Ghs closed tx bimalleolar fracture w/manip at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$609.00
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.
$1,740.00
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.
$469.80 with OPTUM vs $5,209.75 with NX Health — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $469.80 | ↓ -23% |
| Wellpoint | Medicaid|All Other Plans | $623.88 | ↑ +2% |
| TCHP | Medicaid|All Other Plans | $623.88 | ↑ +2% |
| Wellpoint | Medicaid|STARKIDS | $623.88 | ↑ +2% |
| Wellpoint | Medicaid|CHIP | $623.88 | ↑ +2% |
| TCHP | Medicaid|STARKIDS | $623.88 | ↑ +2% |
| OPTUM | Medicaid|STAR | $629.54 | ↑ +3% |
| UNITED | Medicaid|All Other Plans | $636.36 | ↑ +4% |
| UHC | Medicaid|CHIP | $636.36 | ↑ +4% |
| UHC | Medicaid|STARKIDS | $636.36 | ↑ +4% |
| BCBS | Medicaid|All Plans | $655.07 | ↑ +8% |
| BCBS - TX | Commercial|Transplant | $710.71 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $713.40 | ↑ +17% |
| CHC | Medicaid|All Other Plans | $717.46 | ↑ +18% |
| TCH | Commercial|Transplant | $783.00 | ↑ +29% |
| United | Commercial|Optum | $817.80 | ↑ +34% |
| Wellpoint | Medicaid|STAR | $836.00 | ↑ +37% |
| TCHP | Medicaid|STAR | $836.00 | ↑ +37% |
| UNITED | Medicaid|STAR | $854.72 | ↑ +40% |
| Shell | Commercial|All Plans | $870.00 | ↑ +43% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +47% |
| CHC | Medicaid|CHIP | $957.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $957.00 | ↑ +57% |
| CHC | Medicaid|HMO | $957.00 | ↑ +57% |
| Healthsmart | Commercial|AP3 | $958.00 | ↑ +57% |
| CHC | Medicaid|STAR | $960.78 | ↑ +58% |
| Cigna Lifesource | Commercial|Transplant | $1,044.00 | ↑ +71% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +77% |
| Humana | Commercial|Transplant | $1,131.00 | ↑ +86% |
| Coventry | Commercial|PPO | $1,131.00 | ↑ +86% |
| First Health | Commercial|All Plans | $1,131.00 | ↑ +86% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,138.53 | ↑ +87% |
| Renaissance | Commercial|All Plans | $1,154.16 | ↑ +90% |
| Cigna | Commercial|Transplant | $1,218.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,218.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,218.00 | ↑ +100% |
| Aetna | Commercial|PPO | $1,218.00 | ↑ +100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,246.96 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $1,305.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,322.40 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,437.59 | ↑ +136% |
| United | Commercial|Exchange | $1,452.00 | ↑ +138% |
| USA Health Network | Commercial|All Plans | $1,479.00 | ↑ +143% |
| Humana | Medicare|TRANSPLANT | $1,603.00 | ↑ +163% |
| AETNA | Medicare|TRANSPLANT | $1,603.00 | ↑ +163% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,603.00 | ↑ +163% |
| BCBS | Medicare|All Plans | $1,603.00 | ↑ +163% |
| KELSEY | Medicare|All Plans | $1,603.00 | ↑ +163% |
| Humana | Medicare|All Other Plans | $1,603.00 | ↑ +163% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,619.03 | ↑ +166% |
| UHC-SecureHorizons | Medicare|All Plans | $1,635.06 | ↑ +168% |
| AETNA | Medicare|All Other Plans | $1,635.06 | ↑ +168% |
| Amerivantage | Medicare|All Plans | $1,651.09 | ↑ +171% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +175% |
| SELECTCARE | Medicare|All Plans | $1,683.15 | ↑ +176% |
| DEVOTED | Medicare|All Plans | $1,715.21 | ↑ +182% |
| SCANHealth | Medicare|All Plans | $1,715.21 | ↑ +182% |
| MHealth Network | Commercial|PPO | $1,740.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +206% |
| KINDRED | Medicare|All Plans | $1,923.60 | ↑ +216% |
| UNITED | Medicaid|STARPLUS | $1,946.51 | ↑ +220% |
| UHC | Medicaid|STARPLUS | $1,946.51 | ↑ +220% |
| United | Commercial|Charter | $1,955.00 | ↑ +221% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +237% |
| KelseyCare | Commercial|Exchange | $2,164.05 | ↑ +255% |
| United | Commercial|PPO | $2,172.00 | ↑ +257% |
| United | Commercial|HMO | $2,172.00 | ↑ +257% |
| Employer Direct | Commercial|PPO | $2,244.20 | ↑ +269% |
| BCBS - TX | Commercial|Premier | $2,263.50 | ↑ +272% |
| Bright Health | Commercial|All Plans | $2,329.26 | ↑ +282% |
| Wellpoint | Commercial|Exchange | $2,404.50 | ↑ +295% |
| Community Health Choice | Commercial|Exchange | $2,404.50 | ↑ +295% |
| Superior Health Plan | Commercial|All Plans | $2,404.50 | ↑ +295% |
| Harris Health | Commercial|ERS | $2,404.50 | ↑ +295% |
| Community Health Choice | Commercial|All Other Plans | $2,404.50 | ↑ +295% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +295% |
| Aetna | Commercial|Exchange | $2,468.62 | ↑ +305% |
| BCBS - TX | Commercial|HMO | $2,765.00 | ↑ +354% |
| BCBS - TX | Commercial|PPO Trad | $2,981.86 | ↑ +390% |
| Humana | Commercial|PPO | $4,300.00 | ↑ +606% |
| Humana | Commercial|HMO | $4,300.00 | ↑ +606% |
| PHCS | Commercial|PPO | $4,487.00 | ↑ +637% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +637% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +747% |
| NX Health | Commercial|PPO | $5,209.75 | ↑ +755% |
Visitor-reported prices
Comments
Ghs closed tx bimalleolar fracture w/manip at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $609.00 | $469.80 – $1,740.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $636.36 – $2,778.55 |
| HCA HOUSTON WEST | HOUSTON | not published | $581.18 – $2,358.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $593.04 – $2,358.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,655.78 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,230.18 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,986.71 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,655.78 | $593.04 – $3,981.46 |