Ductogram sgl duct at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$318.15
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.
$909.00
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.
$53.46 with Wellpoint vs $909.00 with MHealth Network — 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 | $53.46 | ↓ -83% |
| Wellpoint | Medicaid|STARKIDS | $53.46 | ↓ -83% |
| Wellpoint | Medicaid|All Other Plans | $54.13 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $54.53 | ↓ -83% |
| UHC | Medicaid|CHIP | $55.21 | ↓ -83% |
| UHC | Medicaid|STARKIDS | $55.21 | ↓ -83% |
| BCBS | Medicaid|All Plans | $56.84 | ↓ -82% |
| CHC | Medicaid|All Other Plans | $61.48 | ↓ -81% |
| Wellpoint | Medicaid|STAR | $71.64 | ↓ -77% |
| UNITED | Medicaid|STAR | $73.24 | ↓ -77% |
| CHC | Medicaid|STAR | $82.33 | ↓ -74% |
| TCHP | Medicaid|STARKIDS | $99.99 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $99.99 | ↓ -69% |
| Cigna | Commercial|Surefit | $113.69 | ↓ -64% |
| Cigna | Commercial|HMO | $125.22 | ↓ -61% |
| TCHP | Medicaid|STAR | $133.99 | ↓ -58% |
| Cigna | Commercial|PPO | $153.66 | ↓ -52% |
| UNITED | Medicaid|STARPLUS | $166.80 | ↓ -48% |
| UHC | Medicaid|STARPLUS | $166.80 | ↓ -48% |
| Renaissance | Commercial|All Plans | $174.32 | ↓ -45% |
| CIGNA HEALTHSPRING | Medicare|HMO | $242.11 | ↓ -24% |
| Humana | Medicare|All Other Plans | $242.11 | ↓ -24% |
| Humana | Medicare|TRANSPLANT | $242.11 | ↓ -24% |
| AETNA | Medicare|TRANSPLANT | $242.11 | ↓ -24% |
| KELSEY | Medicare|All Plans | $242.11 | ↓ -24% |
| BCBS | Medicare|All Plans | $242.11 | ↓ -24% |
| CIGNA HEALTHSPRING | Medicare|PPO | $244.53 | ↓ -23% |
| OPTUM | Medicare|All Plans | $245.43 | ↓ -23% |
| AETNA | Medicare|All Other Plans | $246.95 | ↓ -22% |
| UHC-SecureHorizons | Medicare|All Plans | $246.95 | ↓ -22% |
| Amerivantage | Medicare|All Plans | $249.37 | ↓ -22% |
| SELECTCARE | Medicare|All Plans | $254.22 | ↓ -20% |
| DEVOTED | Medicare|All Plans | $259.06 | ↓ -19% |
| SCANHealth | Medicare|All Plans | $259.06 | ↓ -19% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $279.65 | ↓ -12% |
| KINDRED | Medicare|All Plans | $290.53 | ↓ -9% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $300.62 | ↓ -6% |
| KelseyCare | Commercial|Exchange | $326.85 | ↑ +3% |
| OPTUM | Medicaid|STAR | $328.88 | ↑ +3% |
| Employer Direct | Commercial|PPO | $338.95 | ↑ +7% |
| Community Health Choice | Commercial|Exchange | $363.17 | ↑ +14% |
| Superior Health Plan | Commercial|All Plans | $363.17 | ↑ +14% |
| Wellpoint | Commercial|Exchange | $363.17 | ↑ +14% |
| Community Health Choice | Commercial|All Other Plans | $363.17 | ↑ +14% |
| Harris Health | Commercial|ERS | $363.17 | ↑ +14% |
| TCHPCHIP | Medicaid|HMO | $372.69 | ↑ +17% |
| Aetna | Commercial|Exchange | $372.85 | ↑ +17% |
| Bright Health | Commercial|All Plans | $384.80 | ↑ +21% |
| TCH | Commercial|Transplant | $409.05 | ↑ +29% |
| United | Commercial|Optum | $427.23 | ↑ +34% |
| Shell | Commercial|All Plans | $454.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $499.95 | ↑ +57% |
| CHC | Medicaid|HMO | $499.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $499.95 | ↑ +57% |
| BCBS - TX | Commercial|Transplant | $508.75 | ↑ +60% |
| Cigna Lifesource | Commercial|Transplant | $545.40 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $554.49 | ↑ +74% |
| United | Commercial|Exchange | $582.00 | ↑ +83% |
| Coventry | Commercial|PPO | $590.85 | ↑ +86% |
| Humana | Commercial|Transplant | $590.85 | ↑ +86% |
| First Health | Commercial|All Plans | $590.85 | ↑ +86% |
| BCBS - TX | Commercial|Premier | $624.55 | ↑ +96% |
| Cigna | Commercial|Transplant | $636.30 | ↑ +100% |
| Aetna | Commercial|HMO | $636.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $636.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $636.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $681.75 | ↑ +114% |
| BCBS - TX | Commercial|HMO | $736.41 | ↑ +131% |
| OPTUM | Medicaid|STARPLUS | $751.02 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $772.65 | ↑ +143% |
| United | Commercial|Charter | $782.00 | ↑ +146% |
| NX Health | Commercial|PPO | $786.86 | ↑ +147% |
| BCBS - TX | Commercial|PPO Trad | $815.64 | ↑ +156% |
| United | Commercial|PPO | $869.00 | ↑ +173% |
| United | Commercial|HMO | $869.00 | ↑ +173% |
| MHealth Network | Commercial|PPO | $909.00 | ↑ +186% |
Visitor-reported prices
Comments
Ductogram sgl duct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $1,318.00 | $53.05 – $410.15 |
| St. Luke's Health - The Vintage Hospital | Houston | $318.15 | $53.46 – $909.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $53.46 – $410.15 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $53.46 – $410.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $295.75 | $54.13 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $346.42 | $71.30 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $346.42 | $54.13 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $295.75 | $54.13 – $607.02 |