Drainage external ear complex 69005 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$781.90
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.
$2,234.00
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.
$119.12 with Wellpoint vs $9,158.00 with Cigna — 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|CHIP | $119.12 | ↓ -85% |
| TCHP | Medicaid|STARKIDS | $119.12 | ↓ -85% |
| TCHP | Medicaid|All Other Plans | $119.12 | ↓ -85% |
| Wellpoint | Medicaid|STARKIDS | $119.12 | ↓ -85% |
| Wellpoint | Medicaid|All Other Plans | $119.12 | ↓ -85% |
| UNITED | Medicaid|All Other Plans | $121.50 | ↓ -84% |
| UHC | Medicaid|CHIP | $121.50 | ↓ -84% |
| UHC | Medicaid|STARKIDS | $121.50 | ↓ -84% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $123.18 | ↓ -84% |
| BCBS | Medicaid|All Plans | $125.08 | ↓ -84% |
| CHC | Medicaid|All Other Plans | $136.99 | ↓ -82% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $144.60 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $159.62 | ↓ -80% |
| TCHP | Medicaid|STAR | $159.62 | ↓ -80% |
| UNITED | Medicaid|STAR | $163.19 | ↓ -79% |
| CHC | Medicaid|STAR | $183.44 | ↓ -77% |
| BCBS - TX | Commercial|Transplant | $188.72 | ↓ -76% |
| BCBS - TX | Commercial|Premier | $223.60 | ↓ -71% |
| BCBS - TX | Commercial|HMO | $287.86 | ↓ -63% |
| BCBS - TX | Commercial|PPO Trad | $306.61 | ↓ -61% |
| UHC | Medicaid|STARPLUS | $371.65 | ↓ -52% |
| UNITED | Medicaid|STARPLUS | $371.65 | ↓ -52% |
| OPTUM | Medicare|All Plans | $603.18 | ↓ -23% |
| OPTUM | Medicaid|STAR | $808.27 | ↑ +3% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +15% |
| TCHPCHIP | Medicaid|HMO | $915.94 | ↑ +17% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +21% |
| TCH | Commercial|Transplant | $1,005.30 | ↑ +29% |
| United | Commercial|Optum | $1,049.98 | ↑ +34% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +38% |
| Shell | Commercial|All Plans | $1,117.00 | ↑ +43% |
| Renaissance | Commercial|All Plans | $1,168.46 | ↑ +49% |
| CHC | Medicaid|CHIP | $1,228.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,228.70 | ↑ +57% |
| CHC | Medicaid|HMO | $1,228.70 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $1,340.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $1,340.40 | ↑ +71% |
| First Health | Commercial|All Plans | $1,452.10 | ↑ +86% |
| PHCS | Commercial|PPO | $1,452.10 | ↑ +86% |
| Humana | Commercial|Transplant | $1,452.10 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,452.10 | ↑ +86% |
| Coventry | Commercial|PPO | $1,452.10 | ↑ +86% |
| Healthsmart | Commercial|PPO | $1,563.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,563.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,563.80 | ↑ +100% |
| Aetna | Commercial|PPO | $1,563.80 | ↑ +100% |
| KELSEY | Medicare|All Plans | $1,622.86 | ↑ +108% |
| BCBS | Medicare|All Plans | $1,622.86 | ↑ +108% |
| Humana | Medicare|All Other Plans | $1,622.86 | ↑ +108% |
| Humana | Medicare|TRANSPLANT | $1,622.86 | ↑ +108% |
| AETNA | Medicare|TRANSPLANT | $1,622.86 | ↑ +108% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,622.86 | ↑ +108% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,639.09 | ↑ +110% |
| AETNA | Medicare|All Other Plans | $1,655.32 | ↑ +112% |
| UHC-SecureHorizons | Medicare|All Plans | $1,655.32 | ↑ +112% |
| Amerivantage | Medicare|All Plans | $1,671.55 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $1,675.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,697.84 | ↑ +117% |
| SELECTCARE | Medicare|All Plans | $1,704.00 | ↑ +118% |
| DEVOTED | Medicare|All Plans | $1,736.46 | ↑ +122% |
| SCANHealth | Medicare|All Plans | $1,736.46 | ↑ +122% |
| OPTUM | Medicaid|STARPLUS | $1,845.74 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,898.90 | ↑ +143% |
| KINDRED | Medicare|All Plans | $1,947.43 | ↑ +149% |
| United | Commercial|Exchange | $1,984.00 | ↑ +154% |
| KelseyCare | Commercial|Exchange | $2,190.86 | ↑ +180% |
| MHealth Network | Commercial|PPO | $2,234.00 | ↑ +186% |
| Employer Direct | Commercial|PPO | $2,272.00 | ↑ +191% |
| Bright Health | Commercial|All Plans | $2,352.97 | ↑ +201% |
| Community Health Choice | Commercial|All Other Plans | $2,434.29 | ↑ +211% |
| Community Health Choice | Commercial|Exchange | $2,434.29 | ↑ +211% |
| Wellpoint | Commercial|Exchange | $2,434.29 | ↑ +211% |
| Superior Health Plan | Commercial|All Plans | $2,434.29 | ↑ +211% |
| Harris Health | Commercial|ERS | $2,434.29 | ↑ +211% |
| Aetna | Commercial|Exchange | $2,499.20 | ↑ +220% |
| United | Commercial|Charter | $2,669.00 | ↑ +241% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +245% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +245% |
| United | Commercial|HMO | $2,968.00 | ↑ +280% |
| United | Commercial|PPO | $2,968.00 | ↑ +280% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +323% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +366% |
| NX Health | Commercial|PPO | $5,274.30 | ↑ +575% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +1071% |
Visitor-reported prices
Comments
Drainage external ear complex 69005 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $781.90 | $603.18 – $2,234.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $121.50 – $966.69 |
| HCA HOUSTON WEST | HOUSTON | not published | $110.97 – $1,667.42 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $113.23 – $966.69 |
| Adventhealth Rollins Brook | Lampasas | $8,856.88 | $167.36 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,541.97 | $113.23 – $4,427.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,631.06 | $71.00 – $5,446.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,996.52 | $71.00 – $4,016.35 |