Epidrm autogrft t/a/l add-on 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.
$512.19 with BCBS - TX vs $4,487.00 with PHCS — 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 | $512.19 | — |
| Aetna | Commercial|KelseyCare | $896.00 | — |
| KelseyCare | Commercial|All Other Plans | $942.30 | — |
| Healthsmart | Commercial|AP3 | $958.00 | — |
| Aetna | Commercial|HMO | $1,079.00 | — |
| United | Commercial|Exchange | $1,452.00 | — |
| Humana | Commercial|HMO | $1,494.00 | — |
| Humana | Commercial|PPO | $1,494.00 | — |
| Independent Med System | Commercial|All Plans | $1,675.00 | — |
| United | Commercial|Charter | $1,955.00 | — |
| United | Commercial|PPO | $2,172.00 | — |
| United | Commercial|HMO | $2,172.00 | — |
| PHCS Savility | Commercial|PPO | $4,487.00 | — |
| PHCS | Commercial|PPO | $4,487.00 | — |
| CHC | Medicaid|CHIP | not published by hospital | — |
| CHC | Medicaid|HMO | not published by hospital | — |
| MHealth Network | Commercial|PPO | 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 | — |
| Cigna Lifesource | Commercial|Transplant | not published by hospital | — |
| TCH | Commercial|Transplant | not published by hospital | — |
| Humana | Commercial|Transplant | not published by hospital | — |
| OPTUM | Medicare|All Plans | not published by hospital | — |
| OPTUM | Medicaid|STAR | not published by hospital | — |
| OPTUM | Medicaid|STARPLUS | not published by hospital | — |
| Healthsmart | Commercial|PPO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Aetna | Commercial|PPO | not published by hospital | — |
| Aetna | Commercial|Transplant | not published by hospital | — |
| Coventry | Commercial|PPO | not published by hospital | — |
| Interlink | Commercial|Transplant | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Optum | not published by hospital | — |
| Cigna | Commercial|Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Epidrm autogrft t/a/l add-on at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | not published | $958.00 – $958.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,113.83 | $315.59 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,113.83 | $297.02 – $1,577.93 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,113.83 | $297.02 – $1,577.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,113.83 | $278.46 – $1,577.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,113.83 | $204.20 – $1,577.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,113.83 | $204.20 – $1,577.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,113.83 | $315.59 – $1,577.93 |