Diab manage trn ind/group at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$21.00
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.
$60.00
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.
$11.14 with Renaissance vs $526.00 with United — 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 | $11.14 | ↓ -47% |
| CIGNA HEALTHSPRING | Medicare|HMO | $15.47 | ↓ -26% |
| BCBS | Medicare|All Plans | $15.47 | ↓ -26% |
| Humana | Medicare|All Other Plans | $15.47 | ↓ -26% |
| Humana | Medicare|TRANSPLANT | $15.47 | ↓ -26% |
| KELSEY | Medicare|All Plans | $15.47 | ↓ -26% |
| AETNA | Medicare|TRANSPLANT | $15.47 | ↓ -26% |
| CIGNA HEALTHSPRING | Medicare|PPO | $15.62 | ↓ -26% |
| AETNA | Medicare|All Other Plans | $15.78 | ↓ -25% |
| UHC-SecureHorizons | Medicare|All Plans | $15.78 | ↓ -25% |
| Amerivantage | Medicare|All Plans | $15.93 | ↓ -24% |
| OPTUM | Medicare|All Plans | $16.20 | ↓ -23% |
| SELECTCARE | Medicare|All Plans | $16.24 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $16.55 | ↓ -21% |
| DEVOTED | Medicare|All Plans | $16.55 | ↓ -21% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $18.29 | ↓ -13% |
| KINDRED | Medicare|All Plans | $18.56 | ↓ -12% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $18.60 | ↓ -11% |
| KelseyCare | Commercial|Exchange | $20.88 | ↓ -1% |
| Employer Direct | Commercial|PPO | $21.66 | ↑ +3% |
| OPTUM | Medicaid|STAR | $21.71 | ↑ +3% |
| Community Health Choice | Commercial|All Other Plans | $23.20 | ↑ +10% |
| Harris Health | Commercial|ERS | $23.20 | ↑ +10% |
| Superior Health Plan | Commercial|All Plans | $23.20 | ↑ +10% |
| Wellpoint | Commercial|Exchange | $23.20 | ↑ +10% |
| Community Health Choice | Commercial|Exchange | $23.20 | ↑ +10% |
| BCBS - TX | Commercial|Transplant | $23.37 | ↑ +11% |
| Aetna | Commercial|Exchange | $23.82 | ↑ +13% |
| TCHPCHIP | Medicaid|HMO | $24.60 | ↑ +17% |
| Bright Health | Commercial|All Plans | $26.99 | ↑ +29% |
| TCH | Commercial|Transplant | $27.00 | ↑ +29% |
| United | Commercial|Optum | $28.20 | ↑ +34% |
| Shell | Commercial|All Plans | $30.00 | ↑ +43% |
| BCBS - TX | Commercial|PPO Trad | $31.31 | ↑ +49% |
| CHC | Medicaid|HMO | $33.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $33.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $33.00 | ↑ +57% |
| BCBS - TX | Commercial|Premier | $33.33 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $36.00 | ↑ +71% |
| First Health | Commercial|All Plans | $39.00 | ↑ +86% |
| Humana | Commercial|Transplant | $39.00 | ↑ +86% |
| Coventry | Commercial|PPO | $39.00 | ↑ +86% |
| Cigna | Commercial|Transplant | $42.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $42.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $42.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $45.00 | ↑ +114% |
| BCBS - TX | Commercial|HMO | $48.05 | ↑ +129% |
| OPTUM | Medicaid|STARPLUS | $49.58 | ↑ +136% |
| NX Health | Commercial|PPO | $50.28 | ↑ +139% |
| USA Health Network | Commercial|All Plans | $51.00 | ↑ +143% |
| MHealth Network | Commercial|PPO | $60.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $60.00 | ↑ +186% |
| Cigna | Commercial|HMO | $60.00 | ↑ +186% |
| Cigna | Commercial|PPO | $60.00 | ↑ +186% |
| United | Commercial|Exchange | $352.00 | ↑ +1576% |
| United | Commercial|Charter | $475.00 | ↑ +2162% |
| United | Commercial|PPO | $526.00 | ↑ +2405% |
| United | Commercial|HMO | $526.00 | ↑ +2405% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $21.00 | $11.14 – $60.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $15.47 – $34.77 |
| HCA HOUSTON WEST | HOUSTON | not published | $15.85 – $34.77 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $15.47 – $34.77 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $170.96 | $15.47 – $34.77 |
| St. Luke's Health - Patients Medical Center | Pasadena | $22.05 | $15.47 – $72.00 |
| St. Joseph Health Madison Hospital | Madisonville | $3.68 | $2.68 – $77.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $15.45 | $14.81 – $100.00 |