Drainage absc/cyst/hmtma/vestibule mouth smpl at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$608.65
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.
$1,739.00
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.
$99.79 with BCBS - TX vs $2,700.00 with Humana — 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|Transplant | $99.79 | ↓ -84% |
| Wellpoint | Medicaid|CHIP | $138.63 | ↓ -77% |
| Wellpoint | Medicaid|STARKIDS | $138.63 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $138.63 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $138.63 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $138.63 | ↓ -77% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -77% |
| UHC | Medicaid|CHIP | $141.40 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $141.40 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $141.40 | ↓ -77% |
| BCBS | Medicaid|All Plans | $145.56 | ↓ -76% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $153.06 | ↓ -75% |
| Cigna | Commercial|HMO | $154.00 | ↓ -75% |
| CHC | Medicaid|All Other Plans | $159.42 | ↓ -74% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $179.68 | ↓ -70% |
| TCHP | Medicaid|STAR | $185.76 | ↓ -69% |
| Wellpoint | Medicaid|STAR | $185.76 | ↓ -69% |
| UNITED | Medicaid|STAR | $189.92 | ↓ -69% |
| CHC | Medicaid|STAR | $213.49 | ↓ -65% |
| BCBS - TX | Commercial|Premier | $277.84 | ↓ -54% |
| BCBS - TX | Commercial|HMO | $357.70 | ↓ -41% |
| BCBS - TX | Commercial|PPO Trad | $380.99 | ↓ -37% |
| Cigna | Commercial|PPO | $387.00 | ↓ -36% |
| UNITED | Medicaid|STARPLUS | $432.53 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $432.53 | ↓ -29% |
| OPTUM | Medicare|All Plans | $469.53 | ↓ -23% |
| Renaissance | Commercial|All Plans | $507.41 | ↓ -17% |
| OPTUM | Medicaid|STAR | $629.18 | ↑ +3% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +16% |
| Humana | Medicare|All Other Plans | $704.73 | ↑ +16% |
| Humana | Medicare|TRANSPLANT | $704.73 | ↑ +16% |
| AETNA | Medicare|TRANSPLANT | $704.73 | ↑ +16% |
| KELSEY | Medicare|All Plans | $704.73 | ↑ +16% |
| CIGNA HEALTHSPRING | Medicare|HMO | $704.73 | ↑ +16% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $712.99 | ↑ +17% |
| AETNA | Medicare|All Other Plans | $718.82 | ↑ +18% |
| UHC-SecureHorizons | Medicare|All Plans | $718.82 | ↑ +18% |
| Amerivantage | Medicare|All Plans | $725.87 | ↑ +19% |
| SELECTCARE | Medicare|All Plans | $739.97 | ↑ +22% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +24% |
| DEVOTED | Medicare|All Plans | $754.06 | ↑ +24% |
| TCH | Commercial|Transplant | $782.55 | ↑ +29% |
| United | Commercial|Optum | $817.33 | ↑ +34% |
| KINDRED | Medicare|All Plans | $845.68 | ↑ +39% |
| Shell | Commercial|All Plans | $869.50 | ↑ +43% |
| KelseyCare | Commercial|Exchange | $951.39 | ↑ +56% |
| CHC | Medicaid|CHIP | $956.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $956.45 | ↑ +57% |
| CHC | Medicaid|HMO | $956.45 | ↑ +57% |
| Employer Direct | Commercial|PPO | $986.62 | ↑ +62% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $1,043.40 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,043.40 | ↑ +71% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +74% |
| Community Health Choice | Commercial|All Other Plans | $1,057.10 | ↑ +74% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +74% |
| Superior Health Plan | Commercial|All Plans | $1,057.10 | ↑ +74% |
| Harris Health | Commercial|ERS | $1,057.10 | ↑ +74% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +78% |
| Coventry | Commercial|PPO | $1,130.35 | ↑ +86% |
| First Health | Commercial|All Plans | $1,130.35 | ↑ +86% |
| PHCS | Commercial|PPO | $1,130.35 | ↑ +86% |
| Humana | Commercial|Transplant | $1,130.35 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,130.35 | ↑ +86% |
| Cigna | Commercial|Transplant | $1,217.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,217.30 | ↑ +100% |
| Aetna | Commercial|PPO | $1,217.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,217.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,304.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,321.64 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,436.77 | ↑ +136% |
| United | Commercial|Exchange | $1,452.00 | ↑ +139% |
| USA Health Network | Commercial|All Plans | $1,478.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,739.00 | ↑ +186% |
| United | Commercial|Charter | $1,955.00 | ↑ +221% |
| United | Commercial|HMO | $2,172.00 | ↑ +257% |
| United | Commercial|PPO | $2,172.00 | ↑ +257% |
| NX Health | Commercial|PPO | $2,290.37 | ↑ +276% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +295% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +344% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +344% |
Visitor-reported prices
Comments
Drainage absc/cyst/hmtma/vestibule mouth smpl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $608.65 | $469.53 – $1,739.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $141.40 – $1,201.19 |
| HCA HOUSTON WEST | HOUSTON | not published | $129.14 – $1,201.19 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $131.78 – $1,201.19 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $866.92 | $131.78 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $889.91 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $718.77 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $866.92 | $131.78 – $1,742.94 |