Cad breast MRI w/r&i at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$78.75
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.
$225.00
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.
$22.49 with BCBS - TX vs $2,247.00 with United — 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|MyBlue Health Exchange | $22.49 | ↓ -71% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $24.17 | ↓ -69% |
| BCBS - TX | Commercial|Premier | $50.22 | ↓ -36% |
| BCBS - TX | Commercial|HMO | $59.22 | ↓ -25% |
| OPTUM | Medicare|All Plans | $60.75 | ↓ -23% |
| BCBS - TX | Commercial|PPO Trad | $65.59 | ↓ -17% |
| OPTUM | Medicaid|STAR | $81.41 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $92.25 | ↑ +17% |
| Cigna | Commercial|PPO | $100.00 | ↑ +27% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +27% |
| Cigna | Commercial|HMO | $100.00 | ↑ +27% |
| TCH | Commercial|Transplant | $101.25 | ↑ +29% |
| United | Commercial|Optum | $105.75 | ↑ +34% |
| Shell | Commercial|All Plans | $112.50 | ↑ +43% |
| CHC | Medicaid|HMO | $123.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $123.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $123.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $135.00 | ↑ +71% |
| Humana | Commercial|Transplant | $146.25 | ↑ +86% |
| First Health | Commercial|All Plans | $146.25 | ↑ +86% |
| Coventry | Commercial|PPO | $146.25 | ↑ +86% |
| Cigna | Commercial|Transplant | $157.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $157.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $157.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $168.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $185.90 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $191.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $225.00 | ↑ +186% |
| Aetna | Commercial|KelseyCare | $950.00 | ↑ +1106% |
| Aetna | Commercial|Transplant | $1,023.00 | ↑ +1199% |
| Humana | Commercial|HMO | $1,050.00 | ↑ +1233% |
| Humana | Commercial|PPO | $1,050.00 | ↑ +1233% |
| Healthsmart | Commercial|AP3 | $1,100.00 | ↑ +1297% |
| Aetna | Commercial|HMO | $1,143.00 | ↑ +1351% |
| Aetna | Commercial|PPO | $1,320.00 | ↑ +1576% |
| KelseyCare | Commercial|All Other Plans | $1,398.60 | ↑ +1676% |
| United | Commercial|Exchange | $1,501.00 | ↑ +1806% |
| United | Commercial|Charter | $2,021.00 | ↑ +2466% |
| United | Commercial|PPO | $2,247.00 | ↑ +2753% |
| United | Commercial|HMO | $2,247.00 | ↑ +2753% |
Visitor-reported prices
Comments
Cad breast MRI w/r&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $78.75 | $26.42 – $1,398.60 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $32.98 – $32.98 |
| HCA HOUSTON WEST | HOUSTON | not published | $32.98 – $32.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $78.75 | $26.42 – $1,398.60 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $78.75 | $26.42 – $1,398.60 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $78.75 | $26.42 – $1,398.60 |
| Texas Health Hospital Mansfield | Mansfield | $256.70 | $43.14 – $43.14 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $756.00 | $18.74 – $75.90 |