Ghs intermed repair 20.1 - 30.0 cm-12036 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,730.00
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.
?
What you pay up front if you don't use insurance.
$7,800.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$228.07 with Wellpoint vs $7,800.00 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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|CHIP | $228.07 | ↓ -92% |
| Wellpoint | Medicaid|STARKIDS | $228.07 | ↓ -92% |
| TCHP | Medicaid|All Other Plans | $228.07 | ↓ -92% |
| TCHP | Medicaid|STARKIDS | $228.07 | ↓ -92% |
| Wellpoint | Medicaid|All Other Plans | $228.07 | ↓ -92% |
| UNITED | Medicaid|All Other Plans | $232.63 | ↓ -91% |
| UHC | Medicaid|STARKIDS | $232.63 | ↓ -91% |
| UHC | Medicaid|CHIP | $232.63 | ↓ -91% |
| BCBS | Medicaid|All Plans | $239.47 | ↓ -91% |
| CHC | Medicaid|All Other Plans | $262.28 | ↓ -90% |
| Wellpoint | Medicaid|STAR | $305.61 | ↓ -89% |
| TCHP | Medicaid|STAR | $305.61 | ↓ -89% |
| UNITED | Medicaid|STAR | $312.46 | ↓ -89% |
| CHC | Medicaid|STAR | $351.23 | ↓ -87% |
| BCBS - TX | Commercial|Transplant | $397.85 | ↓ -85% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $417.50 | ↓ -85% |
| Renaissance | Commercial|All Plans | $441.45 | ↓ -84% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $457.26 | ↓ -83% |
| Humana | Medicare|TRANSPLANT | $613.12 | ↓ -78% |
| Humana | Medicare|All Other Plans | $613.12 | ↓ -78% |
| CIGNA HEALTHSPRING | Medicare|HMO | $613.12 | ↓ -78% |
| AETNA | Medicare|TRANSPLANT | $613.12 | ↓ -78% |
| BCBS | Medicare|All Plans | $613.12 | ↓ -78% |
| KELSEY | Medicare|All Plans | $613.12 | ↓ -78% |
| CIGNA HEALTHSPRING | Medicare|PPO | $619.25 | ↓ -77% |
| UHC-SecureHorizons | Medicare|All Plans | $625.38 | ↓ -77% |
| AETNA | Medicare|All Other Plans | $625.38 | ↓ -77% |
| Amerivantage | Medicare|All Plans | $631.51 | ↓ -77% |
| SELECTCARE | Medicare|All Plans | $643.78 | ↓ -76% |
| DEVOTED | Medicare|All Plans | $656.04 | ↓ -76% |
| SCANHealth | Medicare|All Plans | $656.04 | ↓ -76% |
| UNITED | Medicaid|STARPLUS | $711.58 | ↓ -74% |
| UHC | Medicaid|STARPLUS | $711.58 | ↓ -74% |
| KINDRED | Medicare|All Plans | $735.74 | ↓ -73% |
| KelseyCare | Commercial|Exchange | $827.71 | ↓ -70% |
| BCBS - TX | Commercial|Premier | $830.02 | ↓ -70% |
| Employer Direct | Commercial|PPO | $858.37 | ↓ -69% |
| Bright Health | Commercial|All Plans | $875.84 | ↓ -68% |
| Superior Health Plan | Commercial|All Plans | $919.68 | ↓ -66% |
| Community Health Choice | Commercial|Exchange | $919.68 | ↓ -66% |
| Community Health Choice | Commercial|All Other Plans | $919.68 | ↓ -66% |
| Wellpoint | Commercial|Exchange | $919.68 | ↓ -66% |
| Harris Health | Commercial|ERS | $919.68 | ↓ -66% |
| Aetna | Commercial|Exchange | $944.20 | ↓ -65% |
| BCBS - TX | Commercial|HMO | $1,013.92 | ↓ -63% |
| BCBS - TX | Commercial|PPO Trad | $1,093.44 | ↓ -60% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↓ -56% |
| Healthsmart | Commercial|AP3 | $1,285.00 | ↓ -53% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↓ -50% |
| Aetna | Commercial|HMO | $1,438.00 | ↓ -47% |
| United | Commercial|Exchange | $1,452.00 | ↓ -47% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↓ -39% |
| United | Commercial|Charter | $1,955.00 | ↓ -28% |
| Humana | Commercial|HMO | $1,980.00 | ↓ -27% |
| Humana | Commercial|PPO | $1,980.00 | ↓ -27% |
| NX Health | Commercial|PPO | $1,992.64 | ↓ -27% |
| OPTUM | Medicare|All Plans | $2,106.00 | ↓ -23% |
| United | Commercial|HMO | $2,172.00 | ↓ -20% |
| United | Commercial|PPO | $2,172.00 | ↓ -20% |
| Cigna | Commercial|Surefit | $2,609.00 | ↓ -4% |
| OPTUM | Medicaid|STAR | $2,822.04 | ↑ +3% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +5% |
| TCHPCHIP | Medicaid|HMO | $3,198.00 | ↑ +17% |
| TCH | Commercial|Transplant | $3,510.00 | ↑ +29% |
| United | Commercial|Optum | $3,666.00 | ↑ +34% |
| Shell | Commercial|All Plans | $3,900.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $4,290.00 | ↑ +57% |
| CHC | Medicaid|HMO | $4,290.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,290.00 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $4,680.00 | ↑ +71% |
| Coventry | Commercial|PPO | $5,070.00 | ↑ +86% |
| First Health | Commercial|All Plans | $5,070.00 | ↑ +86% |
| Humana | Commercial|Transplant | $5,070.00 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +90% |
| PHCS | Commercial|PPO | $5,185.00 | ↑ +90% |
| Interlink | Commercial|Transplant | $5,460.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $5,460.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,460.00 | ↑ +100% |
| Aetna | Commercial|PPO | $5,460.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $5,850.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $5,928.00 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $6,444.36 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $6,630.00 | ↑ +143% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +165% |
| MHealth Network | Commercial|PPO | $7,800.00 | ↑ +186% |
Visitor-reported prices
Comments
Ghs intermed repair 20.1 - 30.0 cm-12036 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,730.00 | $1,285.00 – $7,800.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $232.63 – $1,018.89 |
| HCA HOUSTON WEST | HOUSTON | not published | $212.46 – $864.81 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $216.80 – $864.81 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,195.31 | $216.80 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,523.57 | $71.00 – $2,285.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,122.16 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,195.31 | $216.80 – $1,596.25 |