Ghs intermed repair over 30 cm - 12037 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$3,175.90
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.
$9,074.00
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.
$397.85 with BCBS - TX vs $9,074.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Transplant | $397.85 | ↓ -87% |
| Wellpoint | Medicaid|STARKIDS | $745.88 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $745.88 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $745.88 | ↓ -77% |
| Wellpoint | Medicaid|CHIP | $745.88 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $745.88 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $760.80 | ↓ -76% |
| UHC | Medicaid|CHIP | $760.80 | ↓ -76% |
| UNITED | Medicaid|All Other Plans | $760.80 | ↓ -76% |
| BCBS | Medicaid|All Plans | $783.17 | ↓ -75% |
| CHC | Medicaid|All Other Plans | $857.76 | ↓ -73% |
| TCHP | Medicaid|STAR | $999.48 | ↓ -69% |
| Wellpoint | Medicaid|STAR | $999.48 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,021.86 | ↓ -68% |
| CHC | Medicaid|STAR | $1,148.66 | ↓ -64% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↓ -62% |
| Healthsmart | Commercial|AP3 | $1,285.00 | ↓ -60% |
| Renaissance | Commercial|All Plans | $1,319.18 | ↓ -58% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↓ -57% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,363.10 | ↓ -57% |
| Aetna | Commercial|HMO | $1,438.00 | ↓ -55% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,492.92 | ↓ -53% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↓ -47% |
| KELSEY | Medicare|All Plans | $1,832.19 | ↓ -42% |
| Humana | Medicare|All Other Plans | $1,832.19 | ↓ -42% |
| Humana | Medicare|TRANSPLANT | $1,832.19 | ↓ -42% |
| AETNA | Medicare|TRANSPLANT | $1,832.19 | ↓ -42% |
| BCBS | Medicare|All Plans | $1,832.19 | ↓ -42% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,832.19 | ↓ -42% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,850.51 | ↓ -42% |
| AETNA | Medicare|All Other Plans | $1,868.83 | ↓ -41% |
| UHC-SecureHorizons | Medicare|All Plans | $1,868.83 | ↓ -41% |
| Amerivantage | Medicare|All Plans | $1,887.16 | ↓ -41% |
| SELECTCARE | Medicare|All Plans | $1,923.80 | ↓ -39% |
| SCANHealth | Medicare|All Plans | $1,960.44 | ↓ -38% |
| DEVOTED | Medicare|All Plans | $1,960.44 | ↓ -38% |
| Humana | Commercial|PPO | $1,980.00 | ↓ -38% |
| Humana | Commercial|HMO | $1,980.00 | ↓ -38% |
| United | Commercial|Exchange | $1,984.00 | ↓ -38% |
| KINDRED | Medicare|All Plans | $2,198.63 | ↓ -31% |
| UHC | Medicaid|STARPLUS | $2,327.15 | ↓ -27% |
| UNITED | Medicaid|STARPLUS | $2,327.15 | ↓ -27% |
| OPTUM | Medicare|All Plans | $2,449.98 | ↓ -23% |
| KelseyCare | Commercial|Exchange | $2,473.46 | ↓ -22% |
| Employer Direct | Commercial|PPO | $2,565.07 | ↓ -19% |
| Cigna | Commercial|Surefit | $2,609.00 | ↓ -18% |
| United | Commercial|Charter | $2,669.00 | ↓ -16% |
| BCBS - TX | Commercial|Premier | $2,709.98 | ↓ -15% |
| Community Health Choice | Commercial|All Other Plans | $2,748.28 | ↓ -13% |
| Community Health Choice | Commercial|Exchange | $2,748.28 | ↓ -13% |
| Wellpoint | Commercial|Exchange | $2,748.28 | ↓ -13% |
| Superior Health Plan | Commercial|All Plans | $2,748.28 | ↓ -13% |
| Harris Health | Commercial|ERS | $2,748.28 | ↓ -13% |
| Aetna | Commercial|Exchange | $2,821.57 | ↓ -11% |
| Bright Health | Commercial|All Plans | $2,864.28 | ↓ -10% |
| Cigna | Commercial|HMO | $2,875.00 | ↓ -9% |
| United | Commercial|PPO | $2,968.00 | ↓ -7% |
| United | Commercial|HMO | $2,968.00 | ↓ -7% |
| OPTUM | Medicaid|STAR | $3,282.98 | ↑ +3% |
| BCBS - TX | Commercial|HMO | $3,310.39 | ↑ +4% |
| BCBS - TX | Commercial|PPO Trad | $3,570.03 | ↑ +12% |
| TCHPCHIP | Medicaid|HMO | $3,720.34 | ↑ +17% |
| TCH | Commercial|Transplant | $4,083.30 | ↑ +29% |
| United | Commercial|Optum | $4,264.78 | ↑ +34% |
| Shell | Commercial|All Plans | $4,537.00 | ↑ +43% |
| CHC | Medicaid|HMO | $4,990.70 | ↑ +57% |
| CHC | Medicaid|CHIP | $4,990.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,990.70 | ↑ +57% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +63% |
| PHCS | Commercial|PPO | $5,185.00 | ↑ +63% |
| Cigna Lifesource | Commercial|Transplant | $5,444.40 | ↑ +71% |
| Coventry | Commercial|PPO | $5,898.10 | ↑ +86% |
| Humana | Commercial|Transplant | $5,898.10 | ↑ +86% |
| First Health | Commercial|All Plans | $5,898.10 | ↑ +86% |
| NX Health | Commercial|PPO | $5,954.62 | ↑ +87% |
| Cigna | Commercial|Transplant | $6,351.80 | ↑ +100% |
| Aetna | Commercial|PPO | $6,351.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $6,351.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $6,351.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $6,805.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $6,896.24 | ↑ +117% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +127% |
| OPTUM | Medicaid|STARPLUS | $7,496.94 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $7,712.90 | ↑ +143% |
| MHealth Network | Commercial|PPO | $9,074.00 | ↑ +186% |
Visitor-reported prices
Comments
Ghs intermed repair over 30 cm - 12037 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $3,175.90 | $1,285.00 – $9,074.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $760.80 – $3,326.62 |
| HCA HOUSTON WEST | HOUSTON | not published | $694.83 – $2,823.57 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $709.01 – $2,823.57 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,524.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,646.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,123.36 | $709.01 – $4,517.58 |