Consultation pathology during surgery at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$58.10
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.
$166.00
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.
$40.12 with BCBS - TX vs $193.38 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $40.12 | ↓ -31% |
| BCBS - TX | Commercial|Transplant | $42.08 | ↓ -28% |
| Renaissance | Commercial|All Plans | $42.84 | ↓ -26% |
| OPTUM | Medicare|All Plans | $44.82 | ↓ -23% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $46.47 | ↓ -20% |
| United | Commercial|PPO | $47.70 | ↓ -18% |
| United | Commercial|Charter | $47.70 | ↓ -18% |
| United | Commercial|HMO | $47.70 | ↓ -18% |
| United | Commercial|Exchange | $47.70 | ↓ -18% |
| Cigna | Commercial|Surefit | $53.75 | ↓ -7% |
| Bright Health | Commercial|All Plans | $56.61 | ↓ -3% |
| Cigna | Commercial|HMO | $59.32 | ↑ +2% |
| CIGNA HEALTHSPRING | Medicare|HMO | $59.50 | ↑ +2% |
| Humana | Medicare|All Other Plans | $59.50 | ↑ +2% |
| Humana | Medicare|TRANSPLANT | $59.50 | ↑ +2% |
| AETNA | Medicare|TRANSPLANT | $59.50 | ↑ +2% |
| KELSEY | Medicare|All Plans | $59.50 | ↑ +2% |
| BCBS | Medicare|All Plans | $59.50 | ↑ +2% |
| OPTUM | Medicaid|STAR | $60.06 | ↑ +3% |
| CIGNA HEALTHSPRING | Medicare|PPO | $60.09 | ↑ +3% |
| UHC-SecureHorizons | Medicare|All Plans | $60.69 | ↑ +4% |
| AETNA | Medicare|All Other Plans | $60.69 | ↑ +4% |
| Amerivantage | Medicare|All Plans | $61.28 | ↑ +5% |
| SELECTCARE | Medicare|All Plans | $62.48 | ↑ +8% |
| SCANHealth | Medicare|All Plans | $63.66 | ↑ +10% |
| DEVOTED | Medicare|All Plans | $63.66 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $68.06 | ↑ +17% |
| KINDRED | Medicare|All Plans | $71.40 | ↑ +23% |
| TCH | Commercial|Transplant | $74.70 | ↑ +29% |
| United | Commercial|Optum | $78.02 | ↑ +34% |
| KelseyCare | Commercial|Exchange | $80.33 | ↑ +38% |
| Cigna | Commercial|PPO | $81.10 | ↑ +40% |
| Shell | Commercial|All Plans | $83.00 | ↑ +43% |
| Employer Direct | Commercial|PPO | $83.30 | ↑ +43% |
| Superior Health Plan | Commercial|All Plans | $89.25 | ↑ +54% |
| Community Health Choice | Commercial|All Other Plans | $89.25 | ↑ +54% |
| Community Health Choice | Commercial|Exchange | $89.25 | ↑ +54% |
| Harris Health | Commercial|ERS | $89.25 | ↑ +54% |
| Wellpoint | Commercial|Exchange | $89.25 | ↑ +54% |
| CHC | Medicaid|HMO | $91.30 | ↑ +57% |
| CHC | Medicaid|CHIP | $91.30 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $91.30 | ↑ +57% |
| Aetna | Commercial|Exchange | $91.63 | ↑ +58% |
| BCBS - TX | Commercial|Premier | $96.61 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $99.60 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $101.26 | ↑ +74% |
| Humana | Commercial|Transplant | $107.90 | ↑ +86% |
| First Health | Commercial|All Plans | $107.90 | ↑ +86% |
| Coventry | Commercial|PPO | $107.90 | ↑ +86% |
| Cigna | Commercial|Transplant | $116.20 | ↑ +100% |
| Aetna | Commercial|HMO | $116.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $116.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $116.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $124.50 | ↑ +114% |
| BCBS - TX | Commercial|PPO Trad | $128.37 | ↑ +121% |
| BCBS - TX | Commercial|HMO | $133.39 | ↑ +130% |
| OPTUM | Medicaid|STARPLUS | $137.15 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $141.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $166.00 | ↑ +186% |
| NX Health | Commercial|PPO | $193.38 | ↑ +233% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $97.00 | $33.84 – $554.74 |
| St. Luke's Health - The Vintage Hospital | Houston | $58.10 | $44.82 – $166.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $97.29 | $33.84 – $554.74 |
| HCA HOUSTON WEST | HOUSTON | not published | $33.84 – $554.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $134.66 | $35.00 – $168.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $45.01 | $9.26 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $34.61 | $6.92 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $134.66 | $35.00 – $168.32 |