Ghs moderate sedation < 5 yr, 30 min, other at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$370.65
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.
$1,059.00
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.
$100.00 with Cigna vs $1,059.00 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 |
|---|---|---|---|
| Cigna | Commercial|HMO | $100.00 | ↓ -73% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -73% |
| Cigna | Commercial|PPO | $100.00 | ↓ -73% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $108.02 | ↓ -71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $109.85 | ↓ -70% |
| BCBS - TX | Commercial|PPO Trad | $184.91 | ↓ -50% |
| BCBS - TX | Commercial|Premier | $196.81 | ↓ -47% |
| BCBS - TX | Commercial|HMO | $283.77 | ↓ -23% |
| OPTUM | Medicare|All Plans | $285.93 | ↓ -23% |
| OPTUM | Medicaid|STAR | $383.15 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $434.19 | ↑ +17% |
| TCH | Commercial|Transplant | $476.55 | ↑ +29% |
| United | Commercial|Optum | $497.73 | ↑ +34% |
| Shell | Commercial|All Plans | $529.50 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $582.45 | ↑ +57% |
| CHC | Medicaid|CHIP | $582.45 | ↑ +57% |
| CHC | Medicaid|HMO | $582.45 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $635.40 | ↑ +71% |
| Coventry | Commercial|PPO | $688.35 | ↑ +86% |
| Humana | Commercial|Transplant | $688.35 | ↑ +86% |
| First Health | Commercial|All Plans | $688.35 | ↑ +86% |
| Cigna | Commercial|Transplant | $741.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $741.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $741.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $794.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $874.95 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $900.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,059.00 | ↑ +186% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $370.65 | $100.00 – $1,059.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $214.20 – $214.20 |
| HCA HOUSTON WEST | HOUSTON | not published | $214.20 – $214.20 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $214.20 – $214.20 |
| Adventhealth Rollins Brook | Lampasas | $1,721.18 | $352.43 – $352.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.86 | $43.88 – $281.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.93 | $49.59 – $361.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $172.11 | $34.42 – $276.45 |