ER Visit (level 3) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$962.15
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.
$2,749.00
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 $3,983.00 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 |
|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | $30.82 | ↓ -97% |
| CHC | Medicaid|STAR | $51.36 | ↓ -95% |
| Wellpoint | Medicaid|STARKIDS | $51.36 | ↓ -95% |
| Wellpoint | Medicaid|All Other Plans | $51.36 | ↓ -95% |
| Wellpoint | Medicaid|CHIP | $51.36 | ↓ -95% |
| Wellpoint | Medicaid|STAR | $51.36 | ↓ -95% |
| UNITED | Medicaid|STARPLUS | $52.39 | ↓ -95% |
| UHC | Medicaid|STARPLUS | $52.39 | ↓ -95% |
| UHC | Medicaid|STARKIDS | $52.39 | ↓ -95% |
| UHC | Medicaid|CHIP | $52.39 | ↓ -95% |
| UNITED | Medicaid|All Other Plans | $52.39 | ↓ -95% |
| UNITED | Medicaid|STAR | $52.39 | ↓ -95% |
| BCBS | Medicaid|All Plans | $53.93 | ↓ -94% |
| CHC | Medicaid|All Other Plans | $59.07 | ↓ -94% |
| Renaissance | Commercial|All Plans | $199.68 | ↓ -79% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $263.54 | ↓ -73% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $265.77 | ↓ -72% |
| BCBS | Medicare|All Plans | $277.34 | ↓ -71% |
| Humana | Medicare|All Other Plans | $277.34 | ↓ -71% |
| Humana | Medicare|TRANSPLANT | $277.34 | ↓ -71% |
| AETNA | Medicare|TRANSPLANT | $277.34 | ↓ -71% |
| KELSEY | Medicare|All Plans | $277.34 | ↓ -71% |
| CIGNA HEALTHSPRING | Medicare|HMO | $277.34 | ↓ -71% |
| CIGNA HEALTHSPRING | Medicare|PPO | $280.11 | ↓ -71% |
| UHC-SecureHorizons | Medicare|All Plans | $282.89 | ↓ -71% |
| AETNA | Medicare|All Other Plans | $282.89 | ↓ -71% |
| Amerivantage | Medicare|All Plans | $285.66 | ↓ -70% |
| SELECTCARE | Medicare|All Plans | $291.21 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $296.75 | ↓ -69% |
| DEVOTED | Medicare|All Plans | $296.75 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $302.39 | ↓ -69% |
| TCHP | Medicaid|STAR | $302.39 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $302.39 | ↓ -69% |
| KINDRED | Medicare|All Plans | $332.81 | ↓ -65% |
| KelseyCare | Commercial|Exchange | $374.41 | ↓ -61% |
| Bright Health | Commercial|All Plans | $387.01 | ↓ -60% |
| Employer Direct | Commercial|PPO | $388.28 | ↓ -60% |
| Harris Health | Commercial|ERS | $416.01 | ↓ -57% |
| Superior Health Plan | Commercial|All Plans | $416.01 | ↓ -57% |
| Wellpoint | Commercial|Exchange | $416.01 | ↓ -57% |
| Community Health Choice | Commercial|Exchange | $416.01 | ↓ -57% |
| Community Health Choice | Commercial|All Other Plans | $416.01 | ↓ -57% |
| Aetna | Commercial|Exchange | $427.10 | ↓ -56% |
| BCBS - TX | Commercial|PPO Trad | $451.15 | ↓ -53% |
| BCBS - TX | Commercial|Premier | $480.18 | ↓ -50% |
| BCBS - TX | Commercial|HMO | $692.35 | ↓ -28% |
| OPTUM | Medicare|All Plans | $742.23 | ↓ -23% |
| NX Health | Commercial|PPO | $901.35 | ↓ -6% |
| OPTUM | Medicaid|STAR | $994.59 | ↑ +3% |
| United | Commercial|Exchange | $1,210.00 | ↑ +26% |
| TCH | Commercial|Transplant | $1,237.05 | ↑ +29% |
| KelseyCare | Commercial|All Other Plans | $1,240.20 | ↑ +29% |
| United | Commercial|Optum | $1,292.03 | ↑ +34% |
| Shell | Commercial|All Plans | $1,374.50 | ↑ +43% |
| Humana | Commercial|HMO | $1,400.00 | ↑ +46% |
| Humana | Commercial|PPO | $1,400.00 | ↑ +46% |
| Cigna | Commercial|Surefit | $1,439.00 | ↑ +50% |
| CHC | Medicaid|CHIP | $1,511.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,511.95 | ↑ +57% |
| CHC | Medicaid|HMO | $1,511.95 | ↑ +57% |
| BCBS - TX | Commercial|Transplant | $1,533.00 | ↑ +59% |
| Cigna | Commercial|HMO | $1,586.00 | ↑ +65% |
| United | Commercial|Charter | $1,629.00 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $1,649.40 | ↑ +71% |
| Coventry | Commercial|PPO | $1,786.85 | ↑ +86% |
| Humana | Commercial|Transplant | $1,786.85 | ↑ +86% |
| First Health | Commercial|All Plans | $1,786.85 | ↑ +86% |
| United | Commercial|HMO | $1,809.00 | ↑ +88% |
| United | Commercial|PPO | $1,809.00 | ↑ +88% |
| Aetna | Commercial|KelseyCare | $1,866.00 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,924.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,924.30 | ↑ +100% |
| Aetna | Commercial|PPO | $1,924.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,924.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,061.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,089.24 | ↑ +117% |
| Aetna | Commercial|HMO | $2,245.00 | ↑ +133% |
| OPTUM | Medicaid|STARPLUS | $2,271.23 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,336.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $2,749.00 | ↑ +186% |
| Cigna | Commercial|PPO | $3,983.00 | ↑ +314% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $962.15 | $30.82 – $2,749.00 |
| 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 | $1,470.35 | $859.86 – $859.86 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $770.04 | $218.18 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $886.75 | $182.52 – $2,805.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,006.17 | $201.23 – $2,805.00 |