Egd w/transmural drain cyst at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
not published by hospital
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.
not published by hospital
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.
$1,000.27 with BCBS - TX vs $19,377.96 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Transplant | $1,000.27 | — |
| Aetna | Commercial|KelseyCare | $1,195.00 | — |
| Healthsmart | Commercial|AP3 | $1,285.00 | — |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | — |
| Aetna | Commercial|HMO | $1,438.00 | — |
| Independent Med System | Commercial|All Plans | $1,675.00 | — |
| Humana | Commercial|PPO | $1,980.00 | — |
| Humana | Commercial|HMO | $1,980.00 | — |
| BCBS - TX | Commercial|Blue Advantage Exchange | $2,519.23 | — |
| Cigna | Commercial|Surefit | $2,609.00 | — |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,759.15 | — |
| Cigna | Commercial|HMO | $2,875.00 | — |
| Wellpoint | Medicaid|CHIP | $2,961.19 | — |
| TCHP | Medicaid|STARKIDS | $2,961.19 | — |
| TCHP | Medicaid|All Other Plans | $2,961.19 | — |
| Wellpoint | Medicaid|All Other Plans | $2,961.19 | — |
| Wellpoint | Medicaid|STARKIDS | $2,961.19 | — |
| UHC | Medicaid|STARKIDS | $3,020.41 | — |
| UHC | Medicaid|CHIP | $3,020.41 | — |
| UNITED | Medicaid|All Other Plans | $3,020.41 | — |
| BCBS | Medicaid|All Plans | $3,109.25 | — |
| CHC | Medicaid|All Other Plans | $3,405.37 | — |
| United | Commercial|Exchange | $3,636.00 | — |
| Wellpoint | Medicaid|STAR | $3,967.99 | — |
| TCHP | Medicaid|STAR | $3,967.99 | — |
| UNITED | Medicaid|STAR | $4,056.83 | — |
| Renaissance | Commercial|All Plans | $4,292.96 | — |
| CHC | Medicaid|STAR | $4,560.23 | — |
| United | Commercial|Charter | $4,896.00 | — |
| BCBS - TX | Commercial|Premier | $5,008.46 | — |
| PHCS Savility | Commercial|PPO | $5,185.00 | — |
| PHCS | Commercial|PPO | $5,185.00 | — |
| United | Commercial|HMO | $5,439.00 | — |
| United | Commercial|PPO | $5,439.00 | — |
| Humana | Medicare|All Other Plans | $5,962.45 | — |
| AETNA | Medicare|TRANSPLANT | $5,962.45 | — |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,962.45 | — |
| KELSEY | Medicare|All Plans | $5,962.45 | — |
| Humana | Medicare|TRANSPLANT | $5,962.45 | — |
| BCBS | Medicare|All Plans | $5,962.45 | — |
| CIGNA HEALTHSPRING | Medicare|PPO | $6,022.07 | — |
| AETNA | Medicare|All Other Plans | $6,081.70 | — |
| UHC-SecureHorizons | Medicare|All Plans | $6,081.70 | — |
| BCBS - TX | Commercial|HMO | $6,118.12 | — |
| Amerivantage | Medicare|All Plans | $6,141.32 | — |
| SELECTCARE | Medicare|All Plans | $6,260.57 | — |
| DEVOTED | Medicare|All Plans | $6,379.82 | — |
| SCANHealth | Medicare|All Plans | $6,379.82 | — |
| BCBS - TX | Commercial|PPO Trad | $6,597.98 | — |
| KINDRED | Medicare|All Plans | $7,154.94 | — |
| Cigna | Commercial|PPO | $7,221.00 | — |
| KelseyCare | Commercial|Exchange | $8,049.31 | — |
| Employer Direct | Commercial|PPO | $8,347.43 | — |
| Bright Health | Commercial|All Plans | $8,417.77 | — |
| Wellpoint | Commercial|Exchange | $8,943.67 | — |
| Harris Health | Commercial|ERS | $8,943.67 | — |
| Community Health Choice | Commercial|All Other Plans | $8,943.67 | — |
| Community Health Choice | Commercial|Exchange | $8,943.67 | — |
| Superior Health Plan | Commercial|All Plans | $8,943.67 | — |
| Aetna | Commercial|Exchange | $9,182.17 | — |
| UNITED | Medicaid|STARPLUS | $9,238.91 | — |
| UHC | Medicaid|STARPLUS | $9,238.91 | — |
| NX Health | Commercial|PPO | $19,377.96 | — |
| OPTUM | Medicaid|STAR | not published by hospital | — |
| OPTUM | Medicare|All Plans | not published by hospital | — |
| Humana | Commercial|Transplant | not published by hospital | — |
| MHealth Network | Commercial|PPO | not published by hospital | — |
| Cigna Lifesource | Commercial|Transplant | not published by hospital | — |
| TCHPCHIP | Medicaid|HMO | not published by hospital | — |
| TEXASTRUECHOICE | Medicaid|CHIP | not published by hospital | — |
| USA Health Network | Commercial|All Plans | not published by hospital | — |
| TCH | Commercial|Transplant | not published by hospital | — |
| Cigna | Commercial|Transplant | not published by hospital | — |
| CHC | Medicaid|CHIP | not published by hospital | — |
| CHC | Medicaid|HMO | not published by hospital | — |
| United | Commercial|Optum | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Interlink | Commercial|Transplant | not published by hospital | — |
| Coventry | Commercial|PPO | not published by hospital | — |
| Aetna | Commercial|Transplant | not published by hospital | — |
| Aetna | Commercial|PPO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|PPO | not published by hospital | — |
| OPTUM | Medicaid|STARPLUS | not published by hospital | — |
Visitor-reported prices
Comments
Egd w/transmural drain cyst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3,020.41 – $6,148.11 |
| HCA HOUSTON WEST | HOUSTON | not published | $2,758.52 – $6,129.05 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,285.00 – $1,285.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,814.82 – $5,218.40 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $700.80 | $420.48 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $700.80 | $144.25 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $700.80 | $548.96 – $14,118.49 |