Contrast x-ray of knee joint at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$603.40
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.
$1,724.00
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.
$110.94 with Wellpoint vs $1,724.00 with MHealth Network — 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|All Other Plans | $110.94 | ↓ -82% |
| UHC | Medicaid|CHIP | $113.16 | ↓ -81% |
| UHC | Medicaid|STARKIDS | $113.16 | ↓ -81% |
| BCBS | Medicaid|All Plans | $116.49 | ↓ -81% |
| Wellpoint | Medicaid|STARKIDS | $128.31 | ↓ -79% |
| Wellpoint | Medicaid|CHIP | $128.31 | ↓ -79% |
| UNITED | Medicaid|All Other Plans | $130.88 | ↓ -78% |
| CHC | Medicaid|All Other Plans | $147.56 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $171.94 | ↓ -72% |
| UNITED | Medicaid|STAR | $175.78 | ↓ -71% |
| TCHP | Medicaid|All Other Plans | $189.64 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $189.64 | ↓ -69% |
| CHC | Medicaid|STAR | $197.60 | ↓ -67% |
| TCHP | Medicaid|STAR | $254.12 | ↓ -58% |
| Renaissance | Commercial|All Plans | $257.55 | ↓ -57% |
| BCBS | Medicare|All Plans | $357.71 | ↓ -41% |
| AETNA | Medicare|TRANSPLANT | $357.71 | ↓ -41% |
| CIGNA HEALTHSPRING | Medicare|HMO | $357.71 | ↓ -41% |
| KELSEY | Medicare|All Plans | $357.71 | ↓ -41% |
| Humana | Medicare|All Other Plans | $357.71 | ↓ -41% |
| Humana | Medicare|TRANSPLANT | $357.71 | ↓ -41% |
| CIGNA HEALTHSPRING | Medicare|PPO | $361.29 | ↓ -40% |
| AETNA | Medicare|All Other Plans | $364.86 | ↓ -40% |
| UHC-SecureHorizons | Medicare|All Plans | $364.86 | ↓ -40% |
| Amerivantage | Medicare|All Plans | $368.44 | ↓ -39% |
| SELECTCARE | Medicare|All Plans | $375.60 | ↓ -38% |
| Cigna | Commercial|Surefit | $382.49 | ↓ -37% |
| DEVOTED | Medicare|All Plans | $382.75 | ↓ -37% |
| SCANHealth | Medicare|All Plans | $382.75 | ↓ -37% |
| UNITED | Medicaid|STARPLUS | $400.33 | ↓ -34% |
| UHC | Medicaid|STARPLUS | $400.33 | ↓ -34% |
| Cigna | Commercial|HMO | $421.26 | ↓ -30% |
| KINDRED | Medicare|All Plans | $429.25 | ↓ -29% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $458.22 | ↓ -24% |
| OPTUM | Medicare|All Plans | $465.48 | ↓ -23% |
| KelseyCare | Commercial|Exchange | $482.91 | ↓ -20% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $492.59 | ↓ -18% |
| Employer Direct | Commercial|PPO | $500.79 | ↓ -17% |
| Cigna | Commercial|PPO | $516.88 | ↓ -14% |
| Community Health Choice | Commercial|Exchange | $536.57 | ↓ -11% |
| Superior Health Plan | Commercial|All Plans | $536.57 | ↓ -11% |
| Wellpoint | Commercial|Exchange | $536.57 | ↓ -11% |
| Community Health Choice | Commercial|All Other Plans | $536.57 | ↓ -11% |
| Harris Health | Commercial|ERS | $536.57 | ↓ -11% |
| Aetna | Commercial|Exchange | $550.87 | ↓ -9% |
| United | Commercial|Exchange | $582.00 | ↓ -4% |
| Bright Health | Commercial|All Plans | $615.81 | ↑ +2% |
| OPTUM | Medicaid|STAR | $623.75 | ↑ +3% |
| BCBS - TX | Commercial|Transplant | $676.74 | ↑ +12% |
| TCHPCHIP | Medicaid|HMO | $706.84 | ↑ +17% |
| TCH | Commercial|Transplant | $775.80 | ↑ +29% |
| United | Commercial|Charter | $782.00 | ↑ +30% |
| United | Commercial|Optum | $810.28 | ↑ +34% |
| Shell | Commercial|All Plans | $862.00 | ↑ +43% |
| United | Commercial|HMO | $869.00 | ↑ +44% |
| United | Commercial|PPO | $869.00 | ↑ +44% |
| CHC | Medicaid|CHIP | $948.20 | ↑ +57% |
| CHC | Medicaid|HMO | $948.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $948.20 | ↑ +57% |
| BCBS - TX | Commercial|Premier | $1,023.36 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $1,034.40 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $1,051.64 | ↑ +74% |
| Coventry | Commercial|PPO | $1,120.60 | ↑ +86% |
| Humana | Commercial|Transplant | $1,120.60 | ↑ +86% |
| First Health | Commercial|All Plans | $1,120.60 | ↑ +86% |
| NX Health | Commercial|PPO | $1,162.56 | ↑ +93% |
| BCBS - TX | Commercial|HMO | $1,206.65 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,206.80 | ↑ +100% |
| Aetna | Commercial|HMO | $1,206.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,206.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,206.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,293.00 | ↑ +114% |
| BCBS - TX | Commercial|PPO Trad | $1,336.48 | ↑ +121% |
| OPTUM | Medicaid|STARPLUS | $1,424.37 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,465.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,724.00 | ↑ +186% |
Visitor-reported prices
Comments
Contrast x-ray of knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $603.40 | $110.94 – $1,724.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $122.03 – $722.73 |
| HCA HOUSTON WEST | HOUSTON | not published | $108.72 – $722.73 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $110.94 – $722.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $495.60 | $110.94 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $923.65 | $190.12 – $1,385.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $942.13 | $110.94 – $1,177.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $495.60 | $110.94 – $952.69 |