Biliary endo perq dx w/speci at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$6,238.05
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.
$17,823.00
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.
$1,195.00 with Aetna vs $30,902.00 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 →
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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 | $1,195.00 | ↓ -81% |
| TCHP | Medicaid|All Other Plans | $1,211.42 | ↓ -81% |
| TCHP | Medicaid|STARKIDS | $1,211.42 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $1,211.42 | ↓ -81% |
| Wellpoint | Medicaid|CHIP | $1,211.42 | ↓ -81% |
| Wellpoint | Medicaid|STARKIDS | $1,211.42 | ↓ -81% |
| UHC | Medicaid|CHIP | $1,235.65 | ↓ -80% |
| UHC | Medicaid|STARKIDS | $1,235.65 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $1,235.65 | ↓ -80% |
| BCBS | Medicaid|All Plans | $1,271.99 | ↓ -80% |
| Healthsmart | Commercial|AP3 | $1,285.00 | ↓ -79% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↓ -78% |
| CHC | Medicaid|All Other Plans | $1,393.13 | ↓ -78% |
| Aetna | Commercial|HMO | $1,438.00 | ↓ -77% |
| TCHP | Medicaid|STAR | $1,623.30 | ↓ -74% |
| Wellpoint | Medicaid|STAR | $1,623.30 | ↓ -74% |
| UNITED | Medicaid|STAR | $1,659.65 | ↓ -73% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↓ -73% |
| CHC | Medicaid|STAR | $1,865.59 | ↓ -70% |
| Humana | Commercial|HMO | $1,980.00 | ↓ -68% |
| Humana | Commercial|PPO | $1,980.00 | ↓ -68% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $2,611.85 | ↓ -58% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,860.59 | ↓ -54% |
| United | Commercial|Exchange | $3,128.00 | ↓ -50% |
| BCBS - TX | Commercial|Transplant | $3,515.75 | ↓ -44% |
| UNITED | Medicaid|STARPLUS | $3,779.63 | ↓ -39% |
| UHC | Medicaid|STARPLUS | $3,779.63 | ↓ -39% |
| United | Commercial|Charter | $4,211.00 | ↓ -32% |
| Renaissance | Commercial|All Plans | $4,499.90 | ↓ -28% |
| United | Commercial|HMO | $4,680.00 | ↓ -25% |
| United | Commercial|PPO | $4,680.00 | ↓ -25% |
| OPTUM | Medicare|All Plans | $4,812.21 | ↓ -23% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↓ -17% |
| PHCS | Commercial|PPO | $5,185.00 | ↓ -17% |
| BCBS - TX | Commercial|Premier | $5,192.60 | ↓ -17% |
| Bright Health | Commercial|All Plans | $5,320.57 | ↓ -15% |
| Humana | Medicare|All Other Plans | $6,249.86 | ↑ +0% |
| KELSEY | Medicare|All Plans | $6,249.86 | ↑ +0% |
| AETNA | Medicare|TRANSPLANT | $6,249.86 | ↑ +0% |
| BCBS | Medicare|All Plans | $6,249.86 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicare|HMO | $6,249.86 | ↑ +0% |
| Humana | Medicare|TRANSPLANT | $6,249.86 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicare|PPO | $6,312.36 | ↑ +1% |
| BCBS - TX | Commercial|HMO | $6,343.05 | ↑ +2% |
| AETNA | Medicare|All Other Plans | $6,374.86 | ↑ +2% |
| UHC-SecureHorizons | Medicare|All Plans | $6,374.86 | ↑ +2% |
| Amerivantage | Medicare|All Plans | $6,437.36 | ↑ +3% |
| OPTUM | Medicaid|STAR | $6,448.37 | ↑ +3% |
| SELECTCARE | Medicare|All Plans | $6,562.35 | ↑ +5% |
| SCANHealth | Medicare|All Plans | $6,687.35 | ↑ +7% |
| DEVOTED | Medicare|All Plans | $6,687.35 | ↑ +7% |
| BCBS - TX | Commercial|PPO Trad | $6,840.55 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $7,307.43 | ↑ +17% |
| KINDRED | Medicare|All Plans | $7,499.83 | ↑ +20% |
| TCH | Commercial|Transplant | $8,020.35 | ↑ +29% |
| United | Commercial|Optum | $8,376.81 | ↑ +34% |
| KelseyCare | Commercial|Exchange | $8,437.31 | ↑ +35% |
| Employer Direct | Commercial|PPO | $8,749.80 | ↑ +40% |
| Shell | Commercial|All Plans | $8,911.50 | ↑ +43% |
| Harris Health | Commercial|ERS | $9,374.79 | ↑ +50% |
| Wellpoint | Commercial|Exchange | $9,374.79 | ↑ +50% |
| Community Health Choice | Commercial|Exchange | $9,374.79 | ↑ +50% |
| Community Health Choice | Commercial|All Other Plans | $9,374.79 | ↑ +50% |
| Superior Health Plan | Commercial|All Plans | $9,374.79 | ↑ +50% |
| Aetna | Commercial|Exchange | $9,624.78 | ↑ +54% |
| CHC | Medicaid|HMO | $9,802.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $9,802.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $9,802.65 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $10,693.80 | ↑ +71% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +79% |
| Coventry | Commercial|PPO | $11,584.95 | ↑ +86% |
| First Health | Commercial|All Plans | $11,584.95 | ↑ +86% |
| Humana | Commercial|Transplant | $11,584.95 | ↑ +86% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +97% |
| Cigna | Commercial|Transplant | $12,476.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $12,476.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $12,476.10 | ↑ +100% |
| Aetna | Commercial|PPO | $12,476.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $13,367.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $13,545.48 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $14,725.37 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $15,149.55 | ↑ +143% |
| MHealth Network | Commercial|PPO | $17,823.00 | ↑ +186% |
| NX Health | Commercial|PPO | $20,312.04 | ↑ +226% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +395% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,235.65 – $6,374.15 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,128.51 – $6,535.84 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,151.54 – $5,410.25 |
| HCA HOUSTON KINGWOOD | HUMBLE | $4,262.78 | $1,128.51 – $6,535.84 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,414.67 | $2,425.14 – $3,031.43 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,238.05 | $1,285.00 – $17,823.00 |