Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$988.40
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.
$2,824.00
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.
$204.16 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|STARKIDS | $204.16 | ↓ -79% |
| TCHP | Medicaid|STARKIDS | $204.16 | ↓ -79% |
| TCHP | Medicaid|All Other Plans | $204.16 | ↓ -79% |
| Wellpoint | Medicaid|CHIP | $204.16 | ↓ -79% |
| Wellpoint | Medicaid|All Other Plans | $204.16 | ↓ -79% |
| UHC | Medicaid|STARKIDS | $208.24 | ↓ -79% |
| UHC | Medicaid|CHIP | $208.24 | ↓ -79% |
| UNITED | Medicaid|All Other Plans | $208.24 | ↓ -79% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $213.83 | ↓ -78% |
| BCBS | Medicaid|All Plans | $214.37 | ↓ -78% |
| CHC | Medicaid|All Other Plans | $234.78 | ↓ -76% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $251.01 | ↓ -75% |
| Wellpoint | Medicaid|STAR | $273.57 | ↓ -72% |
| TCHP | Medicaid|STAR | $273.57 | ↓ -72% |
| UNITED | Medicaid|STAR | $279.70 | ↓ -72% |
| CHC | Medicaid|STAR | $314.41 | ↓ -68% |
| BCBS - TX | Commercial|Premier | $388.14 | ↓ -61% |
| BCBS - TX | Commercial|HMO | $499.70 | ↓ -49% |
| Renaissance | Commercial|All Plans | $507.41 | ↓ -49% |
| BCBS - TX | Commercial|PPO Trad | $532.24 | ↓ -46% |
| UNITED | Medicaid|STARPLUS | $636.98 | ↓ -36% |
| UHC | Medicaid|STARPLUS | $636.98 | ↓ -36% |
| BCBS | Medicare|All Plans | $704.73 | ↓ -29% |
| AETNA | Medicare|TRANSPLANT | $704.73 | ↓ -29% |
| CIGNA HEALTHSPRING | Medicare|HMO | $704.73 | ↓ -29% |
| KELSEY | Medicare|All Plans | $704.73 | ↓ -29% |
| Humana | Medicare|TRANSPLANT | $704.73 | ↓ -29% |
| Humana | Medicare|All Other Plans | $704.73 | ↓ -29% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↓ -28% |
| AETNA | Medicare|All Other Plans | $718.82 | ↓ -27% |
| UHC-SecureHorizons | Medicare|All Plans | $718.82 | ↓ -27% |
| Amerivantage | Medicare|All Plans | $725.87 | ↓ -27% |
| SELECTCARE | Medicare|All Plans | $739.97 | ↓ -25% |
| SCANHealth | Medicare|All Plans | $754.06 | ↓ -24% |
| DEVOTED | Medicare|All Plans | $754.06 | ↓ -24% |
| OPTUM | Medicare|All Plans | $762.48 | ↓ -23% |
| KINDRED | Medicare|All Plans | $845.68 | ↓ -14% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -9% |
| KelseyCare | Commercial|Exchange | $951.39 | ↓ -4% |
| Employer Direct | Commercial|PPO | $986.62 | ↓ -0% |
| OPTUM | Medicaid|STAR | $1,021.73 | ↑ +3% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +5% |
| Community Health Choice | Commercial|All Other Plans | $1,057.10 | ↑ +7% |
| Superior Health Plan | Commercial|All Plans | $1,057.10 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +7% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +7% |
| Harris Health | Commercial|ERS | $1,057.10 | ↑ +7% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +9% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $1,157.84 | ↑ +17% |
| TCH | Commercial|Transplant | $1,270.80 | ↑ +29% |
| United | Commercial|Optum | $1,327.28 | ↑ +34% |
| Shell | Commercial|All Plans | $1,412.00 | ↑ +43% |
| United | Commercial|Exchange | $1,452.00 | ↑ +47% |
| CHC | Medicaid|HMO | $1,553.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,553.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,553.20 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,694.40 | ↑ +71% |
| First Health | Commercial|All Plans | $1,835.60 | ↑ +86% |
| Humana | Commercial|Transplant | $1,835.60 | ↑ +86% |
| Coventry | Commercial|PPO | $1,835.60 | ↑ +86% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +89% |
| United | Commercial|Charter | $1,955.00 | ↑ +98% |
| Aetna | Commercial|PPO | $1,976.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,976.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,976.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,976.80 | ↑ +100% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +108% |
| MultiPlan | Commercial|All Plans | $2,118.00 | ↑ +114% |
| United | Commercial|PPO | $2,172.00 | ↑ +120% |
| United | Commercial|HMO | $2,172.00 | ↑ +120% |
| NX Health | Commercial|PPO | $2,290.37 | ↑ +132% |
| OPTUM | Medicaid|STARPLUS | $2,333.19 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,400.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $2,824.00 | ↑ +186% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +422% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $988.40 | $762.48 – $2,824.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $208.24 – $1,678.07 |
| HCA HOUSTON WEST | HOUSTON | not published | $190.19 – $1,678.07 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $194.07 – $1,678.07 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,081.52 | $194.07 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $859.75 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $908.69 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,081.52 | $194.07 – $1,742.94 |