Biopsy external ear 69100 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$198.10
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.
$566.00
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.
$57.67 with Wellpoint 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 →
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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 |
|---|---|---|---|
| Wellpoint | Medicaid|CHIP | $57.67 | ↓ -71% |
| TCHP | Medicaid|STARKIDS | $57.67 | ↓ -71% |
| TCHP | Medicaid|All Other Plans | $57.67 | ↓ -71% |
| Wellpoint | Medicaid|STARKIDS | $57.67 | ↓ -71% |
| Wellpoint | Medicaid|All Other Plans | $57.67 | ↓ -71% |
| UHC | Medicaid|STARKIDS | $58.82 | ↓ -70% |
| UHC | Medicaid|CHIP | $58.82 | ↓ -70% |
| UNITED | Medicaid|All Other Plans | $58.82 | ↓ -70% |
| BCBS | Medicaid|All Plans | $60.55 | ↓ -69% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $62.75 | ↓ -68% |
| CHC | Medicaid|All Other Plans | $66.32 | ↓ -67% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $73.67 | ↓ -63% |
| Wellpoint | Medicaid|STAR | $77.28 | ↓ -61% |
| TCHP | Medicaid|STAR | $77.28 | ↓ -61% |
| UNITED | Medicaid|STAR | $79.01 | ↓ -60% |
| CHC | Medicaid|STAR | $88.81 | ↓ -55% |
| BCBS - TX | Commercial|Transplant | $113.61 | ↓ -43% |
| BCBS - TX | Commercial|Premier | $113.91 | ↓ -42% |
| BCBS - TX | Commercial|HMO | $146.65 | ↓ -26% |
| OPTUM | Medicare|All Plans | $152.82 | ↓ -23% |
| BCBS - TX | Commercial|PPO Trad | $156.20 | ↓ -21% |
| Renaissance | Commercial|All Plans | $167.47 | ↓ -15% |
| UNITED | Medicaid|STARPLUS | $179.93 | ↓ -9% |
| UHC | Medicaid|STARPLUS | $179.93 | ↓ -9% |
| OPTUM | Medicaid|STAR | $204.78 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $232.06 | ↑ +17% |
| CIGNA HEALTHSPRING | Medicare|HMO | $232.60 | ↑ +17% |
| Humana | Medicare|All Other Plans | $232.60 | ↑ +17% |
| KELSEY | Medicare|All Plans | $232.60 | ↑ +17% |
| AETNA | Medicare|TRANSPLANT | $232.60 | ↑ +17% |
| Humana | Medicare|TRANSPLANT | $232.60 | ↑ +17% |
| BCBS | Medicare|All Plans | $232.60 | ↑ +17% |
| CIGNA HEALTHSPRING | Medicare|PPO | $234.93 | ↑ +19% |
| UHC-SecureHorizons | Medicare|All Plans | $237.25 | ↑ +20% |
| AETNA | Medicare|All Other Plans | $237.25 | ↑ +20% |
| Amerivantage | Medicare|All Plans | $239.58 | ↑ +21% |
| SELECTCARE | Medicare|All Plans | $244.23 | ↑ +23% |
| SCANHealth | Medicare|All Plans | $248.88 | ↑ +26% |
| DEVOTED | Medicare|All Plans | $248.88 | ↑ +26% |
| TCH | Commercial|Transplant | $254.70 | ↑ +29% |
| United | Commercial|Optum | $266.02 | ↑ +34% |
| KINDRED | Medicare|All Plans | $279.12 | ↑ +41% |
| Shell | Commercial|All Plans | $283.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $311.30 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $311.30 | ↑ +57% |
| CHC | Medicaid|HMO | $311.30 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $314.01 | ↑ +59% |
| Employer Direct | Commercial|PPO | $325.64 | ↑ +64% |
| Independent Med System | Commercial|All Plans | $339.60 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $339.60 | ↑ +71% |
| Harris Health | Commercial|ERS | $348.90 | ↑ +76% |
| Wellpoint | Commercial|Exchange | $348.90 | ↑ +76% |
| Community Health Choice | Commercial|All Other Plans | $348.90 | ↑ +76% |
| Community Health Choice | Commercial|Exchange | $348.90 | ↑ +76% |
| Superior Health Plan | Commercial|All Plans | $348.90 | ↑ +76% |
| Bright Health | Commercial|All Plans | $353.79 | ↑ +79% |
| Aetna | Commercial|Exchange | $358.20 | ↑ +81% |
| First Health | Commercial|All Plans | $367.90 | ↑ +86% |
| PHCS | Commercial|PPO | $367.90 | ↑ +86% |
| Humana | Commercial|Transplant | $367.90 | ↑ +86% |
| Coventry | Commercial|PPO | $367.90 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $367.90 | ↑ +86% |
| Healthsmart | Commercial|PPO | $396.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $396.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $396.20 | ↑ +100% |
| Aetna | Commercial|PPO | $396.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $424.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $430.16 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $467.63 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $481.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $566.00 | ↑ +186% |
| NX Health | Commercial|PPO | $755.95 | ↑ +282% |
| United | Commercial|Exchange | $1,452.00 | ↑ +633% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +841% |
| United | Commercial|Charter | $1,955.00 | ↑ +887% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +937% |
| United | Commercial|HMO | $2,172.00 | ↑ +996% |
| United | Commercial|PPO | $2,172.00 | ↑ +996% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +1114% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +1263% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +1263% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +2505% |
Visitor-reported prices
Comments
Biopsy external ear 69100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $198.10 | $152.82 – $566.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $58.82 – $492.48 |
| HCA HOUSTON WEST | HOUSTON | not published | $53.72 – $492.48 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $54.82 – $492.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $905.78 | $58.66 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $839.91 | $54.82 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $905.78 | $58.66 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $905.78 | $54.82 – $1,358.68 |