Ghs lac repair mouth.ant tong 2.5cm/less at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$328.65
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.
$939.00
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.
$91.59 with BCBS - TX vs $7,221.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Blue Advantage Exchange | $91.59 | ↓ -72% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $100.31 | ↓ -69% |
| Wellpoint | Medicaid|CHIP | $103.29 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $103.29 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $103.29 | ↓ -69% |
| CHC | Medicaid|All Other Plans | $103.29 | ↓ -69% |
| Wellpoint | Medicaid|STARKIDS | $103.29 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $103.29 | ↓ -69% |
| UHC | Medicaid|STARKIDS | $105.36 | ↓ -68% |
| UHC | Medicaid|CHIP | $105.36 | ↓ -68% |
| UNITED | Medicaid|All Other Plans | $105.36 | ↓ -68% |
| BCBS | Medicaid|All Plans | $108.46 | ↓ -67% |
| BCBS - TX | Commercial|Transplant | $128.43 | ↓ -61% |
| TCHP | Medicaid|STAR | $138.41 | ↓ -58% |
| CHC | Medicaid|STAR | $138.41 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $138.41 | ↓ -58% |
| UNITED | Medicaid|STAR | $141.51 | ↓ -57% |
| BCBS - TX | Commercial|Premier | $182.08 | ↓ -45% |
| BCBS - TX | Commercial|HMO | $222.42 | ↓ -32% |
| BCBS - TX | Commercial|PPO Trad | $239.87 | ↓ -27% |
| OPTUM | Medicare|All Plans | $253.53 | ↓ -23% |
| Renaissance | Commercial|All Plans | $287.78 | ↓ -12% |
| UNITED | Medicaid|STARPLUS | $322.27 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $322.27 | ↓ -2% |
| OPTUM | Medicaid|STAR | $339.74 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $384.99 | ↑ +17% |
| BCBS | Medicare|All Plans | $399.69 | ↑ +22% |
| Humana | Medicare|TRANSPLANT | $399.69 | ↑ +22% |
| CIGNA HEALTHSPRING | Medicare|HMO | $399.69 | ↑ +22% |
| KELSEY | Medicare|All Plans | $399.69 | ↑ +22% |
| AETNA | Medicare|TRANSPLANT | $399.69 | ↑ +22% |
| Humana | Medicare|All Other Plans | $399.69 | ↑ +22% |
| CIGNA HEALTHSPRING | Medicare|PPO | $403.69 | ↑ +23% |
| UHC-SecureHorizons | Medicare|All Plans | $407.68 | ↑ +24% |
| AETNA | Medicare|All Other Plans | $407.68 | ↑ +24% |
| Amerivantage | Medicare|All Plans | $411.68 | ↑ +25% |
| SELECTCARE | Medicare|All Plans | $419.67 | ↑ +28% |
| TCH | Commercial|Transplant | $422.55 | ↑ +29% |
| DEVOTED | Medicare|All Plans | $427.67 | ↑ +30% |
| SCANHealth | Medicare|All Plans | $427.67 | ↑ +30% |
| United | Commercial|Optum | $441.33 | ↑ +34% |
| Bright Health | Commercial|All Plans | $453.87 | ↑ +38% |
| Shell | Commercial|All Plans | $469.50 | ↑ +43% |
| KINDRED | Medicare|All Plans | $479.63 | ↑ +46% |
| CHC | Medicaid|HMO | $516.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $516.45 | ↑ +57% |
| CHC | Medicaid|CHIP | $516.45 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $539.58 | ↑ +64% |
| Employer Direct | Commercial|PPO | $559.57 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $563.40 | ↑ +71% |
| Harris Health | Commercial|ERS | $599.53 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $599.53 | ↑ +82% |
| Community Health Choice | Commercial|All Other Plans | $599.53 | ↑ +82% |
| Community Health Choice | Commercial|Exchange | $599.53 | ↑ +82% |
| Superior Health Plan | Commercial|All Plans | $599.53 | ↑ +82% |
| First Health | Commercial|All Plans | $610.35 | ↑ +86% |
| Humana | Commercial|Transplant | $610.35 | ↑ +86% |
| Coventry | Commercial|PPO | $610.35 | ↑ +86% |
| Aetna | Commercial|Exchange | $615.52 | ↑ +87% |
| Aetna | Commercial|PPO | $657.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $657.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $657.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $657.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $704.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $713.64 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $775.81 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $798.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $939.00 | ↑ +186% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↑ +264% |
| Healthsmart | Commercial|AP3 | $1,285.00 | ↑ +291% |
| NX Health | Commercial|PPO | $1,298.99 | ↑ +295% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +314% |
| Aetna | Commercial|HMO | $1,438.00 | ↑ +338% |
| United | Commercial|Exchange | $1,452.00 | ↑ +342% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +410% |
| United | Commercial|Charter | $1,955.00 | ↑ +495% |
| Humana | Commercial|HMO | $1,980.00 | ↑ +502% |
| Humana | Commercial|PPO | $1,980.00 | ↑ +502% |
| United | Commercial|HMO | $2,172.00 | ↑ +561% |
| United | Commercial|PPO | $2,172.00 | ↑ +561% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +694% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +775% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +1478% |
| PHCS | Commercial|PPO | $5,185.00 | ↑ +1478% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +2097% |
Visitor-reported prices
Comments
Ghs lac repair mouth.ant tong 2.5cm/less at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $328.65 | $75.12 – $939.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $223.51 – $223.51 |
| HCA HOUSTON WEST | HOUSTON | not published | $189.71 – $451.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $189.71 – $189.71 |
| Adventhealth Rollins Brook | Lampasas | $816.85 | $136.29 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $586.06 | $166.05 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $489.67 | $71.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $408.99 | $71.00 – $987.04 |