Electrophysiology evaluation at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$5,632.55
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.
$16,093.00
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.
$2,670.00 with Aetna vs $30,308.00 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $2,670.00 | ↓ -53% |
| Aetna | Commercial|HMO | $3,212.00 | ↓ -43% |
| Humana | Commercial|HMO | $4,300.00 | ↓ -24% |
| Humana | Commercial|PPO | $4,300.00 | ↓ -24% |
| OPTUM | Medicare|All Plans | $4,345.11 | ↓ -23% |
| United | Commercial|Exchange | $4,848.00 | ↓ -14% |
| Renaissance | Commercial|All Plans | $5,472.28 | ↓ -3% |
| OPTUM | Medicaid|STAR | $5,822.45 | ↑ +3% |
| KelseyCare | Commercial|All Other Plans | $6,466.00 | ↑ +15% |
| United | Commercial|Charter | $6,527.00 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $6,598.13 | ↑ +17% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $6,945.14 | ↑ +23% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $7,062.85 | ↑ +25% |
| TCH | Commercial|Transplant | $7,241.85 | ↑ +29% |
| United | Commercial|PPO | $7,252.00 | ↑ +29% |
| United | Commercial|HMO | $7,252.00 | ↑ +29% |
| United | Commercial|Optum | $7,563.71 | ↑ +34% |
| BCBS | Medicare|All Plans | $7,600.39 | ↑ +35% |
| Humana | Medicare|All Other Plans | $7,600.39 | ↑ +35% |
| Humana | Medicare|TRANSPLANT | $7,600.39 | ↑ +35% |
| AETNA | Medicare|TRANSPLANT | $7,600.39 | ↑ +35% |
| KELSEY | Medicare|All Plans | $7,600.39 | ↑ +35% |
| CIGNA HEALTHSPRING | Medicare|HMO | $7,600.39 | ↑ +35% |
| CIGNA HEALTHSPRING | Medicare|PPO | $7,676.39 | ↑ +36% |
| AETNA | Medicare|All Other Plans | $7,752.40 | ↑ +38% |
| UHC-SecureHorizons | Medicare|All Plans | $7,752.40 | ↑ +38% |
| Amerivantage | Medicare|All Plans | $7,828.40 | ↑ +39% |
| SELECTCARE | Medicare|All Plans | $7,980.41 | ↑ +42% |
| Shell | Commercial|All Plans | $8,046.50 | ↑ +43% |
| SCANHealth | Medicare|All Plans | $8,132.42 | ↑ +44% |
| DEVOTED | Medicare|All Plans | $8,132.42 | ↑ +44% |
| BCBS - TX | Commercial|Transplant | $8,312.97 | ↑ +48% |
| TEXASTRUECHOICE | Medicaid|CHIP | $8,851.15 | ↑ +57% |
| CHC | Medicaid|HMO | $8,851.15 | ↑ +57% |
| CHC | Medicaid|CHIP | $8,851.15 | ↑ +57% |
| KINDRED | Medicare|All Plans | $9,120.47 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $9,655.80 | ↑ +71% |
| Bright Health | Commercial|All Plans | $10,164.89 | ↑ +80% |
| KelseyCare | Commercial|Exchange | $10,260.53 | ↑ +82% |
| Humana | Commercial|Transplant | $10,460.45 | ↑ +86% |
| First Health | Commercial|All Plans | $10,460.45 | ↑ +86% |
| Coventry | Commercial|PPO | $10,460.45 | ↑ +86% |
| Employer Direct | Commercial|PPO | $10,640.55 | ↑ +89% |
| Cigna | Commercial|Surefit | $10,950.00 | ↑ +94% |
| Cigna | Commercial|Transplant | $11,265.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $11,265.10 | ↑ +100% |
| Aetna | Commercial|PPO | $11,265.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $11,265.10 | ↑ +100% |
| Community Health Choice | Commercial|All Other Plans | $11,400.58 | ↑ +102% |
| Superior Health Plan | Commercial|All Plans | $11,400.58 | ↑ +102% |
| Community Health Choice | Commercial|Exchange | $11,400.58 | ↑ +102% |
| Wellpoint | Commercial|Exchange | $11,400.58 | ↑ +102% |
| Harris Health | Commercial|ERS | $11,400.58 | ↑ +102% |
| Aetna | Commercial|Exchange | $11,704.60 | ↑ +108% |
| BCBS - TX | Commercial|PPO Trad | $11,889.13 | ↑ +111% |
| Cigna | Commercial|HMO | $12,066.00 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $12,069.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $12,230.68 | ↑ +117% |
| BCBS - TX | Commercial|Premier | $12,654.28 | ↑ +125% |
| OPTUM | Medicaid|STARPLUS | $13,296.04 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $13,679.05 | ↑ +143% |
| MHealth Network | Commercial|PPO | $16,093.00 | ↑ +186% |
| BCBS - TX | Commercial|HMO | $16,093.00 | ↑ +186% |
| NX Health | Commercial|PPO | $24,701.27 | ↑ +339% |
| Cigna | Commercial|PPO | $30,308.00 | ↑ +438% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $40,464.92 | $13,772.56 – $13,772.56 |
| HCA HOUSTON WEST | HOUSTON | $24,910.00 | $13,772.56 – $13,772.56 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,632.55 | $4,345.11 – $16,093.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $30,032.40 | $13,772.56 – $13,772.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,778.39 | $3,053.88 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,476.94 | $2,362.34 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,678.21 | $1,735.64 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,778.39 | $2,874.24 – $18,500.61 |