Avulsion nail plate partial/complete simple single nail plate at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$142.10
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.
$406.00
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.
$44.66 with TCHP vs $2,700.00 with Humana — 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $44.66 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $44.66 | ↓ -69% |
| CHC | Medicaid|All Other Plans | $44.66 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $44.66 | ↓ -69% |
| Wellpoint | Medicaid|CHIP | $44.66 | ↓ -69% |
| Wellpoint | Medicaid|STARKIDS | $44.66 | ↓ -69% |
| UHC | Medicaid|CHIP | $45.56 | ↓ -68% |
| UHC | Medicaid|STARKIDS | $45.56 | ↓ -68% |
| UNITED | Medicaid|All Other Plans | $45.56 | ↓ -68% |
| BCBS | Medicaid|All Plans | $46.90 | ↓ -67% |
| BCBS - TX | Commercial|Transplant | $58.49 | ↓ -59% |
| CHC | Medicaid|STAR | $59.85 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $59.85 | ↓ -58% |
| TCHP | Medicaid|STAR | $59.85 | ↓ -58% |
| UNITED | Medicaid|STAR | $61.19 | ↓ -57% |
| OPTUM | Medicare|All Plans | $109.62 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $139.34 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $139.34 | ↓ -2% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -1% |
| Renaissance | Commercial|All Plans | $143.29 | ↑ +1% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $146.77 | ↑ +3% |
| OPTUM | Medicaid|STAR | $146.90 | ↑ +3% |
| Cigna | Commercial|HMO | $154.00 | ↑ +8% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $160.75 | ↑ +13% |
| TCHPCHIP | Medicaid|HMO | $166.46 | ↑ +17% |
| TCH | Commercial|Transplant | $182.70 | ↑ +29% |
| United | Commercial|Optum | $190.82 | ↑ +34% |
| KELSEY | Medicare|All Plans | $199.02 | ↑ +40% |
| BCBS | Medicare|All Plans | $199.02 | ↑ +40% |
| Humana | Medicare|TRANSPLANT | $199.02 | ↑ +40% |
| AETNA | Medicare|TRANSPLANT | $199.02 | ↑ +40% |
| CIGNA HEALTHSPRING | Medicare|HMO | $199.02 | ↑ +40% |
| Humana | Medicare|All Other Plans | $199.02 | ↑ +40% |
| CIGNA HEALTHSPRING | Medicare|PPO | $201.01 | ↑ +41% |
| Shell | Commercial|All Plans | $203.00 | ↑ +43% |
| UHC-SecureHorizons | Medicare|All Plans | $203.00 | ↑ +43% |
| AETNA | Medicare|All Other Plans | $203.00 | ↑ +43% |
| Amerivantage | Medicare|All Plans | $204.99 | ↑ +44% |
| SELECTCARE | Medicare|All Plans | $208.97 | ↑ +47% |
| DEVOTED | Medicare|All Plans | $212.95 | ↑ +50% |
| SCANHealth | Medicare|All Plans | $212.95 | ↑ +50% |
| CHC | Medicaid|CHIP | $223.30 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $223.30 | ↑ +57% |
| CHC | Medicaid|HMO | $223.30 | ↑ +57% |
| KINDRED | Medicare|All Plans | $238.82 | ↑ +68% |
| Independent Med System | Commercial|All Plans | $243.60 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $243.60 | ↑ +71% |
| PHCS | Commercial|PPO | $263.90 | ↑ +86% |
| First Health | Commercial|All Plans | $263.90 | ↑ +86% |
| Humana | Commercial|Transplant | $263.90 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $263.90 | ↑ +86% |
| Coventry | Commercial|PPO | $263.90 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $268.68 | ↑ +89% |
| Employer Direct | Commercial|PPO | $278.63 | ↑ +96% |
| Interlink | Commercial|Transplant | $284.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $284.20 | ↑ +100% |
| Aetna | Commercial|PPO | $284.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $284.20 | ↑ +100% |
| BCBS - TX | Commercial|Premier | $291.80 | ↑ +105% |
| Community Health Choice | Commercial|All Other Plans | $298.53 | ↑ +110% |
| Community Health Choice | Commercial|Exchange | $298.53 | ↑ +110% |
| Wellpoint | Commercial|Exchange | $298.53 | ↑ +110% |
| Harris Health | Commercial|ERS | $298.53 | ↑ +110% |
| Superior Health Plan | Commercial|All Plans | $298.53 | ↑ +110% |
| Bright Health | Commercial|All Plans | $300.30 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $304.50 | ↑ +114% |
| Aetna | Commercial|Exchange | $306.49 | ↑ +116% |
| Aetna | Commercial|Transplant | $308.56 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $335.44 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $345.10 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $356.45 | ↑ +151% |
| BCBS - TX | Commercial|PPO Trad | $384.41 | ↑ +171% |
| Cigna | Commercial|PPO | $387.00 | ↑ +172% |
| MHealth Network | Commercial|PPO | $406.00 | ↑ +186% |
| NX Health | Commercial|PPO | $646.82 | ↑ +355% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +531% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +659% |
| United | Commercial|Exchange | $1,452.00 | ↑ +922% |
| United | Commercial|Charter | $1,955.00 | ↑ +1276% |
| United | Commercial|HMO | $2,172.00 | ↑ +1429% |
| United | Commercial|PPO | $2,172.00 | ↑ +1429% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +1592% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +1800% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +1800% |
Visitor-reported prices
Comments
Avulsion nail plate partial/complete simple single nail plate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $142.10 | $32.48 – $406.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $358.20 – $358.20 |
| HCA HOUSTON WEST | HOUSTON | not published | $202.56 – $304.03 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $304.03 – $304.03 |
| Adventhealth Rollins Brook | Lampasas | $514.22 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $397.78 | $111.00 – $497.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $401.34 | $71.00 – $602.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $356.75 | $71.00 – $495.95 |