Explor not followed by surg repair artery; low extrem 35703 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$7,783.65
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.
$22,239.00
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.
$291.68 with BCBS - TX vs $22,239.00 with MHealth Network — 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|Premier | $291.68 | ↓ -96% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $400.52 | ↓ -95% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $470.18 | ↓ -94% |
| BCBS - TX | Commercial|HMO | $936.00 | ↓ -88% |
| BCBS - TX | Commercial|PPO Trad | $996.95 | ↓ -87% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↓ -85% |
| Aetna | Commercial|HMO | $1,438.00 | ↓ -82% |
| TCHP | Medicaid|All Other Plans | $2,446.29 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $2,446.29 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $2,495.22 | ↓ -68% |
| United | Commercial|Exchange | $3,128.00 | ↓ -60% |
| TCHP | Medicaid|STAR | $3,278.03 | ↓ -58% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -57% |
| UNITED | Medicaid|STAR | $3,351.42 | ↓ -57% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -53% |
| United | Commercial|Charter | $4,211.00 | ↓ -46% |
| United | Commercial|PPO | $4,680.00 | ↓ -40% |
| United | Commercial|HMO | $4,680.00 | ↓ -40% |
| OPTUM | Medicare|All Plans | $6,004.53 | ↓ -23% |
| UHC | Medicaid|STARPLUS | $7,632.43 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $7,632.43 | ↓ -2% |
| OPTUM | Medicaid|STAR | $8,046.08 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $9,117.99 | ↑ +17% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +18% |
| TCH | Commercial|Transplant | $10,007.55 | ↑ +29% |
| United | Commercial|Optum | $10,452.33 | ↑ +34% |
| Shell | Commercial|All Plans | $11,119.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $12,231.45 | ↑ +57% |
| CHC | Medicaid|HMO | $12,231.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $12,231.45 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $13,343.40 | ↑ +71% |
| First Health | Commercial|All Plans | $14,455.35 | ↑ +86% |
| Coventry | Commercial|PPO | $14,455.35 | ↑ +86% |
| Humana | Commercial|Transplant | $14,455.35 | ↑ +86% |
| Cigna | Commercial|Transplant | $15,567.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $15,567.30 | ↑ +100% |
| Aetna | Commercial|PPO | $15,567.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $15,567.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $16,679.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $18,373.87 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $18,903.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $22,239.00 | ↑ +186% |
Visitor-reported prices
Comments
Explor not followed by surg repair artery; low extrem 35703 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $7,783.65 | $1,779.12 – $22,239.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3,992.16 – $3,992.16 |
| HCA HOUSTON WEST | HOUSTON | not published | $3,992.16 – $3,992.16 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3,992.16 – $3,992.16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $7,783.65 | $2,223.90 – $22,239.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $7,783.65 | $1,779.12 – $22,239.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $7,783.65 | $1,779.12 – $22,239.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $544.19 – $4,826.69 |