Clsd tx metatarsal fracture w/manip 28475 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$279.30
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.
$798.00
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.
$89.76 with Wellpoint vs $4,300.00 with Humana — 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|CHIP | $89.76 | ↓ -68% |
| Wellpoint | Medicaid|STARKIDS | $89.76 | ↓ -68% |
| Wellpoint | Medicaid|All Other Plans | $89.76 | ↓ -68% |
| TCHP | Medicaid|All Other Plans | $89.76 | ↓ -68% |
| TCHP | Medicaid|STARKIDS | $89.76 | ↓ -68% |
| UHC | Medicaid|STARKIDS | $91.56 | ↓ -67% |
| UNITED | Medicaid|All Other Plans | $91.56 | ↓ -67% |
| UHC | Medicaid|CHIP | $91.56 | ↓ -67% |
| BCBS | Medicaid|All Plans | $94.25 | ↓ -66% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $100.24 | ↓ -64% |
| CHC | Medicaid|All Other Plans | $103.22 | ↓ -63% |
| BCBS - TX | Commercial|Transplant | $112.86 | ↓ -60% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $117.68 | ↓ -58% |
| TCHP | Medicaid|STAR | $120.28 | ↓ -57% |
| Wellpoint | Medicaid|STAR | $120.28 | ↓ -57% |
| UNITED | Medicaid|STAR | $122.97 | ↓ -56% |
| CHC | Medicaid|STAR | $138.23 | ↓ -51% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -50% |
| Cigna | Commercial|HMO | $154.00 | ↓ -45% |
| Renaissance | Commercial|All Plans | $172.99 | ↓ -38% |
| BCBS - TX | Commercial|Premier | $181.96 | ↓ -35% |
| OPTUM | Medicare|All Plans | $215.46 | ↓ -23% |
| BCBS - TX | Commercial|HMO | $234.26 | ↓ -16% |
| BCBS | Medicare|All Plans | $240.27 | ↓ -14% |
| Humana | Medicare|All Other Plans | $240.27 | ↓ -14% |
| Humana | Medicare|TRANSPLANT | $240.27 | ↓ -14% |
| AETNA | Medicare|TRANSPLANT | $240.27 | ↓ -14% |
| KELSEY | Medicare|All Plans | $240.27 | ↓ -14% |
| CIGNA HEALTHSPRING | Medicare|HMO | $240.27 | ↓ -14% |
| CIGNA HEALTHSPRING | Medicare|PPO | $242.67 | ↓ -13% |
| AETNA | Medicare|All Other Plans | $245.08 | ↓ -12% |
| UHC-SecureHorizons | Medicare|All Plans | $245.08 | ↓ -12% |
| Amerivantage | Medicare|All Plans | $247.48 | ↓ -11% |
| BCBS - TX | Commercial|PPO Trad | $249.52 | ↓ -11% |
| SELECTCARE | Medicare|All Plans | $252.28 | ↓ -10% |
| SCANHealth | Medicare|All Plans | $257.09 | ↓ -8% |
| DEVOTED | Medicare|All Plans | $257.09 | ↓ -8% |
| UNITED | Medicaid|STARPLUS | $280.05 | ↑ +0% |
| UHC | Medicaid|STARPLUS | $280.05 | ↑ +0% |
| KINDRED | Medicare|All Plans | $288.32 | ↑ +3% |
| OPTUM | Medicaid|STAR | $288.72 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $324.36 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $327.18 | ↑ +17% |
| Employer Direct | Commercial|PPO | $336.38 | ↑ +20% |
| Bright Health | Commercial|All Plans | $344.69 | ↑ +23% |
| TCH | Commercial|Transplant | $359.10 | ↑ +29% |
| Superior Health Plan | Commercial|All Plans | $360.40 | ↑ +29% |
| Wellpoint | Commercial|Exchange | $360.40 | ↑ +29% |
| Community Health Choice | Commercial|All Other Plans | $360.40 | ↑ +29% |
| Community Health Choice | Commercial|Exchange | $360.40 | ↑ +29% |
| Harris Health | Commercial|ERS | $360.40 | ↑ +29% |
| Aetna | Commercial|Exchange | $370.02 | ↑ +32% |
| United | Commercial|Optum | $375.06 | ↑ +34% |
| Cigna | Commercial|PPO | $387.00 | ↑ +39% |
| Shell | Commercial|All Plans | $399.00 | ↑ +43% |
| CHC | Medicaid|HMO | $438.90 | ↑ +57% |
| CHC | Medicaid|CHIP | $438.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $438.90 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $478.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $478.80 | ↑ +71% |
| PHCS Savility | Commercial|PPO | $518.70 | ↑ +86% |
| PHCS | Commercial|PPO | $518.70 | ↑ +86% |
| First Health | Commercial|All Plans | $518.70 | ↑ +86% |
| Coventry | Commercial|PPO | $518.70 | ↑ +86% |
| Humana | Commercial|Transplant | $518.70 | ↑ +86% |
| Cigna | Commercial|Transplant | $558.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $558.60 | ↑ +100% |
| Aetna | Commercial|PPO | $558.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $558.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $598.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $606.48 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $659.31 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $678.30 | ↑ +143% |
| NX Health | Commercial|PPO | $780.88 | ↑ +180% |
| MHealth Network | Commercial|PPO | $798.00 | ↑ +186% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +221% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +237% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +286% |
| United | Commercial|Exchange | $1,452.00 | ↑ +420% |
| United | Commercial|Charter | $1,955.00 | ↑ +600% |
| United | Commercial|HMO | $2,172.00 | ↑ +678% |
| United | Commercial|PPO | $2,172.00 | ↑ +678% |
| Humana | Commercial|HMO | $4,300.00 | ↑ +1440% |
| Humana | Commercial|PPO | $4,300.00 | ↑ +1440% |
Visitor-reported prices
Comments
Clsd tx metatarsal fracture w/manip 28475 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $279.30 | $215.46 – $798.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $91.56 – $786.69 |
| HCA HOUSTON WEST | HOUSTON | not published | $83.61 – $786.69 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $85.32 – $786.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $580.30 | $85.32 – $725.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $522.78 | $71.00 – $784.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $484.06 | $71.00 – $605.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $580.30 | $85.32 – $725.37 |