Drainage of mouth lesion at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,577.40
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.
$7,364.00
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.
$896.00 with Aetna vs $10,557.04 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 | $896.00 | ↓ -65% |
| Wellpoint | Medicaid|CHIP | $932.72 | ↓ -64% |
| Wellpoint | Medicaid|STARKIDS | $932.72 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $932.72 | ↓ -64% |
| TCHP | Medicaid|STARKIDS | $932.72 | ↓ -64% |
| TCHP | Medicaid|All Other Plans | $932.72 | ↓ -64% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↓ -63% |
| UNITED | Medicaid|All Other Plans | $951.37 | ↓ -63% |
| UHC | Medicaid|STARKIDS | $951.37 | ↓ -63% |
| UHC | Medicaid|CHIP | $951.37 | ↓ -63% |
| Healthsmart | Commercial|AP3 | $958.00 | ↓ -63% |
| BCBS | Medicaid|All Plans | $979.36 | ↓ -62% |
| CHC | Medicaid|All Other Plans | $1,072.63 | ↓ -58% |
| Aetna | Commercial|HMO | $1,079.00 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $1,249.84 | ↓ -52% |
| TCHP | Medicaid|STAR | $1,249.84 | ↓ -52% |
| UNITED | Medicaid|STAR | $1,277.83 | ↓ -50% |
| CHC | Medicaid|STAR | $1,436.39 | ↓ -44% |
| Humana | Commercial|PPO | $1,494.00 | ↓ -42% |
| Humana | Commercial|HMO | $1,494.00 | ↓ -42% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↓ -35% |
| Cigna | Commercial|Surefit | $1,864.00 | ↓ -28% |
| United | Commercial|Exchange | $1,984.00 | ↓ -23% |
| OPTUM | Medicare|All Plans | $1,988.28 | ↓ -23% |
| BCBS - TX | Commercial|Transplant | $1,993.02 | ↓ -23% |
| Cigna | Commercial|HMO | $2,054.00 | ↓ -20% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $2,200.20 | ↓ -15% |
| Renaissance | Commercial|All Plans | $2,338.79 | ↓ -9% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,409.75 | ↓ -7% |
| OPTUM | Medicaid|STAR | $2,664.30 | ↑ +3% |
| United | Commercial|Charter | $2,669.00 | ↑ +4% |
| UNITED | Medicaid|STARPLUS | $2,910.09 | ↑ +13% |
| UHC | Medicaid|STARPLUS | $2,910.09 | ↑ +13% |
| United | Commercial|HMO | $2,968.00 | ↑ +15% |
| United | Commercial|PPO | $2,968.00 | ↑ +15% |
| TCHPCHIP | Medicaid|HMO | $3,019.24 | ↑ +17% |
| Humana | Medicare|All Other Plans | $3,248.32 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,248.32 | ↑ +26% |
| BCBS | Medicare|All Plans | $3,248.32 | ↑ +26% |
| KELSEY | Medicare|All Plans | $3,248.32 | ↑ +26% |
| AETNA | Medicare|TRANSPLANT | $3,248.32 | ↑ +26% |
| Humana | Medicare|TRANSPLANT | $3,248.32 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,280.80 | ↑ +27% |
| UHC-SecureHorizons | Medicare|All Plans | $3,313.29 | ↑ +29% |
| AETNA | Medicare|All Other Plans | $3,313.29 | ↑ +29% |
| TCH | Commercial|Transplant | $3,313.80 | ↑ +29% |
| Amerivantage | Medicare|All Plans | $3,345.77 | ↑ +30% |
| SELECTCARE | Medicare|All Plans | $3,410.74 | ↑ +32% |
| United | Commercial|Optum | $3,461.08 | ↑ +34% |
| SCANHealth | Medicare|All Plans | $3,475.70 | ↑ +35% |
| DEVOTED | Medicare|All Plans | $3,475.70 | ↑ +35% |
| Shell | Commercial|All Plans | $3,682.00 | ↑ +43% |
| KINDRED | Medicare|All Plans | $3,897.98 | ↑ +51% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,050.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $4,050.20 | ↑ +57% |
| CHC | Medicaid|HMO | $4,050.20 | ↑ +57% |
| BCBS - TX | Commercial|Premier | $4,374.21 | ↑ +70% |
| KelseyCare | Commercial|Exchange | $4,385.23 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $4,418.40 | ↑ +71% |
| PHCS | Commercial|PPO | $4,487.00 | ↑ +74% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +74% |
| Employer Direct | Commercial|PPO | $4,547.65 | ↑ +76% |
| Bright Health | Commercial|All Plans | $4,574.94 | ↑ +78% |
| First Health | Commercial|All Plans | $4,786.60 | ↑ +86% |
| Humana | Commercial|Transplant | $4,786.60 | ↑ +86% |
| Coventry | Commercial|PPO | $4,786.60 | ↑ +86% |
| Community Health Choice | Commercial|Exchange | $4,872.48 | ↑ +89% |
| Wellpoint | Commercial|Exchange | $4,872.48 | ↑ +89% |
| Superior Health Plan | Commercial|All Plans | $4,872.48 | ↑ +89% |
| Community Health Choice | Commercial|All Other Plans | $4,872.48 | ↑ +89% |
| Harris Health | Commercial|ERS | $4,872.48 | ↑ +89% |
| Aetna | Commercial|Exchange | $5,002.41 | ↑ +94% |
| Cigna | Commercial|Transplant | $5,154.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,154.80 | ↑ +100% |
| Aetna | Commercial|PPO | $5,154.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $5,154.80 | ↑ +100% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +100% |
| BCBS - TX | Commercial|HMO | $5,343.35 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $5,523.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $5,596.64 | ↑ +117% |
| BCBS - TX | Commercial|PPO Trad | $5,762.44 | ↑ +124% |
| OPTUM | Medicaid|STARPLUS | $6,084.14 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $6,259.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $7,364.00 | ↑ +186% |
| NX Health | Commercial|PPO | $10,557.04 | ↑ +310% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,577.40 | $958.00 – $7,364.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $951.37 – $5,369.54 |
| HCA HOUSTON WEST | HOUSTON | not published | $868.89 – $4,557.56 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $886.62 – $4,557.56 |
| Adventhealth Rollins Brook | Lampasas | $16,752.58 | $3,274.11 – $6,108.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,295.40 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,890.53 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,125.36 | $71.00 – $7,975.81 |