Bld prd mix at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$92.40
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.
$264.00
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.
$64.13 with BCBS - TX vs $557.83 with NX Health — 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Transplant | $64.13 | ↓ -31% |
| OPTUM | Medicare|All Plans | $71.28 | ↓ -23% |
| Cigna | Commercial|Surefit | $78.49 | ↓ -15% |
| Cigna | Commercial|HMO | $86.60 | ↓ -6% |
| OPTUM | Medicaid|STAR | $95.52 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $108.24 | ↑ +17% |
| Cigna | Commercial|PPO | $118.40 | ↑ +28% |
| TCH | Commercial|Transplant | $118.80 | ↑ +29% |
| Renaissance | Commercial|All Plans | $123.58 | ↑ +34% |
| United | Commercial|Optum | $124.08 | ↑ +34% |
| Shell | Commercial|All Plans | $132.00 | ↑ +43% |
| CHC | Medicaid|HMO | $145.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $145.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $145.20 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $158.40 | ↑ +71% |
| Humana | Commercial|Transplant | $171.60 | ↑ +86% |
| Coventry | Commercial|PPO | $171.60 | ↑ +86% |
| First Health | Commercial|All Plans | $171.60 | ↑ +86% |
| CIGNA HEALTHSPRING | Medicare|HMO | $171.64 | ↑ +86% |
| Humana | Medicare|All Other Plans | $171.64 | ↑ +86% |
| Humana | Medicare|TRANSPLANT | $171.64 | ↑ +86% |
| AETNA | Medicare|TRANSPLANT | $171.64 | ↑ +86% |
| KELSEY | Medicare|All Plans | $171.64 | ↑ +86% |
| BCBS | Medicare|All Plans | $171.64 | ↑ +86% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $172.20 | ↑ +86% |
| CIGNA HEALTHSPRING | Medicare|PPO | $173.36 | ↑ +88% |
| AETNA | Medicare|All Other Plans | $175.07 | ↑ +89% |
| UHC-SecureHorizons | Medicare|All Plans | $175.07 | ↑ +89% |
| Amerivantage | Medicare|All Plans | $176.79 | ↑ +91% |
| SELECTCARE | Medicare|All Plans | $180.22 | ↑ +95% |
| SCANHealth | Medicare|All Plans | $183.65 | ↑ +99% |
| DEVOTED | Medicare|All Plans | $183.65 | ↑ +99% |
| Cigna | Commercial|Transplant | $184.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $184.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $184.80 | ↑ +100% |
| United | Commercial|HMO | $193.77 | ↑ +110% |
| United | Commercial|Exchange | $193.77 | ↑ +110% |
| United | Commercial|PPO | $193.77 | ↑ +110% |
| United | Commercial|Charter | $193.77 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $198.00 | ↑ +114% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $199.47 | ↑ +116% |
| KINDRED | Medicare|All Plans | $205.97 | ↑ +123% |
| OPTUM | Medicaid|STARPLUS | $218.12 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $224.40 | ↑ +143% |
| KelseyCare | Commercial|Exchange | $231.71 | ↑ +151% |
| Employer Direct | Commercial|PPO | $240.30 | ↑ +160% |
| Bright Health | Commercial|All Plans | $249.41 | ↑ +170% |
| Superior Health Plan | Commercial|All Plans | $257.46 | ↑ +179% |
| Community Health Choice | Commercial|Exchange | $257.46 | ↑ +179% |
| Harris Health | Commercial|ERS | $257.46 | ↑ +179% |
| Community Health Choice | Commercial|All Other Plans | $257.46 | ↑ +179% |
| Wellpoint | Commercial|Exchange | $257.46 | ↑ +179% |
| BCBS - TX | Commercial|HMO | $264.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $264.00 | ↑ +186% |
| BCBS - TX | Commercial|Premier | $264.00 | ↑ +186% |
| BCBS - TX | Commercial|PPO Trad | $264.00 | ↑ +186% |
| Aetna | Commercial|Exchange | $264.33 | ↑ +186% |
| NX Health | Commercial|PPO | $557.83 | ↑ +504% |
Visitor-reported prices
Comments
Bld prd mix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $240.00 | $123.92 – $350.78 |
| St. Luke's Health - The Vintage Hospital | Houston | $92.40 | $71.28 – $264.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $123.92 – $350.78 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $123.92 – $350.78 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $139.21 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $139.21 | $10.00 – $423.12 |