Delayed breast prosthesis 19342 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
not published by hospital
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.
not published by hospital
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.
$1,369.00 with Aetna vs $31,149.79 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $1,369.00 | — |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | — |
| Healthsmart | Commercial|AP3 | $1,609.00 | — |
| Aetna | Commercial|HMO | $1,648.00 | — |
| Independent Med System | Commercial|All Plans | $1,795.00 | — |
| Humana | Commercial|HMO | $2,250.00 | — |
| Humana | Commercial|PPO | $2,250.00 | — |
| TCHP | Medicaid|STARKIDS | $2,400.38 | — |
| Wellpoint | Medicaid|STARKIDS | $2,400.38 | — |
| Wellpoint | Medicaid|CHIP | $2,400.38 | — |
| Wellpoint | Medicaid|All Other Plans | $2,400.38 | — |
| TCHP | Medicaid|All Other Plans | $2,400.38 | — |
| UHC | Medicaid|CHIP | $2,448.39 | — |
| UNITED | Medicaid|All Other Plans | $2,448.39 | — |
| UHC | Medicaid|STARKIDS | $2,448.39 | — |
| BCBS | Medicaid|All Plans | $2,520.40 | — |
| CHC | Medicaid|All Other Plans | $2,760.44 | — |
| Wellpoint | Medicaid|STAR | $3,216.51 | — |
| TCHP | Medicaid|STAR | $3,216.51 | — |
| Cigna | Commercial|Surefit | $3,262.00 | — |
| UNITED | Medicaid|STAR | $3,288.52 | — |
| Cigna | Commercial|HMO | $3,594.00 | — |
| CHC | Medicaid|STAR | $3,696.59 | — |
| United | Commercial|Exchange | $4,848.00 | — |
| PHCS | Commercial|PPO | $5,252.00 | — |
| PHCS Savility | Commercial|PPO | $5,252.00 | — |
| United | Commercial|Charter | $6,527.00 | — |
| BCBS - TX | Commercial|Blue Advantage Exchange | $6,833.87 | — |
| Renaissance | Commercial|All Plans | $6,900.88 | — |
| BCBS - TX | Commercial|Transplant | $6,949.67 | — |
| United | Commercial|HMO | $7,252.00 | — |
| United | Commercial|PPO | $7,252.00 | — |
| BCBS - TX | Commercial|MyBlue Health Exchange | $7,484.72 | — |
| UHC | Medicaid|STARPLUS | $7,489.19 | — |
| UNITED | Medicaid|STARPLUS | $7,489.19 | — |
| Cigna | Commercial|PPO | $9,029.00 | — |
| KELSEY | Medicare|All Plans | $9,584.55 | — |
| AETNA | Medicare|TRANSPLANT | $9,584.55 | — |
| Humana | Medicare|TRANSPLANT | $9,584.55 | — |
| BCBS | Medicare|All Plans | $9,584.55 | — |
| Humana | Medicare|All Other Plans | $9,584.55 | — |
| CIGNA HEALTHSPRING | Medicare|HMO | $9,584.55 | — |
| CIGNA HEALTHSPRING | Medicare|PPO | $9,680.40 | — |
| UHC-SecureHorizons | Medicare|All Plans | $9,776.24 | — |
| AETNA | Medicare|All Other Plans | $9,776.24 | — |
| Amerivantage | Medicare|All Plans | $9,872.09 | — |
| SELECTCARE | Medicare|All Plans | $10,063.78 | — |
| DEVOTED | Medicare|All Plans | $10,255.47 | — |
| SCANHealth | Medicare|All Plans | $10,255.47 | — |
| KINDRED | Medicare|All Plans | $11,501.46 | — |
| KelseyCare | Commercial|Exchange | $12,939.14 | — |
| Employer Direct | Commercial|PPO | $13,418.37 | — |
| BCBS - TX | Commercial|Premier | $13,586.39 | — |
| Community Health Choice | Commercial|All Other Plans | $14,376.83 | — |
| Community Health Choice | Commercial|Exchange | $14,376.83 | — |
| Harris Health | Commercial|ERS | $14,376.83 | — |
| Wellpoint | Commercial|Exchange | $14,376.83 | — |
| Superior Health Plan | Commercial|All Plans | $14,376.83 | — |
| Aetna | Commercial|Exchange | $14,760.21 | — |
| Bright Health | Commercial|All Plans | $14,911.08 | — |
| BCBS - TX | Commercial|HMO | $16,596.54 | — |
| BCBS - TX | Commercial|PPO Trad | $17,898.23 | — |
| NX Health | Commercial|PPO | $31,149.79 | — |
| OPTUM | Medicaid|STAR | not published by hospital | — |
| OPTUM | Medicare|All Plans | not published by hospital | — |
| MHealth Network | Commercial|PPO | not published by hospital | — |
| Humana | Commercial|Transplant | not published by hospital | — |
| TCHPCHIP | Medicaid|HMO | not published by hospital | — |
| TEXASTRUECHOICE | Medicaid|CHIP | not published by hospital | — |
| Cigna Lifesource | Commercial|Transplant | not published by hospital | — |
| USA Health Network | Commercial|All Plans | not published by hospital | — |
| TCH | Commercial|Transplant | not published by hospital | — |
| Cigna | Commercial|Transplant | not published by hospital | — |
| CHC | Medicaid|CHIP | not published by hospital | — |
| United | Commercial|Optum | not published by hospital | — |
| CHC | Medicaid|HMO | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Interlink | Commercial|Transplant | not published by hospital | — |
| Coventry | Commercial|PPO | not published by hospital | — |
| Aetna | Commercial|Transplant | not published by hospital | — |
| Aetna | Commercial|PPO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|PPO | not published by hospital | — |
| OPTUM | Medicaid|STARPLUS | not published by hospital | — |
Visitor-reported prices
Comments
Delayed breast prosthesis 19342 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,448.39 – $16,677.90 |
| HCA HOUSTON WEST | HOUSTON | not published | $2,236.10 – $14,155.87 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,609.00 – $1,609.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,281.73 – $14,155.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,910.18 | $71.00 – $23,352.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,698.09 | $71.00 – $23,352.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,910.18 | $85.00 – $23,352.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,910.18 | $2,281.73 – $23,352.21 |