Biliary endoscopy thru skin at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,528.45
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.
$4,367.00
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.
$1,179.09 with OPTUM 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $1,179.09 | ↓ -23% |
| Aetna | Commercial|KelseyCare | $1,369.00 | ↓ -10% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↓ -1% |
| OPTUM | Medicaid|STAR | $1,579.99 | ↑ +3% |
| Healthsmart | Commercial|AP3 | $1,609.00 | ↑ +5% |
| Wellpoint | Medicaid|STARKIDS | $1,640.20 | ↑ +7% |
| TCHP | Medicaid|STARKIDS | $1,640.20 | ↑ +7% |
| TCHP | Medicaid|All Other Plans | $1,640.20 | ↑ +7% |
| Wellpoint | Medicaid|CHIP | $1,640.20 | ↑ +7% |
| Wellpoint | Medicaid|All Other Plans | $1,640.20 | ↑ +7% |
| Aetna | Commercial|HMO | $1,648.00 | ↑ +8% |
| UHC | Medicaid|CHIP | $1,673.00 | ↑ +9% |
| UHC | Medicaid|STARKIDS | $1,673.00 | ↑ +9% |
| UNITED | Medicaid|All Other Plans | $1,673.00 | ↑ +9% |
| BCBS | Medicaid|All Plans | $1,722.21 | ↑ +13% |
| TCHPCHIP | Medicaid|HMO | $1,790.47 | ↑ +17% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↑ +17% |
| CHC | Medicaid|All Other Plans | $1,886.23 | ↑ +23% |
| TCH | Commercial|Transplant | $1,965.15 | ↑ +29% |
| United | Commercial|Optum | $2,052.49 | ↑ +34% |
| Shell | Commercial|All Plans | $2,183.50 | ↑ +43% |
| TCHP | Medicaid|STAR | $2,197.87 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $2,197.87 | ↑ +44% |
| UNITED | Medicaid|STAR | $2,247.07 | ↑ +47% |
| Humana | Commercial|HMO | $2,250.00 | ↑ +47% |
| Humana | Commercial|PPO | $2,250.00 | ↑ +47% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,401.85 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,401.85 | ↑ +57% |
| CHC | Medicaid|HMO | $2,401.85 | ↑ +57% |
| CHC | Medicaid|STAR | $2,525.91 | ↑ +65% |
| Renaissance | Commercial|All Plans | $2,545.04 | ↑ +67% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $2,611.85 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $2,620.20 | ↑ +71% |
| Coventry | Commercial|PPO | $2,838.55 | ↑ +86% |
| First Health | Commercial|All Plans | $2,838.55 | ↑ +86% |
| Humana | Commercial|Transplant | $2,838.55 | ↑ +86% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,860.59 | ↑ +87% |
| Healthsmart | Commercial|PPO | $3,056.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,056.90 | ↑ +100% |
| Aetna | Commercial|PPO | $3,056.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,056.90 | ↑ +100% |
| United | Commercial|Exchange | $3,128.00 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $3,275.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,318.92 | ↑ +117% |
| BCBS - TX | Commercial|Transplant | $3,515.75 | ↑ +130% |
| AETNA | Medicare|TRANSPLANT | $3,534.78 | ↑ +131% |
| Humana | Medicare|TRANSPLANT | $3,534.78 | ↑ +131% |
| Humana | Medicare|All Other Plans | $3,534.78 | ↑ +131% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,534.78 | ↑ +131% |
| BCBS | Medicare|All Plans | $3,534.78 | ↑ +131% |
| KELSEY | Medicare|All Plans | $3,534.78 | ↑ +131% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,570.13 | ↑ +134% |
| AETNA | Medicare|All Other Plans | $3,605.48 | ↑ +136% |
| UHC-SecureHorizons | Medicare|All Plans | $3,605.48 | ↑ +136% |
| OPTUM | Medicaid|STARPLUS | $3,608.02 | ↑ +136% |
| Amerivantage | Medicare|All Plans | $3,640.82 | ↑ +138% |
| SELECTCARE | Medicare|All Plans | $3,711.52 | ↑ +143% |
| USA Health Network | Commercial|All Plans | $3,711.95 | ↑ +143% |
| DEVOTED | Medicare|All Plans | $3,782.21 | ↑ +147% |
| SCANHealth | Medicare|All Plans | $3,782.21 | ↑ +147% |
| United | Commercial|Charter | $4,211.00 | ↑ +176% |
| KINDRED | Medicare|All Plans | $4,241.74 | ↑ +178% |
| MHealth Network | Commercial|PPO | $4,367.00 | ↑ +186% |
| United | Commercial|PPO | $4,680.00 | ↑ +206% |
| United | Commercial|HMO | $4,680.00 | ↑ +206% |
| KelseyCare | Commercial|Exchange | $4,771.95 | ↑ +212% |
| Employer Direct | Commercial|PPO | $4,948.69 | ↑ +224% |
| UNITED | Medicaid|STARPLUS | $5,117.42 | ↑ +235% |
| UHC | Medicaid|STARPLUS | $5,117.42 | ↑ +235% |
| BCBS - TX | Commercial|Premier | $5,192.60 | ↑ +240% |
| PHCS | Commercial|PPO | $5,252.00 | ↑ +244% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↑ +244% |
| Wellpoint | Commercial|Exchange | $5,302.17 | ↑ +247% |
| Community Health Choice | Commercial|All Other Plans | $5,302.17 | ↑ +247% |
| Harris Health | Commercial|ERS | $5,302.17 | ↑ +247% |
| Superior Health Plan | Commercial|All Plans | $5,302.17 | ↑ +247% |
| Community Health Choice | Commercial|Exchange | $5,302.17 | ↑ +247% |
| Bright Health | Commercial|All Plans | $5,320.57 | ↑ +248% |
| Aetna | Commercial|Exchange | $5,443.56 | ↑ +256% |
| BCBS - TX | Commercial|HMO | $6,343.05 | ↑ +315% |
| BCBS - TX | Commercial|PPO Trad | $6,840.55 | ↑ +348% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +630% |
| NX Health | Commercial|PPO | $11,488.03 | ↑ +652% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +705% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +1922% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,528.45 | $1,179.09 – $4,367.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,673.00 – $6,374.15 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,527.95 – $5,410.25 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,559.13 – $5,410.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,478.00 | $510.06 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,478.00 | $1,628.87 – $9,722.46 |