ER Visit (level 1, minor) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$252.35
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.
$721.00
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.
$30.82 with TCHPCHIP vs $1,240.20 with KelseyCare — 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 |
|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | $30.82 | ↓ -88% |
| CHC | Medicaid|STAR | $51.36 | ↓ -80% |
| Wellpoint | Medicaid|STARKIDS | $51.36 | ↓ -80% |
| Wellpoint | Medicaid|All Other Plans | $51.36 | ↓ -80% |
| Wellpoint | Medicaid|STAR | $51.36 | ↓ -80% |
| Wellpoint | Medicaid|CHIP | $51.36 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $52.39 | ↓ -79% |
| UNITED | Medicaid|STARPLUS | $52.39 | ↓ -79% |
| UHC | Medicaid|STARPLUS | $52.39 | ↓ -79% |
| UHC | Medicaid|STARKIDS | $52.39 | ↓ -79% |
| UHC | Medicaid|CHIP | $52.39 | ↓ -79% |
| UNITED | Medicaid|STAR | $52.39 | ↓ -79% |
| BCBS | Medicaid|All Plans | $53.93 | ↓ -79% |
| CHC | Medicaid|All Other Plans | $59.07 | ↓ -77% |
| Renaissance | Commercial|All Plans | $63.50 | ↓ -75% |
| TCHP | Medicaid|All Other Plans | $79.31 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $79.31 | ↓ -69% |
| TCHP | Medicaid|STAR | $79.31 | ↓ -69% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $82.15 | ↓ -67% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $82.85 | ↓ -67% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -65% |
| Humana | Medicare|All Other Plans | $88.19 | ↓ -65% |
| Humana | Medicare|TRANSPLANT | $88.19 | ↓ -65% |
| AETNA | Medicare|TRANSPLANT | $88.19 | ↓ -65% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -65% |
| CIGNA HEALTHSPRING | Medicare|HMO | $88.19 | ↓ -65% |
| CIGNA HEALTHSPRING | Medicare|PPO | $89.07 | ↓ -65% |
| AETNA | Medicare|All Other Plans | $89.95 | ↓ -64% |
| UHC-SecureHorizons | Medicare|All Plans | $89.95 | ↓ -64% |
| Amerivantage | Medicare|All Plans | $90.84 | ↓ -64% |
| SELECTCARE | Medicare|All Plans | $92.60 | ↓ -63% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -63% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -63% |
| KINDRED | Medicare|All Plans | $105.83 | ↓ -58% |
| KelseyCare | Commercial|Exchange | $119.06 | ↓ -53% |
| Bright Health | Commercial|All Plans | $121.31 | ↓ -52% |
| Employer Direct | Commercial|PPO | $123.47 | ↓ -51% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↓ -48% |
| Harris Health | Commercial|ERS | $132.28 | ↓ -48% |
| Superior Health Plan | Commercial|All Plans | $132.28 | ↓ -48% |
| Wellpoint | Commercial|Exchange | $132.28 | ↓ -48% |
| Community Health Choice | Commercial|All Other Plans | $132.28 | ↓ -48% |
| Aetna | Commercial|Exchange | $135.81 | ↓ -46% |
| BCBS - TX | Commercial|PPO Trad | $140.63 | ↓ -44% |
| BCBS - TX | Commercial|Premier | $149.68 | ↓ -41% |
| OPTUM | Medicare|All Plans | $194.67 | ↓ -23% |
| BCBS - TX | Commercial|HMO | $215.82 | ↓ -14% |
| BCBS - TX | Commercial|Transplant | $218.00 | ↓ -14% |
| OPTUM | Medicaid|STAR | $260.86 | ↑ +3% |
| Aetna | Commercial|KelseyCare | $266.00 | ↑ +5% |
| NX Health | Commercial|PPO | $286.62 | ↑ +14% |
| Humana | Commercial|PPO | $306.00 | ↑ +21% |
| Humana | Commercial|HMO | $306.00 | ↑ +21% |
| Aetna | Commercial|HMO | $319.00 | ↑ +26% |
| TCH | Commercial|Transplant | $324.45 | ↑ +29% |
| United | Commercial|Optum | $338.87 | ↑ +34% |
| Shell | Commercial|All Plans | $360.50 | ↑ +43% |
| Cigna | Commercial|Surefit | $383.00 | ↑ +52% |
| CHC | Medicaid|CHIP | $396.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $396.55 | ↑ +57% |
| CHC | Medicaid|HMO | $396.55 | ↑ +57% |
| Cigna | Commercial|HMO | $422.00 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $432.60 | ↑ +71% |
| Coventry | Commercial|PPO | $468.65 | ↑ +86% |
| Humana | Commercial|Transplant | $468.65 | ↑ +86% |
| First Health | Commercial|All Plans | $468.65 | ↑ +86% |
| Cigna | Commercial|Transplant | $504.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $504.70 | ↑ +100% |
| Aetna | Commercial|PPO | $504.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $504.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $540.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $547.96 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $595.70 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $612.85 | ↑ +143% |
| United | Commercial|Exchange | $621.00 | ↑ +146% |
| MHealth Network | Commercial|PPO | $721.00 | ↑ +186% |
| United | Commercial|Charter | $837.00 | ↑ +232% |
| United | Commercial|PPO | $930.00 | ↑ +269% |
| United | Commercial|HMO | $930.00 | ↑ +269% |
| Cigna | Commercial|PPO | $1,060.00 | ↑ +320% |
| KelseyCare | Commercial|All Other Plans | $1,240.20 | ↑ +391% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $252.35 | $30.82 – $1,240.20 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $52.39 – $77.04 |
| HCA HOUSTON WEST | HOUSTON | not published | $50.33 – $77.04 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $51.36 – $77.04 |
| Adventhealth Rollins Brook | Lampasas | $409.49 | $268.04 – $268.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |