health | Commercial|ERS | $27.59 | ↓ -36% |
| Community Health Choice | Commercial|All Other Plans | $27.59 | ↓ -36% |
| Superior Health Plan | Commercial|All Plans | $27.59 | ↓ -36% |
| Wellpoint | Commercial|Exchange | $27.59 | ↓ -36% |
| Aetna | Commercial|Exchange | $28.32 | ↓ -35% |
| Bright Health | Commercial|All Plans | $30.34 | ↓ -30% |
| OPTUM | Medicare|All Plans | $33.48 | ↓ -23% |
| United | Commercial|PPO | $34.07 | ↓ -21% |
| United | Commercial|Exchange | $34.07 | ↓ -21% |
| United | Commercial|HMO | $34.07 | ↓ -21% |
| United | Commercial|Charter | $34.07 | ↓ -21% |
| Cigna | Commercial|Surefit | $43.78 | ↑ +1% |
| OPTUM | Medicaid|STAR | $44.87 | ↑ +3% |
| UHC | Medicaid|STARPLUS | $48.20 | ↑ +11% |
| UNITED | Medicaid|STARPLUS | $48.20 | ↑ +11% |
| Cigna | Commercial|HMO | $48.31 | ↑ +11% |
| TCHPCHIP | Medicaid|HMO | $50.84 | ↑ +17% |
| BCBS - TX | Commercial|Premier | $53.15 | ↑ +22% |
| TCH | Commercial|Transplant | $55.80 | ↑ +29% |
| United | Commercial|Optum | $58.28 | ↑ +34% |
| NX Health | Commercial|PPO | $59.77 | ↑ +38% |
| Shell | Commercial|All Plans | $62.00 | ↑ +43% |
| Cigna | Commercial|PPO | $66.06 | ↑ +52% |
| CHC | Medicaid|CHIP | $68.20 | ↑ +57% |
| CHC | Medicaid|HMO | $68.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $68.20 | ↑ +57% |
| BCBS - TX | Commercial|Transplant | $68.47 | ↑ +58% |
| BCBS - TX | Commercial|PPO Trad | $70.62 | ↑ +63% |
| BCBS - TX | Commercial|HMO | $73.38 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $74.40 | ↑ +71% |
| Humana | Commercial|Transplant | $80.60 | ↑ +86% |
| Coventry | Commercial|PPO | $80.60 | ↑ +86% |
| First Health | Commercial|All Plans | $80.60 | ↑ +86% |
| Cigna | Commercial|Transplant | $86.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $86.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $86.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $93.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $102.45 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $105.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $124.00 | ↑ +186% |
Visitor-reported prices
Comments
Assay of PSA complexed at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $43.40 | $13.24 – $124.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $15.45 – $75.26 |
| HCA HOUSTON WEST | HOUSTON | not published | $15.14 – $75.26 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $15.45 – $75.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $109.80 | $12.00 – $164.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $109.80 | $12.00 – $137.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $109.80 | $12.00 – $164.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $109.80 | $8.00 – $164.70 |