Athrectomy fem/pop/unilateral 37225 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$16,141.30
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.
$46,118.00
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.
$1,695.00 with Aetna vs $58,453.88 with NX Health — 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $1,695.00 | ↓ -89% |
| Aetna | Commercial|HMO | $2,038.00 | ↓ -87% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -85% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -83% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -83% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -79% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -77% |
| United | Commercial|Exchange | $4,175.00 | ↓ -74% |
| United | Commercial|Charter | $5,621.00 | ↓ -65% |
| Wellpoint | Medicaid|CHIP | $5,807.73 | ↓ -64% |
| TCHP | Medicaid|STARKIDS | $5,807.73 | ↓ -64% |
| TCHP | Medicaid|All Other Plans | $5,807.73 | ↓ -64% |
| Wellpoint | Medicaid|STARKIDS | $5,807.73 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $5,807.73 | ↓ -64% |
| UHC | Medicaid|STARKIDS | $5,923.88 | ↓ -63% |
| UHC | Medicaid|CHIP | $5,923.88 | ↓ -63% |
| UNITED | Medicaid|All Other Plans | $5,923.88 | ↓ -63% |
| BCBS | Medicaid|All Plans | $6,098.12 | ↓ -62% |
| United | Commercial|HMO | $6,245.00 | ↓ -61% |
| United | Commercial|PPO | $6,245.00 | ↓ -61% |
| CHC | Medicaid|All Other Plans | $6,678.89 | ↓ -59% |
| Wellpoint | Medicaid|STAR | $7,782.36 | ↓ -52% |
| TCHP | Medicaid|STAR | $7,782.36 | ↓ -52% |
| UNITED | Medicaid|STAR | $7,956.59 | ↓ -51% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $8,323.12 | ↓ -48% |
| CHC | Medicaid|STAR | $8,943.90 | ↓ -45% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $9,115.80 | ↓ -44% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -43% |
| OPTUM | Medicare|All Plans | $12,451.86 | ↓ -23% |
| Renaissance | Commercial|All Plans | $12,949.78 | ↓ -20% |
| BCBS - TX | Commercial|Transplant | $14,044.19 | ↓ -13% |
| BCBS - TX | Commercial|Premier | $16,547.16 | ↑ +3% |
| OPTUM | Medicaid|STAR | $16,685.50 | ↑ +3% |
| Bright Health | Commercial|All Plans | $16,797.53 | ↑ +4% |
| BCBS | Medicare|All Plans | $17,985.81 | ↑ +11% |
| Humana | Medicare|All Other Plans | $17,985.81 | ↑ +11% |
| AETNA | Medicare|TRANSPLANT | $17,985.81 | ↑ +11% |
| KELSEY | Medicare|All Plans | $17,985.81 | ↑ +11% |
| CIGNA HEALTHSPRING | Medicare|HMO | $17,985.81 | ↑ +11% |
| Humana | Medicare|TRANSPLANT | $17,985.81 | ↑ +11% |
| UHC | Medicaid|STARPLUS | $18,120.12 | ↑ +12% |
| UNITED | Medicaid|STARPLUS | $18,120.12 | ↑ +12% |
| CIGNA HEALTHSPRING | Medicare|PPO | $18,165.67 | ↑ +13% |
| AETNA | Medicare|All Other Plans | $18,345.53 | ↑ +14% |
| UHC-SecureHorizons | Medicare|All Plans | $18,345.53 | ↑ +14% |
| Amerivantage | Medicare|All Plans | $18,525.38 | ↑ +15% |
| SELECTCARE | Medicare|All Plans | $18,885.10 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $18,908.38 | ↑ +17% |
| DEVOTED | Medicare|All Plans | $19,244.82 | ↑ +19% |
| SCANHealth | Medicare|All Plans | $19,244.82 | ↑ +19% |
| BCBS - TX | Commercial|HMO | $20,213.30 | ↑ +25% |
| TCH | Commercial|Transplant | $20,753.10 | ↑ +29% |
| KINDRED | Medicare|All Plans | $21,582.97 | ↑ +34% |
| United | Commercial|Optum | $21,675.46 | ↑ +34% |
| BCBS - TX | Commercial|PPO Trad | $21,798.66 | ↑ +35% |
| Shell | Commercial|All Plans | $23,059.00 | ↑ +43% |
| KelseyCare | Commercial|Exchange | $24,280.84 | ↑ +50% |
| Employer Direct | Commercial|PPO | $25,180.13 | ↑ +56% |
| TEXASTRUECHOICE | Medicaid|CHIP | $25,364.90 | ↑ +57% |
| CHC | Medicaid|HMO | $25,364.90 | ↑ +57% |
| CHC | Medicaid|CHIP | $25,364.90 | ↑ +57% |
| Community Health Choice | Commercial|All Other Plans | $26,978.72 | ↑ +67% |
| Wellpoint | Commercial|Exchange | $26,978.72 | ↑ +67% |
| Community Health Choice | Commercial|Exchange | $26,978.72 | ↑ +67% |
| Superior Health Plan | Commercial|All Plans | $26,978.72 | ↑ +67% |
| Harris Health | Commercial|ERS | $26,978.72 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $27,670.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $27,670.80 | ↑ +71% |
| Aetna | Commercial|Exchange | $27,698.15 | ↑ +72% |
| Humana | Commercial|Transplant | $29,976.70 | ↑ +86% |
| PHCS | Commercial|PPO | $29,976.70 | ↑ +86% |
| Coventry | Commercial|PPO | $29,976.70 | ↑ +86% |
| First Health | Commercial|All Plans | $29,976.70 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $29,976.70 | ↑ +86% |
| Healthsmart | Commercial|PPO | $32,282.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $32,282.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $32,282.60 | ↑ +100% |
| Aetna | Commercial|PPO | $32,282.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $34,588.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $35,049.68 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $38,102.70 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $39,200.30 | ↑ +143% |
| MHealth Network | Commercial|PPO | $46,118.00 | ↑ +186% |
| NX Health | Commercial|PPO | $58,453.88 | ↑ +262% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $16,141.30 | $12,451.86 – $46,118.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,923.88 – $20,312.38 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,410.25 – $6,969.28 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5,520.66 – $17,240.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $26,503.49 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,745.61 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,902.90 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $26,503.49 | $7,038.00 – $43,439.01 |