Fem/popl revasc w/stent at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$13,989.15
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.
$39,969.00
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.
$1,695.00 with Aetna vs $39,969.00 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $1,695.00 | ↓ -88% |
| Aetna | Commercial|HMO | $2,038.00 | ↓ -85% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -83% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -81% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -81% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -76% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -74% |
| United | Commercial|Exchange | $4,175.00 | ↓ -70% |
| Wellpoint | Medicaid|CHIP | $5,615.67 | ↓ -60% |
| TCHP | Medicaid|STARKIDS | $5,615.67 | ↓ -60% |
| TCHP | Medicaid|All Other Plans | $5,615.67 | ↓ -60% |
| Wellpoint | Medicaid|STARKIDS | $5,615.67 | ↓ -60% |
| Wellpoint | Medicaid|All Other Plans | $5,615.67 | ↓ -60% |
| United | Commercial|Charter | $5,621.00 | ↓ -60% |
| UNITED | Medicaid|All Other Plans | $5,727.98 | ↓ -59% |
| UHC | Medicaid|CHIP | $5,727.98 | ↓ -59% |
| UHC | Medicaid|STARKIDS | $5,727.98 | ↓ -59% |
| BCBS | Medicaid|All Plans | $5,896.45 | ↓ -58% |
| United | Commercial|HMO | $6,245.00 | ↓ -55% |
| United | Commercial|PPO | $6,245.00 | ↓ -55% |
| CHC | Medicaid|All Other Plans | $6,458.02 | ↓ -54% |
| Wellpoint | Medicaid|STAR | $7,525.00 | ↓ -46% |
| TCHP | Medicaid|STAR | $7,525.00 | ↓ -46% |
| UNITED | Medicaid|STAR | $7,693.47 | ↓ -45% |
| Renaissance | Commercial|All Plans | $8,178.44 | ↓ -42% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $8,323.12 | ↓ -41% |
| CHC | Medicaid|STAR | $8,648.13 | ↓ -38% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $9,115.80 | ↓ -35% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -35% |
| OPTUM | Medicare|All Plans | $10,791.63 | ↓ -23% |
| KELSEY | Medicare|All Plans | $11,358.94 | ↓ -19% |
| AETNA | Medicare|TRANSPLANT | $11,358.94 | ↓ -19% |
| Humana | Medicare|All Other Plans | $11,358.94 | ↓ -19% |
| CIGNA HEALTHSPRING | Medicare|HMO | $11,358.94 | ↓ -19% |
| Humana | Medicare|TRANSPLANT | $11,358.94 | ↓ -19% |
| BCBS | Medicare|All Plans | $11,358.94 | ↓ -19% |
| CIGNA HEALTHSPRING | Medicare|PPO | $11,472.53 | ↓ -18% |
| AETNA | Medicare|All Other Plans | $11,586.12 | ↓ -17% |
| UHC-SecureHorizons | Medicare|All Plans | $11,586.12 | ↓ -17% |
| Amerivantage | Medicare|All Plans | $11,699.71 | ↓ -16% |
| SELECTCARE | Medicare|All Plans | $11,926.89 | ↓ -15% |
| SCANHealth | Medicare|All Plans | $12,154.07 | ↓ -13% |
| DEVOTED | Medicare|All Plans | $12,154.07 | ↓ -13% |
| KINDRED | Medicare|All Plans | $13,630.73 | ↓ -3% |
| BCBS - TX | Commercial|Transplant | $14,044.19 | ↑ +0% |
| OPTUM | Medicaid|STAR | $14,460.79 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $15,334.57 | ↑ +10% |
| Employer Direct | Commercial|PPO | $15,902.52 | ↑ +14% |
| TCHPCHIP | Medicaid|HMO | $16,387.29 | ↑ +17% |
| BCBS - TX | Commercial|Premier | $16,547.16 | ↑ +18% |
| Bright Health | Commercial|All Plans | $16,797.53 | ↑ +20% |
| Harris Health | Commercial|ERS | $17,038.41 | ↑ +22% |
| Community Health Choice | Commercial|Exchange | $17,038.41 | ↑ +22% |
| Community Health Choice | Commercial|All Other Plans | $17,038.41 | ↑ +22% |
| Wellpoint | Commercial|Exchange | $17,038.41 | ↑ +22% |
| Superior Health Plan | Commercial|All Plans | $17,038.41 | ↑ +22% |
| Aetna | Commercial|Exchange | $17,492.77 | ↑ +25% |
| UNITED | Medicaid|STARPLUS | $17,520.89 | ↑ +25% |
| UHC | Medicaid|STARPLUS | $17,520.89 | ↑ +25% |
| TCH | Commercial|Transplant | $17,986.05 | ↑ +29% |
| United | Commercial|Optum | $18,785.43 | ↑ +34% |
| Shell | Commercial|All Plans | $19,984.50 | ↑ +43% |
| BCBS - TX | Commercial|HMO | $20,213.30 | ↑ +44% |
| BCBS - TX | Commercial|PPO Trad | $21,798.66 | ↑ +56% |
| TEXASTRUECHOICE | Medicaid|CHIP | $21,982.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $21,982.95 | ↑ +57% |
| CHC | Medicaid|HMO | $21,982.95 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $23,981.40 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $23,981.40 | ↑ +71% |
| PHCS | Commercial|PPO | $25,979.85 | ↑ +86% |
| Coventry | Commercial|PPO | $25,979.85 | ↑ +86% |
| Humana | Commercial|Transplant | $25,979.85 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $25,979.85 | ↑ +86% |
| First Health | Commercial|All Plans | $25,979.85 | ↑ +86% |
| Healthsmart | Commercial|PPO | $27,978.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $27,978.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $27,978.30 | ↑ +100% |
| Aetna | Commercial|PPO | $27,978.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $29,976.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $30,376.44 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $33,022.39 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $33,973.65 | ↑ +143% |
| NX Health | Commercial|PPO | $36,916.56 | ↑ +164% |
| MHealth Network | Commercial|PPO | $39,969.00 | ↑ +186% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $43,358.00 | $5,231.33 – $6,738.80 |
| St. Luke's Health - The Vintage Hospital | Houston | $13,989.15 | $10,791.63 – $39,969.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,727.98 – $20,312.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5,338.09 – $17,240.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,228.15 | $6,299.00 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,553.12 | $71.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,308.99 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,228.15 | $6,727.51 – $35,739.87 |