Bx breast perq without image 19100 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,312.15
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.
$3,749.00
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.
$511.75 with Wellpoint vs $5,274.30 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 |
|---|---|---|---|
| Wellpoint | Medicaid|STARKIDS | $511.75 | ↓ -61% |
| TCHP | Medicaid|STARKIDS | $511.75 | ↓ -61% |
| Wellpoint | Medicaid|All Other Plans | $511.75 | ↓ -61% |
| Wellpoint | Medicaid|CHIP | $511.75 | ↓ -61% |
| TCHP | Medicaid|All Other Plans | $511.75 | ↓ -61% |
| BCBS - TX | Commercial|Transplant | $517.06 | ↓ -61% |
| UNITED | Medicaid|All Other Plans | $521.99 | ↓ -60% |
| UHC | Medicaid|STARKIDS | $521.99 | ↓ -60% |
| UHC | Medicaid|CHIP | $521.99 | ↓ -60% |
| BCBS | Medicaid|All Plans | $537.34 | ↓ -59% |
| CHC | Medicaid|All Other Plans | $588.51 | ↓ -55% |
| Wellpoint | Medicaid|STAR | $685.75 | ↓ -48% |
| TCHP | Medicaid|STAR | $685.75 | ↓ -48% |
| UNITED | Medicaid|STAR | $701.10 | ↓ -47% |
| CHC | Medicaid|STAR | $788.10 | ↓ -40% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -32% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↓ -28% |
| Healthsmart | Commercial|AP3 | $958.00 | ↓ -27% |
| OPTUM | Medicare|All Plans | $1,012.23 | ↓ -23% |
| Aetna | Commercial|HMO | $1,079.00 | ↓ -18% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,152.98 | ↓ -12% |
| Renaissance | Commercial|All Plans | $1,168.46 | ↓ -11% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,262.79 | ↓ -4% |
| OPTUM | Medicaid|STAR | $1,356.39 | ↑ +3% |
| Humana | Commercial|HMO | $1,494.00 | ↑ +14% |
| Humana | Commercial|PPO | $1,494.00 | ↑ +14% |
| TCHPCHIP | Medicaid|HMO | $1,537.09 | ↑ +17% |
| UNITED | Medicaid|STARPLUS | $1,596.66 | ↑ +22% |
| UHC | Medicaid|STARPLUS | $1,596.66 | ↑ +22% |
| AETNA | Medicare|TRANSPLANT | $1,622.86 | ↑ +24% |
| Humana | Medicare|All Other Plans | $1,622.86 | ↑ +24% |
| Humana | Medicare|TRANSPLANT | $1,622.86 | ↑ +24% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,622.86 | ↑ +24% |
| KELSEY | Medicare|All Plans | $1,622.86 | ↑ +24% |
| BCBS | Medicare|All Plans | $1,622.86 | ↑ +24% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,639.09 | ↑ +25% |
| AETNA | Medicare|All Other Plans | $1,655.32 | ↑ +26% |
| UHC-SecureHorizons | Medicare|All Plans | $1,655.32 | ↑ +26% |
| Amerivantage | Medicare|All Plans | $1,671.55 | ↑ +27% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +28% |
| TCH | Commercial|Transplant | $1,687.05 | ↑ +29% |
| SELECTCARE | Medicare|All Plans | $1,704.00 | ↑ +30% |
| DEVOTED | Medicare|All Plans | $1,736.46 | ↑ +32% |
| SCANHealth | Medicare|All Plans | $1,736.46 | ↑ +32% |
| United | Commercial|Optum | $1,762.03 | ↑ +34% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +42% |
| Shell | Commercial|All Plans | $1,874.50 | ↑ +43% |
| KINDRED | Medicare|All Plans | $1,947.43 | ↑ +48% |
| United | Commercial|Exchange | $1,984.00 | ↑ +51% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,061.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,061.95 | ↑ +57% |
| CHC | Medicaid|HMO | $2,061.95 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $2,190.86 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $2,249.40 | ↑ +71% |
| Employer Direct | Commercial|PPO | $2,272.00 | ↑ +73% |
| BCBS - TX | Commercial|Premier | $2,292.24 | ↑ +75% |
| Bright Health | Commercial|All Plans | $2,352.97 | ↑ +79% |
| Community Health Choice | Commercial|All Other Plans | $2,434.29 | ↑ +86% |
| Community Health Choice | Commercial|Exchange | $2,434.29 | ↑ +86% |
| Wellpoint | Commercial|Exchange | $2,434.29 | ↑ +86% |
| Harris Health | Commercial|ERS | $2,434.29 | ↑ +86% |
| Superior Health Plan | Commercial|All Plans | $2,434.29 | ↑ +86% |
| Coventry | Commercial|PPO | $2,436.85 | ↑ +86% |
| Humana | Commercial|Transplant | $2,436.85 | ↑ +86% |
| First Health | Commercial|All Plans | $2,436.85 | ↑ +86% |
| Aetna | Commercial|Exchange | $2,499.20 | ↑ +90% |
| Cigna | Commercial|Transplant | $2,624.30 | ↑ +100% |
| Aetna | Commercial|PPO | $2,624.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,624.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,624.30 | ↑ +100% |
| United | Commercial|Charter | $2,669.00 | ↑ +103% |
| BCBS - TX | Commercial|HMO | $2,800.10 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $2,811.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,849.24 | ↑ +117% |
| United | Commercial|PPO | $2,968.00 | ↑ +126% |
| United | Commercial|HMO | $2,968.00 | ↑ +126% |
| BCBS - TX | Commercial|PPO Trad | $3,019.72 | ↑ +130% |
| OPTUM | Medicaid|STARPLUS | $3,097.43 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,186.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $3,749.00 | ↑ +186% |
| PHCS | Commercial|PPO | $4,487.00 | ↑ +242% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +242% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +293% |
| NX Health | Commercial|PPO | $5,274.30 | ↑ +302% |
Visitor-reported prices
Comments
Bx breast perq without image 19100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,312.15 | $958.00 – $3,749.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $521.99 – $2,813.83 |
| HCA HOUSTON WEST | HOUSTON | not published | $476.72 – $2,388.32 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $486.45 – $2,388.32 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,044.68 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,181.33 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,078.43 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,044.68 | $486.45 – $4,016.35 |