Complx repair fccmnaxghf 13132 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$518.00
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.
$1,480.00
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.
$228.07 with Wellpoint vs $9,029.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|CHIP | $228.07 | ↓ -56% |
| TCHP | Medicaid|STARKIDS | $228.07 | ↓ -56% |
| TCHP | Medicaid|All Other Plans | $228.07 | ↓ -56% |
| Wellpoint | Medicaid|STARKIDS | $228.07 | ↓ -56% |
| Wellpoint | Medicaid|All Other Plans | $228.07 | ↓ -56% |
| UHC | Medicaid|CHIP | $232.63 | ↓ -55% |
| UNITED | Medicaid|All Other Plans | $232.63 | ↓ -55% |
| UHC | Medicaid|STARKIDS | $232.63 | ↓ -55% |
| BCBS | Medicaid|All Plans | $239.47 | ↓ -54% |
| CHC | Medicaid|All Other Plans | $262.28 | ↓ -49% |
| Wellpoint | Medicaid|STAR | $305.61 | ↓ -41% |
| TCHP | Medicaid|STAR | $305.61 | ↓ -41% |
| UNITED | Medicaid|STAR | $312.46 | ↓ -40% |
| CHC | Medicaid|STAR | $351.23 | ↓ -32% |
| BCBS - TX | Commercial|Transplant | $397.85 | ↓ -23% |
| OPTUM | Medicare|All Plans | $399.60 | ↓ -23% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $417.50 | ↓ -19% |
| Renaissance | Commercial|All Plans | $441.45 | ↓ -15% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $457.26 | ↓ -12% |
| OPTUM | Medicaid|STAR | $535.47 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $606.80 | ↑ +17% |
| Humana | Medicare|All Other Plans | $613.12 | ↑ +18% |
| KELSEY | Medicare|All Plans | $613.12 | ↑ +18% |
| CIGNA HEALTHSPRING | Medicare|HMO | $613.12 | ↑ +18% |
| BCBS | Medicare|All Plans | $613.12 | ↑ +18% |
| AETNA | Medicare|TRANSPLANT | $613.12 | ↑ +18% |
| Humana | Medicare|TRANSPLANT | $613.12 | ↑ +18% |
| CIGNA HEALTHSPRING | Medicare|PPO | $619.25 | ↑ +20% |
| UHC-SecureHorizons | Medicare|All Plans | $625.38 | ↑ +21% |
| AETNA | Medicare|All Other Plans | $625.38 | ↑ +21% |
| Amerivantage | Medicare|All Plans | $631.51 | ↑ +22% |
| SELECTCARE | Medicare|All Plans | $643.78 | ↑ +24% |
| DEVOTED | Medicare|All Plans | $656.04 | ↑ +27% |
| SCANHealth | Medicare|All Plans | $656.04 | ↑ +27% |
| TCH | Commercial|Transplant | $666.00 | ↑ +29% |
| United | Commercial|Optum | $695.60 | ↑ +34% |
| UNITED | Medicaid|STARPLUS | $711.58 | ↑ +37% |
| UHC | Medicaid|STARPLUS | $711.58 | ↑ +37% |
| KINDRED | Medicare|All Plans | $735.74 | ↑ +42% |
| Shell | Commercial|All Plans | $740.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $814.00 | ↑ +57% |
| CHC | Medicaid|HMO | $814.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $814.00 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $827.71 | ↑ +60% |
| BCBS - TX | Commercial|Premier | $830.02 | ↑ +60% |
| Employer Direct | Commercial|PPO | $858.37 | ↑ +66% |
| Bright Health | Commercial|All Plans | $875.84 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $888.00 | ↑ +71% |
| Community Health Choice | Commercial|All Other Plans | $919.68 | ↑ +78% |
| Wellpoint | Commercial|Exchange | $919.68 | ↑ +78% |
| Harris Health | Commercial|ERS | $919.68 | ↑ +78% |
| Superior Health Plan | Commercial|All Plans | $919.68 | ↑ +78% |
| Community Health Choice | Commercial|Exchange | $919.68 | ↑ +78% |
| Aetna | Commercial|Exchange | $944.20 | ↑ +82% |
| First Health | Commercial|All Plans | $962.00 | ↑ +86% |
| Coventry | Commercial|PPO | $962.00 | ↑ +86% |
| Humana | Commercial|Transplant | $962.00 | ↑ +86% |
| BCBS - TX | Commercial|HMO | $1,013.92 | ↑ +96% |
| Cigna | Commercial|Transplant | $1,036.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,036.00 | ↑ +100% |
| Aetna | Commercial|PPO | $1,036.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,036.00 | ↑ +100% |
| BCBS - TX | Commercial|PPO Trad | $1,093.44 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $1,110.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,124.80 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,222.78 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,258.00 | ↑ +143% |
| Aetna | Commercial|KelseyCare | $1,369.00 | ↑ +164% |
| United | Commercial|Exchange | $1,452.00 | ↑ +180% |
| MHealth Network | Commercial|PPO | $1,480.00 | ↑ +186% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↑ +193% |
| Healthsmart | Commercial|AP3 | $1,609.00 | ↑ +211% |
| Aetna | Commercial|HMO | $1,648.00 | ↑ +218% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↑ +247% |
| United | Commercial|Charter | $1,955.00 | ↑ +277% |
| NX Health | Commercial|PPO | $1,992.64 | ↑ +285% |
| United | Commercial|HMO | $2,172.00 | ↑ +319% |
| United | Commercial|PPO | $2,172.00 | ↑ +319% |
| Humana | Commercial|PPO | $2,250.00 | ↑ +334% |
| Humana | Commercial|HMO | $2,250.00 | ↑ +334% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +530% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +594% |
| PHCS | Commercial|PPO | $5,252.00 | ↑ +914% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↑ +914% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +1643% |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13132 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $518.00 | $399.60 – $1,480.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $232.63 – $1,018.89 |
| HCA HOUSTON WEST | HOUSTON | not published | $212.46 – $864.81 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $216.80 – $864.81 |
| Adventhealth Rollins Brook | Lampasas | $1,440.06 | $621.28 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,528.04 | $216.80 – $1,910.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,720.30 | $71.00 – $2,580.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,631.57 | $71.00 – $2,039.47 |