Bilateral n block inj trigeminal 64400 at Baylor St Luke's Medical Center

1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$494.55

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,413.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$70.39 with BCBS - TX vs $5,160.00 with Cigna — 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 →

Payer
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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
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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 $70.39 ↓ -86%
Wellpoint Medicaid|STARKIDS $71.06 ↓ -86%
Wellpoint Medicaid|All Other Plans $71.06 ↓ -86%
TCHP Medicaid|All Other Plans $71.06 ↓ -86%
TCHP Medicaid|STARKIDS $71.06 ↓ -86%
Wellpoint Medicaid|CHIP $71.06 ↓ -86%
UHC Medicaid|STARKIDS $72.48 ↓ -85%
UHC Medicaid|CHIP $72.48 ↓ -85%
UNITED Medicaid|All Other Plans $72.48 ↓ -85%
BCBS Medicaid|All Plans $74.61 ↓ -85%
CHC Medicaid|All Other Plans $81.72 ↓ -83%
BCBS - TX Commercial|Blue Advantage Exchange $82.63 ↓ -83%
TCHP Medicaid|STAR $95.22 ↓ -81%
Wellpoint Medicaid|STAR $95.22 ↓ -81%
BCBS - TX Commercial|Transplant $97.20 ↓ -80%
UNITED Medicaid|STAR $97.35 ↓ -80%
CHC Medicaid|STAR $109.43 ↓ -78%
BCBS - TX Commercial|Premier $127.77 ↓ -74%
BCBS - TX Commercial|HMO $164.50 ↓ -67%
BCBS - TX Commercial|PPO Trad $175.21 ↓ -65%
Renaissance Commercial|All Plans $212.88 ↓ -57%
UNITED Medicaid|STARPLUS $221.71 ↓ -55%
UHC Medicaid|STARPLUS $221.71 ↓ -55%
Humana Medicare|All Other Plans $295.67 ↓ -40%
BCBS Medicare|All Plans $295.67 ↓ -40%
Humana Medicare|TRANSPLANT $295.67 ↓ -40%
CIGNA HEALTHSPRING Medicare|HMO $295.67 ↓ -40%
AETNA Medicare|TRANSPLANT $295.67 ↓ -40%
KELSEY Medicare|All Plans $295.67 ↓ -40%
CIGNA HEALTHSPRING Medicare|PPO $298.63 ↓ -40%
AETNA Medicare|All Other Plans $301.58 ↓ -39%
UHC-SecureHorizons Medicare|All Plans $301.58 ↓ -39%
Amerivantage Medicare|All Plans $304.54 ↓ -38%
SELECTCARE Medicare|All Plans $310.45 ↓ -37%
DEVOTED Medicare|All Plans $316.37 ↓ -36%
SCANHealth Medicare|All Plans $316.37 ↓ -36%
KINDRED Medicare|All Plans $354.80 ↓ -28%
OPTUM Medicare|All Plans $381.51 ↓ -23%
KelseyCare Commercial|Exchange $399.15 ↓ -19%
Employer Direct Commercial|PPO $413.94 ↓ -16%
Bright Health Commercial|All Plans $436.92 ↓ -12%
Harris Health Commercial|ERS $443.50 ↓ -10%
Superior Health Plan Commercial|All Plans $443.50 ↓ -10%
Wellpoint Commercial|Exchange $443.50 ↓ -10%
Community Health Choice Commercial|Exchange $443.50 ↓ -10%
Community Health Choice Commercial|All Other Plans $443.50 ↓ -10%
Aetna Commercial|Exchange $455.33 ↓ -8%
OPTUM Medicaid|STAR $511.23 ↑ +3%
TCHPCHIP Medicaid|HMO $579.33 ↑ +17%
TCH Commercial|Transplant $635.85 ↑ +29%
United Commercial|Optum $664.11 ↑ +34%
Shell Commercial|All Plans $706.50 ↑ +43%
CHC Medicaid|HMO $777.15 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $777.15 ↑ +57%
CHC Medicaid|CHIP $777.15 ↑ +57%
Independent Med System Commercial|All Plans $847.80 ↑ +71%
Cigna Lifesource Commercial|Transplant $847.80 ↑ +71%
Aetna Commercial|KelseyCare $896.00 ↑ +81%
PHCS Savility Commercial|PPO $918.45 ↑ +86%
PHCS Commercial|PPO $918.45 ↑ +86%
First Health Commercial|All Plans $918.45 ↑ +86%
Coventry Commercial|PPO $918.45 ↑ +86%
Humana Commercial|Transplant $918.45 ↑ +86%
KelseyCare Commercial|All Other Plans $942.30 ↑ +91%
NX Health Commercial|PPO $960.93 ↑ +94%
Interlink Commercial|Transplant $989.10 ↑ +100%
Aetna Commercial|PPO $989.10 ↑ +100%
Healthsmart Commercial|PPO $989.10 ↑ +100%
Cigna Commercial|Transplant $989.10 ↑ +100%
MultiPlan Commercial|All Plans $1,059.75 ↑ +114%
Aetna Commercial|Transplant $1,073.88 ↑ +117%
Aetna Commercial|HMO $1,079.00 ↑ +118%
OPTUM Medicaid|STARPLUS $1,167.43 ↑ +136%
USA Health Network Commercial|All Plans $1,201.05 ↑ +143%
MHealth Network Commercial|PPO $1,413.00 ↑ +186%
United Commercial|Exchange $1,452.00 ↑ +194%
Cigna Commercial|Surefit $1,864.00 ↑ +277%
United Commercial|Charter $1,955.00 ↑ +295%
Cigna Commercial|HMO $2,054.00 ↑ +315%
United Commercial|PPO $2,172.00 ↑ +339%
United Commercial|HMO $2,172.00 ↑ +339%
Humana Commercial|HMO $2,700.00 ↑ +446%
Humana Commercial|PPO $2,700.00 ↑ +446%
Cigna Commercial|PPO $5,160.00 ↑ +943%

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Bilateral n block inj trigeminal 64400 at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - The Vintage Hospital Houston $494.55 $381.51 – $1,413.00
HCA HOUSTON MEDICAL CENTER Houston not published $72.48 – $552.40
HCA HOUSTON WEST HOUSTON not published $66.20 – $552.40
HCA HOUSTON TOMBALL HOUSTON not published $67.55 – $552.40
Adventhealth Rollins Brook Lampasas $1,426.83 $95.64 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $795.31 $71.00 – $1,192.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $807.04 $67.55 – $1,008.79

All Texas hospitals for this procedure →