Biospy of bladder at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,024.45
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.
$2,927.00
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.
$25.50 with UNITED 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 |
|---|---|---|---|
| UNITED | Medicaid|All Other Plans | $25.50 | ↓ -98% |
| UNITED | Medicaid|STAR | $34.25 | ↓ -97% |
| UHC | Medicaid|STARPLUS | $78.00 | ↓ -92% |
| UNITED | Medicaid|STARPLUS | $78.00 | ↓ -92% |
| BCBS - TX | Commercial|Transplant | $120.63 | ↓ -88% |
| Renaissance | Commercial|All Plans | $175.39 | ↓ -83% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $197.32 | ↓ -81% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $216.11 | ↓ -79% |
| Humana | Medicare|All Other Plans | $243.60 | ↓ -76% |
| Humana | Medicare|TRANSPLANT | $243.60 | ↓ -76% |
| AETNA | Medicare|TRANSPLANT | $243.60 | ↓ -76% |
| KELSEY | Medicare|All Plans | $243.60 | ↓ -76% |
| BCBS | Medicare|All Plans | $243.60 | ↓ -76% |
| CIGNA HEALTHSPRING | Medicare|HMO | $243.60 | ↓ -76% |
| CIGNA HEALTHSPRING | Medicare|PPO | $246.04 | ↓ -76% |
| AETNA | Medicare|All Other Plans | $248.47 | ↓ -76% |
| UHC-SecureHorizons | Medicare|All Plans | $248.47 | ↓ -76% |
| Amerivantage | Medicare|All Plans | $250.91 | ↓ -76% |
| SELECTCARE | Medicare|All Plans | $255.78 | ↓ -75% |
| DEVOTED | Medicare|All Plans | $260.65 | ↓ -75% |
| SCANHealth | Medicare|All Plans | $260.65 | ↓ -75% |
| KINDRED | Medicare|All Plans | $292.32 | ↓ -71% |
| KelseyCare | Commercial|Exchange | $328.86 | ↓ -68% |
| Employer Direct | Commercial|PPO | $341.04 | ↓ -67% |
| OPTUM | Medicare|All Plans | $361.26 | ↓ -65% |
| Community Health Choice | Commercial|Exchange | $365.40 | ↓ -64% |
| Superior Health Plan | Commercial|All Plans | $365.40 | ↓ -64% |
| Harris Health | Commercial|ERS | $365.40 | ↓ -64% |
| Wellpoint | Commercial|Exchange | $365.40 | ↓ -64% |
| Community Health Choice | Commercial|All Other Plans | $365.40 | ↓ -64% |
| Aetna | Commercial|Exchange | $375.14 | ↓ -63% |
| BCBS - TX | Commercial|Premier | $392.28 | ↓ -62% |
| Bright Health | Commercial|All Plans | $445.00 | ↓ -57% |
| BCBS - TX | Commercial|HMO | $479.20 | ↓ -53% |
| OPTUM | Medicaid|STAR | $484.09 | ↓ -53% |
| BCBS - TX | Commercial|PPO Trad | $516.78 | ↓ -50% |
| TCHPCHIP | Medicaid|HMO | $548.58 | ↓ -46% |
| TCH | Commercial|Transplant | $602.10 | ↓ -41% |
| United | Commercial|Optum | $628.86 | ↓ -39% |
| Shell | Commercial|All Plans | $669.00 | ↓ -35% |
| CHC | Medicaid|CHIP | $735.90 | ↓ -28% |
| TEXASTRUECHOICE | Medicaid|CHIP | $735.90 | ↓ -28% |
| CHC | Medicaid|HMO | $735.90 | ↓ -28% |
| NX Health | Commercial|PPO | $791.70 | ↓ -23% |
| Independent Med System | Commercial|All Plans | $802.80 | ↓ -22% |
| Cigna Lifesource | Commercial|Transplant | $802.80 | ↓ -22% |
| PHCS | Commercial|PPO | $869.70 | ↓ -15% |
| Humana | Commercial|Transplant | $869.70 | ↓ -15% |
| Coventry | Commercial|PPO | $869.70 | ↓ -15% |
| First Health | Commercial|All Plans | $869.70 | ↓ -15% |
| PHCS Savility | Commercial|PPO | $869.70 | ↓ -15% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -13% |
| Interlink | Commercial|Transplant | $936.60 | ↓ -9% |
| Healthsmart | Commercial|PPO | $936.60 | ↓ -9% |
| Aetna | Commercial|PPO | $936.60 | ↓ -9% |
| Cigna | Commercial|Transplant | $936.60 | ↓ -9% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↓ -8% |
| MultiPlan | Commercial|All Plans | $1,003.50 | ↓ -2% |
| Aetna | Commercial|Transplant | $1,016.88 | ↓ -1% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +5% |
| OPTUM | Medicaid|STARPLUS | $1,105.46 | ↑ +8% |
| USA Health Network | Commercial|All Plans | $1,137.30 | ↑ +11% |
| MHealth Network | Commercial|PPO | $1,338.00 | ↑ +31% |
| United | Commercial|Exchange | $1,452.00 | ↑ +42% |
| United | Commercial|Charter | $1,955.00 | ↑ +91% |
| United | Commercial|HMO | $2,172.00 | ↑ +112% |
| United | Commercial|PPO | $2,172.00 | ↑ +112% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +164% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +164% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +990% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +1101% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +2916% |
Visitor-reported prices
Comments
Biospy of bladder at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,024.45 | $361.26 – $1,338.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $481.54 – $481.54 |
| HCA HOUSTON WEST | HOUSTON | not published | $252.24 – $408.73 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $408.73 – $408.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,620.59 | $238.44 – $2,835.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,195.12 | $38.84 – $612.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,949.31 | $71.00 – $612.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,620.59 | $238.44 – $2,835.59 |