Consultation/report referred slides prepared elsewhere at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$54.95
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.
$157.00
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.
$28.30 with Renaissance vs $191.31 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $28.30 | ↓ -48% |
| Humana | Medicare|All Other Plans | $39.31 | ↓ -28% |
| BCBS | Medicare|All Plans | $39.31 | ↓ -28% |
| Humana | Medicare|TRANSPLANT | $39.31 | ↓ -28% |
| KELSEY | Medicare|All Plans | $39.31 | ↓ -28% |
| CIGNA HEALTHSPRING | Medicare|HMO | $39.31 | ↓ -28% |
| AETNA | Medicare|TRANSPLANT | $39.31 | ↓ -28% |
| CIGNA HEALTHSPRING | Medicare|PPO | $39.70 | ↓ -28% |
| AETNA | Medicare|All Other Plans | $40.10 | ↓ -27% |
| UHC-SecureHorizons | Medicare|All Plans | $40.10 | ↓ -27% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $40.12 | ↓ -27% |
| Amerivantage | Medicare|All Plans | $40.49 | ↓ -26% |
| SELECTCARE | Medicare|All Plans | $41.28 | ↓ -25% |
| DEVOTED | Medicare|All Plans | $42.06 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $42.06 | ↓ -23% |
| BCBS - TX | Commercial|Transplant | $42.08 | ↓ -23% |
| OPTUM | Medicare|All Plans | $42.39 | ↓ -23% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $46.47 | ↓ -15% |
| KINDRED | Medicare|All Plans | $47.17 | ↓ -14% |
| United | Commercial|PPO | $47.70 | ↓ -13% |
| United | Commercial|Exchange | $47.70 | ↓ -13% |
| United | Commercial|HMO | $47.70 | ↓ -13% |
| United | Commercial|Charter | $47.70 | ↓ -13% |
| KelseyCare | Commercial|Exchange | $53.07 | ↓ -3% |
| Employer Direct | Commercial|PPO | $55.03 | ↑ +0% |
| Bright Health | Commercial|All Plans | $56.61 | ↑ +3% |
| OPTUM | Medicaid|STAR | $56.81 | ↑ +3% |
| Community Health Choice | Commercial|Exchange | $58.97 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $58.97 | ↑ +7% |
| Superior Health Plan | Commercial|All Plans | $58.97 | ↑ +7% |
| Harris Health | Commercial|ERS | $58.97 | ↑ +7% |
| Community Health Choice | Commercial|All Other Plans | $58.97 | ↑ +7% |
| Aetna | Commercial|Exchange | $60.54 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $64.37 | ↑ +17% |
| TCH | Commercial|Transplant | $70.65 | ↑ +29% |
| United | Commercial|Optum | $73.79 | ↑ +34% |
| Shell | Commercial|All Plans | $78.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $86.35 | ↑ +57% |
| CHC | Medicaid|HMO | $86.35 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $86.35 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $94.20 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $95.77 | ↑ +74% |
| BCBS - TX | Commercial|Premier | $96.61 | ↑ +76% |
| Humana | Commercial|Transplant | $102.05 | ↑ +86% |
| First Health | Commercial|All Plans | $102.05 | ↑ +86% |
| Coventry | Commercial|PPO | $102.05 | ↑ +86% |
| Aetna | Commercial|HMO | $109.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $109.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $109.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $109.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $117.75 | ↑ +114% |
| Cigna | Commercial|Surefit | $126.81 | ↑ +131% |
| NX Health | Commercial|PPO | $127.76 | ↑ +133% |
| BCBS - TX | Commercial|PPO Trad | $128.37 | ↑ +134% |
| OPTUM | Medicaid|STARPLUS | $129.72 | ↑ +136% |
| BCBS - TX | Commercial|HMO | $133.39 | ↑ +143% |
| USA Health Network | Commercial|All Plans | $133.45 | ↑ +143% |
| Cigna | Commercial|HMO | $139.93 | ↑ +155% |
| MHealth Network | Commercial|PPO | $157.00 | ↑ +186% |
| Cigna | Commercial|PPO | $191.31 | ↑ +248% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $129.24 | $33.84 – $1,101.80 |
| St. Luke's Health - The Vintage Hospital | Houston | $54.95 | $42.39 – $157.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $80.05 | $33.84 – $1,101.80 |
| HCA HOUSTON WEST | HOUSTON | not published | $33.84 – $1,101.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $171.65 | $10.00 – $214.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $151.88 | $12.00 – $227.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.46 | $12.00 – $184.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $171.65 | $10.00 – $214.57 |