Evaluation of speech fluency 92521 at Baylor St Luke's Medical Center

1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$83.65

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$239.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$64.53 with OPTUM vs $620.00 with United — 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 →

Payer
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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
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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
OPTUM Medicare|All Plans $64.53 ↓ -23%
OPTUM Medicaid|STAR $86.48 ↑ +3%
TCHPCHIP Medicaid|HMO $97.99 ↑ +17%
Cigna Commercial|PPO $100.00 ↑ +20%
Cigna Commercial|Surefit $100.00 ↑ +20%
Cigna Commercial|HMO $100.00 ↑ +20%
TCH Commercial|Transplant $107.55 ↑ +29%
United Commercial|Optum $112.33 ↑ +34%
Shell Commercial|All Plans $119.50 ↑ +43%
CHC Medicaid|HMO $131.45 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $131.45 ↑ +57%
CHC Medicaid|CHIP $131.45 ↑ +57%
BCBS - TX Commercial|Blue Advantage Exchange $136.51 ↑ +63%
BCBS - TX Commercial|MyBlue Health Exchange $138.83 ↑ +66%
Cigna Lifesource Commercial|Transplant $143.40 ↑ +71%
Humana Commercial|Transplant $155.35 ↑ +86%
Coventry Commercial|PPO $155.35 ↑ +86%
First Health Commercial|All Plans $155.35 ↑ +86%
Aetna Commercial|HMO $167.30 ↑ +100%
Healthsmart Commercial|PPO $167.30 ↑ +100%
Cigna Commercial|Transplant $167.30 ↑ +100%
Interlink Commercial|Transplant $167.30 ↑ +100%
MultiPlan Commercial|All Plans $179.25 ↑ +114%
OPTUM Medicaid|STARPLUS $197.47 ↑ +136%
USA Health Network Commercial|All Plans $203.15 ↑ +143%
BCBS - TX Commercial|PPO Trad $233.69 ↑ +179%
BCBS - TX Commercial|HMO $239.00 ↑ +186%
BCBS - TX Commercial|Premier $239.00 ↑ +186%
MHealth Network Commercial|PPO $239.00 ↑ +186%
United Commercial|Exchange $415.00 ↑ +396%
United Commercial|Charter $560.00 ↑ +569%
United Commercial|HMO $620.00 ↑ +641%
United Commercial|PPO $620.00 ↑ +641%

Visitor-reported prices

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Evaluation of speech fluency 92521 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $1,164.59 $130.92 – $421.17
St. Luke's Health - The Vintage Hospital Houston $83.65 $64.53 – $239.00
HCA HOUSTON WEST HOUSTON not published $130.92 – $287.22
HCA HOUSTON TOMBALL HOUSTON not published $130.92 – $287.22
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $407.48 $108.00 – $577.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $439.79 $90.52 – $659.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $419.80 $83.96 – $524.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $407.48 $108.00 – $577.27

All Texas hospitals for this procedure →