Dornhoffer fixed part w/window at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$147,735.00
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.
$422,100.00
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.
$81.06 with BCBS - TX vs $60,265.95 with UHC — 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|Blue Advantage Exchange | $81.06 | ↓ -100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $81.06 | ↓ -100% |
| Aetna | Commercial|KelseyCare | $96.50 | ↓ -100% |
| Bright Health | Commercial|All Plans | $100.36 | ↓ -100% |
| BCBS - TX | Commercial|Premier | $100.36 | ↓ -100% |
| OPTUM | Medicare|All Plans | $104.22 | ↓ -100% |
| United | Commercial|Exchange | $104.22 | ↓ -100% |
| Aetna | Commercial|PPO | $111.94 | ↓ -100% |
| Aetna | Commercial|HMO | $111.94 | ↓ -100% |
| Cigna | Commercial|Surefit | $115.80 | ↓ -100% |
| Cigna | Commercial|HMO | $115.80 | ↓ -100% |
| Cigna | Commercial|PPO | $115.80 | ↓ -100% |
| United | Commercial|Charter | $119.66 | ↓ -100% |
| BCBS - TX | Commercial|HMO | $127.38 | ↓ -100% |
| BCBS - TX | Commercial|PPO Trad | $127.38 | ↓ -100% |
| United | Commercial|PPO | $131.24 | ↓ -100% |
| United | Commercial|HMO | $131.24 | ↓ -100% |
| OPTUM | Medicaid|STAR | $139.66 | ↓ -100% |
| Aetna | Commercial|Transplant | $142.82 | ↓ -100% |
| KelseyCare | Commercial|All Other Plans | $158.26 | ↓ -100% |
| TCHPCHIP | Medicaid|HMO | $158.26 | ↓ -100% |
| TCH | Commercial|Transplant | $173.70 | ↓ -100% |
| Humana | Commercial|HMO | $173.70 | ↓ -100% |
| Humana | Commercial|PPO | $173.70 | ↓ -100% |
| United | Commercial|Optum | $181.42 | ↓ -100% |
| Shell | Commercial|All Plans | $193.00 | ↓ -100% |
| TEXASTRUECHOICE | Medicaid|CHIP | $212.30 | ↓ -100% |
| BCBS - TX | Commercial|Transplant | $212.30 | ↓ -100% |
| CHC | Medicaid|CHIP | $212.30 | ↓ -100% |
| CHC | Medicaid|HMO | $212.30 | ↓ -100% |
| Independent Med System | Commercial|All Plans | $231.60 | ↓ -100% |
| Cigna Lifesource | Commercial|Transplant | $231.60 | ↓ -100% |
| Interlink | Commercial|Transplant | $231.60 | ↓ -100% |
| Humana | Commercial|Transplant | $250.90 | ↓ -100% |
| PHCS Savility | Commercial|PPO | $250.90 | ↓ -100% |
| PHCS | Commercial|PPO | $250.90 | ↓ -100% |
| First Health | Commercial|All Plans | $250.90 | ↓ -100% |
| Coventry | Commercial|PPO | $250.90 | ↓ -100% |
| Healthsmart | Commercial|PPO | $270.20 | ↓ -100% |
| Cigna | Commercial|Transplant | $270.20 | ↓ -100% |
| Healthsmart | Commercial|AP3 | $277.92 | ↓ -100% |
| MultiPlan | Commercial|All Plans | $289.50 | ↓ -100% |
| OPTUM | Medicaid|STARPLUS | $318.92 | ↓ -100% |
| USA Health Network | Commercial|All Plans | $328.10 | ↓ -100% |
| MHealth Network | Commercial|PPO | $386.00 | ↓ -100% |
| Wellpoint | Medicaid|CHIP | $19,316.01 | ↓ -87% |
| TCHP | Medicaid|All Other Plans | $19,316.01 | ↓ -87% |
| TCHP | Medicaid|STARKIDS | $19,316.01 | ↓ -87% |
| Wellpoint | Medicaid|STARKIDS | $19,316.01 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $19,702.33 | ↓ -87% |
| CHC | Medicaid|All Other Plans | $22,213.41 | ↓ -85% |
| Wellpoint | Medicaid|STAR | $25,883.45 | ↓ -82% |
| TCHP | Medicaid|STAR | $25,883.45 | ↓ -82% |
| UNITED | Medicaid|STAR | $26,462.93 | ↓ -82% |
| CHC | Medicaid|STAR | $29,746.66 | ↓ -80% |
| UNITED | Medicaid|STARPLUS | $60,265.95 | ↓ -59% |
| UHC | Medicaid|STARPLUS | $60,265.95 | ↓ -59% |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $147,735.00 | $81.06 – $60,265.95 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $21,633.93 – $50,945.32 |
| HCA HOUSTON WEST | HOUSTON | not published | $21,633.93 – $50,945.32 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $21,633.93 – $50,945.32 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $100,000.00 | $21,633.93 – $50,945.32 |
| Covenant Children's Hospital | Lubbock | $26,981.22 | not published |
| St. Joseph Health Madison Hospital | Madisonville | $33,604.20 | $6,159.54 – $43,513.20 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $147,735.00 | $81.06 – $26,462.93 |