Exploration of chest 39010 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$5,702.20
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.
$16,292.00
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.
$548.84 with BCBS - TX vs $16,292.00 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 | $548.84 | ↓ -90% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $753.64 | ↓ -87% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $884.70 | ↓ -84% |
| BCBS - TX | Commercial|HMO | $1,761.22 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $1,792.12 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $1,792.12 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $1,827.97 | ↓ -68% |
| BCBS - TX | Commercial|Transplant | $1,863.84 | ↓ -67% |
| BCBS - TX | Commercial|PPO Trad | $1,875.90 | ↓ -67% |
| TCHP | Medicaid|STAR | $2,401.45 | ↓ -58% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -58% |
| UNITED | Medicaid|STAR | $2,455.21 | ↓ -57% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -53% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -53% |
| United | Commercial|Exchange | $3,128.00 | ↓ -45% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -42% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -36% |
| United | Commercial|Charter | $4,211.00 | ↓ -26% |
| OPTUM | Medicare|All Plans | $4,398.84 | ↓ -23% |
| United | Commercial|PPO | $4,680.00 | ↓ -18% |
| United | Commercial|HMO | $4,680.00 | ↓ -18% |
| UNITED | Medicaid|STARPLUS | $5,591.42 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $5,591.42 | ↓ -2% |
| OPTUM | Medicaid|STAR | $5,894.45 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $6,679.72 | ↑ +17% |
| TCH | Commercial|Transplant | $7,331.40 | ↑ +29% |
| United | Commercial|Optum | $7,657.24 | ↑ +34% |
| Shell | Commercial|All Plans | $8,146.00 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $8,960.60 | ↑ +57% |
| CHC | Medicaid|HMO | $8,960.60 | ↑ +57% |
| CHC | Medicaid|CHIP | $8,960.60 | ↑ +57% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +61% |
| Independent Med System | Commercial|All Plans | $9,775.20 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $9,775.20 | ↑ +71% |
| First Health | Commercial|All Plans | $10,589.80 | ↑ +86% |
| Coventry | Commercial|PPO | $10,589.80 | ↑ +86% |
| PHCS | Commercial|PPO | $10,589.80 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $10,589.80 | ↑ +86% |
| Humana | Commercial|Transplant | $10,589.80 | ↑ +86% |
| Cigna | Commercial|Transplant | $11,404.40 | ↑ +100% |
| Aetna | Commercial|PPO | $11,404.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $11,404.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $11,404.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $12,219.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $12,381.92 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $13,460.46 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $13,848.20 | ↑ +143% |
| MHealth Network | Commercial|PPO | $16,292.00 | ↑ +186% |
Visitor-reported prices
Comments
Exploration of chest 39010 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $5,702.20 | $1,303.36 – $16,292.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $7,511.79 – $7,511.79 |
| HCA HOUSTON WEST | HOUSTON | not published | $7,511.79 – $7,511.79 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $7,511.79 – $7,511.79 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $5,702.20 | $1,629.20 – $16,292.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $5,702.20 | $1,303.36 – $16,292.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $5,702.20 | $1,303.36 – $16,292.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,023.96 – $4,826.69 |