Exc benign tal 0.5 < cm 11400 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$411.25
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.
$1,175.00
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.
$81.84 with Wellpoint vs $5,160.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $81.84 | ↓ -80% |
| TCHP | Medicaid|STARKIDS | $81.84 | ↓ -80% |
| TCHP | Medicaid|All Other Plans | $81.84 | ↓ -80% |
| Wellpoint | Medicaid|STARKIDS | $81.84 | ↓ -80% |
| Wellpoint | Medicaid|CHIP | $81.84 | ↓ -80% |
| UHC | Medicaid|STARKIDS | $83.48 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $83.48 | ↓ -80% |
| UHC | Medicaid|CHIP | $83.48 | ↓ -80% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $85.00 | ↓ -79% |
| BCBS | Medicaid|All Plans | $85.93 | ↓ -79% |
| CHC | Medicaid|All Other Plans | $94.12 | ↓ -77% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $99.78 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $109.67 | ↓ -73% |
| TCHP | Medicaid|STAR | $109.67 | ↓ -73% |
| UNITED | Medicaid|STAR | $112.12 | ↓ -73% |
| BCBS - TX | Commercial|Transplant | $120.56 | ↓ -71% |
| CHC | Medicaid|STAR | $126.03 | ↓ -69% |
| BCBS - TX | Commercial|Premier | $154.29 | ↓ -62% |
| BCBS - TX | Commercial|HMO | $198.64 | ↓ -52% |
| BCBS - TX | Commercial|PPO Trad | $211.57 | ↓ -49% |
| UNITED | Medicaid|STARPLUS | $255.34 | ↓ -38% |
| UHC | Medicaid|STARPLUS | $255.34 | ↓ -38% |
| OPTUM | Medicare|All Plans | $317.25 | ↓ -23% |
| OPTUM | Medicaid|STAR | $425.12 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $481.75 | ↑ +17% |
| Renaissance | Commercial|All Plans | $507.41 | ↑ +23% |
| TCH | Commercial|Transplant | $528.75 | ↑ +29% |
| United | Commercial|Optum | $552.25 | ↑ +34% |
| Shell | Commercial|All Plans | $587.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $646.25 | ↑ +57% |
| CHC | Medicaid|HMO | $646.25 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $646.25 | ↑ +57% |
| CIGNA HEALTHSPRING | Medicare|HMO | $704.73 | ↑ +71% |
| Humana | Medicare|All Other Plans | $704.73 | ↑ +71% |
| Humana | Medicare|TRANSPLANT | $704.73 | ↑ +71% |
| AETNA | Medicare|TRANSPLANT | $704.73 | ↑ +71% |
| KELSEY | Medicare|All Plans | $704.73 | ↑ +71% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $705.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $705.00 | ↑ +71% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↑ +73% |
| UHC-SecureHorizons | Medicare|All Plans | $718.82 | ↑ +75% |
| AETNA | Medicare|All Other Plans | $718.82 | ↑ +75% |
| Amerivantage | Medicare|All Plans | $725.87 | ↑ +77% |
| SELECTCARE | Medicare|All Plans | $739.97 | ↑ +80% |
| DEVOTED | Medicare|All Plans | $754.06 | ↑ +83% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +83% |
| Coventry | Commercial|PPO | $763.75 | ↑ +86% |
| PHCS | Commercial|PPO | $763.75 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $763.75 | ↑ +86% |
| Humana | Commercial|Transplant | $763.75 | ↑ +86% |
| First Health | Commercial|All Plans | $763.75 | ↑ +86% |
| Cigna | Commercial|Transplant | $822.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $822.50 | ↑ +100% |
| Aetna | Commercial|PPO | $822.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $822.50 | ↑ +100% |
| KINDRED | Medicare|All Plans | $845.68 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $881.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $893.00 | ↑ +117% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +118% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +129% |
| KelseyCare | Commercial|Exchange | $951.39 | ↑ +131% |
| OPTUM | Medicaid|STARPLUS | $970.79 | ↑ +136% |
| Employer Direct | Commercial|PPO | $986.62 | ↑ +140% |
| USA Health Network | Commercial|All Plans | $998.75 | ↑ +143% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +153% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +157% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +157% |
| Community Health Choice | Commercial|All Other Plans | $1,057.10 | ↑ +157% |
| Harris Health | Commercial|ERS | $1,057.10 | ↑ +157% |
| Superior Health Plan | Commercial|All Plans | $1,057.10 | ↑ +157% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +162% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +164% |
| MHealth Network | Commercial|PPO | $1,175.00 | ↑ +186% |
| United | Commercial|Exchange | $1,452.00 | ↑ +253% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +353% |
| United | Commercial|Charter | $1,955.00 | ↑ +375% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +399% |
| United | Commercial|PPO | $2,172.00 | ↑ +428% |
| United | Commercial|HMO | $2,172.00 | ↑ +428% |
| NX Health | Commercial|PPO | $2,290.37 | ↑ +457% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +557% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +557% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +1155% |
Visitor-reported prices
Comments
Exc benign tal 0.5 < cm 11400 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $411.25 | $317.25 – $1,175.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $83.48 – $667.06 |
| HCA HOUSTON WEST | HOUSTON | not published | $76.23 – $714.92 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $77.79 – $667.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $805.70 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,196.08 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $805.70 | $83.24 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $805.70 | $77.79 – $1,742.94 |