Cath follower heyman 20f at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$12.87
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.
$36.75
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.
$6.61 with BCBS - TX vs $36.75 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Blue Advantage Exchange | $6.61 | ↓ -49% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $6.69 | ↓ -48% |
| OPTUM | Medicare|All Plans | $9.93 | ↓ -23% |
| BCBS - TX | Commercial|Premier | $10.55 | ↓ -18% |
| OPTUM | Medicaid|STAR | $13.30 | ↑ +3% |
| BCBS - TX | Commercial|HMO | $13.75 | ↑ +7% |
| TCHPCHIP | Medicaid|HMO | $15.07 | ↑ +17% |
| TCH | Commercial|Transplant | $16.54 | ↑ +29% |
| United | Commercial|Optum | $17.28 | ↑ +34% |
| Shell | Commercial|All Plans | $18.38 | ↑ +43% |
| BCBS - TX | Commercial|PPO Trad | $19.32 | ↑ +50% |
| CHC | Medicaid|HMO | $20.22 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $20.22 | ↑ +57% |
| CHC | Medicaid|CHIP | $20.22 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $22.05 | ↑ +71% |
| Humana | Commercial|Transplant | $23.89 | ↑ +86% |
| First Health | Commercial|All Plans | $23.89 | ↑ +86% |
| Coventry | Commercial|PPO | $23.89 | ↑ +86% |
| Healthsmart | Commercial|PPO | $25.73 | ↑ +100% |
| Interlink | Commercial|Transplant | $25.73 | ↑ +100% |
| Cigna | Commercial|Transplant | $25.73 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $27.57 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $30.37 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $31.24 | ↑ +143% |
| Cigna | Commercial|HMO | $36.75 | ↑ +186% |
| MHealth Network | Commercial|PPO | $36.75 | ↑ +186% |
| Cigna | Commercial|Surefit | $36.75 | ↑ +186% |
| Cigna | Commercial|PPO | $36.75 | ↑ +186% |
Visitor-reported prices
Comments
Cath follower heyman 20f at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $12.87 | $8.10 – $36.75 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $8.93 – $19.59 |
| HCA HOUSTON WEST | HOUSTON | not published | $8.93 – $19.59 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $8.93 – $19.59 |
| St. Joseph Health Madison Hospital | Madisonville | $12.25 | $8.92 – $63.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $12.87 | $8.10 – $36.75 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $12.87 | $8.10 – $36.75 |
| St. Joseph Health College Station Hospital | College Station | $12.25 | $10.70 – $59.50 |