Fna bx w/mr gdn 1st les at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$494.20
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.
$1,412.00
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.
$271.00 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 | $271.00 | ↓ -45% |
| TCHP | Medicaid|STARKIDS | $271.00 | ↓ -45% |
| TCHP | Medicaid|All Other Plans | $271.00 | ↓ -45% |
| Wellpoint | Medicaid|STARKIDS | $271.00 | ↓ -45% |
| Wellpoint | Medicaid|CHIP | $271.00 | ↓ -45% |
| UHC | Medicaid|STARKIDS | $276.42 | ↓ -44% |
| UHC | Medicaid|CHIP | $276.42 | ↓ -44% |
| UNITED | Medicaid|All Other Plans | $276.42 | ↓ -44% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $283.57 | ↓ -43% |
| BCBS | Medicaid|All Plans | $284.55 | ↓ -42% |
| CHC | Medicaid|All Other Plans | $311.65 | ↓ -37% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $332.89 | ↓ -33% |
| TCHP | Medicaid|STAR | $363.14 | ↓ -27% |
| Wellpoint | Medicaid|STAR | $363.14 | ↓ -27% |
| UNITED | Medicaid|STAR | $371.27 | ↓ -25% |
| OPTUM | Medicare|All Plans | $381.24 | ↓ -23% |
| CHC | Medicaid|STAR | $417.34 | ↓ -16% |
| Renaissance | Commercial|All Plans | $507.41 | ↑ +3% |
| OPTUM | Medicaid|STAR | $510.87 | ↑ +3% |
| BCBS - TX | Commercial|Premier | $514.74 | ↑ +4% |
| TCHPCHIP | Medicaid|HMO | $578.92 | ↑ +17% |
| TCH | Commercial|Transplant | $635.40 | ↑ +29% |
| BCBS - TX | Commercial|HMO | $662.69 | ↑ +34% |
| United | Commercial|Optum | $663.64 | ↑ +34% |
| AETNA | Medicare|TRANSPLANT | $704.73 | ↑ +43% |
| CIGNA HEALTHSPRING | Medicare|HMO | $704.73 | ↑ +43% |
| Humana | Medicare|All Other Plans | $704.73 | ↑ +43% |
| Humana | Medicare|TRANSPLANT | $704.73 | ↑ +43% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +43% |
| KELSEY | Medicare|All Plans | $704.73 | ↑ +43% |
| BCBS - TX | Commercial|PPO Trad | $705.85 | ↑ +43% |
| Shell | Commercial|All Plans | $706.00 | ↑ +43% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↑ +44% |
| AETNA | Medicare|All Other Plans | $718.82 | ↑ +45% |
| UHC-SecureHorizons | Medicare|All Plans | $718.82 | ↑ +45% |
| Amerivantage | Medicare|All Plans | $725.87 | ↑ +47% |
| SELECTCARE | Medicare|All Plans | $739.97 | ↑ +50% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +53% |
| DEVOTED | Medicare|All Plans | $754.06 | ↑ +53% |
| CHC | Medicaid|HMO | $776.60 | ↑ +57% |
| CHC | Medicaid|CHIP | $776.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $776.60 | ↑ +57% |
| UHC | Medicaid|STARPLUS | $845.52 | ↑ +71% |
| UNITED | Medicaid|STARPLUS | $845.52 | ↑ +71% |
| KINDRED | Medicare|All Plans | $845.68 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $847.20 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +81% |
| Humana | Commercial|Transplant | $917.80 | ↑ +86% |
| Coventry | Commercial|PPO | $917.80 | ↑ +86% |
| First Health | Commercial|All Plans | $917.80 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $951.39 | ↑ +93% |
| Employer Direct | Commercial|PPO | $986.62 | ↑ +100% |
| Cigna | Commercial|Transplant | $988.40 | ↑ +100% |
| Aetna | Commercial|PPO | $988.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $988.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $988.40 | ↑ +100% |
| Aetna | Commercial|Transplant | $1,023.00 | ↑ +107% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +111% |
| Humana | Commercial|PPO | $1,050.00 | ↑ +112% |
| Humana | Commercial|HMO | $1,050.00 | ↑ +112% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +114% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +114% |
| Superior Health Plan | Commercial|All Plans | $1,057.10 | ↑ +114% |
| Community Health Choice | Commercial|All Other Plans | $1,057.10 | ↑ +114% |
| Harris Health | Commercial|ERS | $1,057.10 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $1,059.00 | ↑ +114% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +118% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +120% |
| Healthsmart | Commercial|AP3 | $1,100.00 | ↑ +123% |
| OPTUM | Medicaid|STARPLUS | $1,166.60 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,200.20 | ↑ +143% |
| KelseyCare | Commercial|All Other Plans | $1,398.60 | ↑ +183% |
| MHealth Network | Commercial|PPO | $1,412.00 | ↑ +186% |
| United | Commercial|Exchange | $1,452.00 | ↑ +194% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +277% |
| United | Commercial|Charter | $1,955.00 | ↑ +296% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +316% |
| United | Commercial|HMO | $2,172.00 | ↑ +339% |
| United | Commercial|PPO | $2,172.00 | ↑ +339% |
| NX Health | Commercial|PPO | $2,290.37 | ↑ +363% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +944% |
Visitor-reported prices
Comments
Fna bx w/mr gdn 1st les at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $494.20 | $381.24 – $1,412.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $276.42 – $2,225.42 |
| HCA HOUSTON WEST | HOUSTON | not published | $252.45 – $2,225.42 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $257.60 – $2,225.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $766.26 | $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 - COLLEGE STATION | College Station | $766.26 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $766.26 | $257.60 – $1,742.94 |