Ghs simple repair over 30 cm - 12007 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,159.20
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.
$3,312.00
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.
$78.21 with Wellpoint 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $78.21 | ↓ -93% |
| Wellpoint | Medicaid|CHIP | $78.21 | ↓ -93% |
| TCHP | Medicaid|STARKIDS | $78.21 | ↓ -93% |
| Wellpoint | Medicaid|STARKIDS | $78.21 | ↓ -93% |
| TCHP | Medicaid|All Other Plans | $78.21 | ↓ -93% |
| UNITED | Medicaid|All Other Plans | $79.77 | ↓ -93% |
| UHC | Medicaid|STARKIDS | $79.77 | ↓ -93% |
| UHC | Medicaid|CHIP | $79.77 | ↓ -93% |
| BCBS | Medicaid|All Plans | $82.12 | ↓ -93% |
| CHC | Medicaid|All Other Plans | $89.94 | ↓ -92% |
| Wellpoint | Medicaid|STAR | $104.80 | ↓ -91% |
| TCHP | Medicaid|STAR | $104.80 | ↓ -91% |
| UNITED | Medicaid|STAR | $107.15 | ↓ -91% |
| CHC | Medicaid|STAR | $120.44 | ↓ -90% |
| Renaissance | Commercial|All Plans | $143.29 | ↓ -88% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $146.77 | ↓ -87% |
| BCBS - TX | Commercial|Transplant | $151.73 | ↓ -87% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $160.75 | ↓ -86% |
| KELSEY | Medicare|All Plans | $199.02 | ↓ -83% |
| BCBS | Medicare|All Plans | $199.02 | ↓ -83% |
| Humana | Medicare|TRANSPLANT | $199.02 | ↓ -83% |
| Humana | Medicare|All Other Plans | $199.02 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicare|HMO | $199.02 | ↓ -83% |
| AETNA | Medicare|TRANSPLANT | $199.02 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicare|PPO | $201.01 | ↓ -83% |
| AETNA | Medicare|All Other Plans | $203.00 | ↓ -82% |
| UHC-SecureHorizons | Medicare|All Plans | $203.00 | ↓ -82% |
| Amerivantage | Medicare|All Plans | $204.99 | ↓ -82% |
| SELECTCARE | Medicare|All Plans | $208.97 | ↓ -82% |
| DEVOTED | Medicare|All Plans | $212.95 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $212.95 | ↓ -82% |
| KINDRED | Medicare|All Plans | $238.82 | ↓ -79% |
| UHC | Medicaid|STARPLUS | $244.02 | ↓ -79% |
| UNITED | Medicaid|STARPLUS | $244.02 | ↓ -79% |
| KelseyCare | Commercial|Exchange | $268.68 | ↓ -77% |
| Employer Direct | Commercial|PPO | $278.63 | ↓ -76% |
| BCBS - TX | Commercial|Premier | $291.80 | ↓ -75% |
| Harris Health | Commercial|ERS | $298.53 | ↓ -74% |
| Community Health Choice | Commercial|Exchange | $298.53 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $298.53 | ↓ -74% |
| Superior Health Plan | Commercial|All Plans | $298.53 | ↓ -74% |
| Community Health Choice | Commercial|All Other Plans | $298.53 | ↓ -74% |
| Bright Health | Commercial|All Plans | $300.30 | ↓ -74% |
| Aetna | Commercial|Exchange | $306.49 | ↓ -74% |
| BCBS - TX | Commercial|HMO | $356.45 | ↓ -69% |
| BCBS - TX | Commercial|PPO Trad | $384.41 | ↓ -67% |
| NX Health | Commercial|PPO | $646.82 | ↓ -44% |
| OPTUM | Medicare|All Plans | $894.24 | ↓ -23% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↑ +3% |
| OPTUM | Medicaid|STAR | $1,198.29 | ↑ +3% |
| Healthsmart | Commercial|AP3 | $1,285.00 | ↑ +11% |
| TCHPCHIP | Medicaid|HMO | $1,357.92 | ↑ +17% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +17% |
| Aetna | Commercial|HMO | $1,438.00 | ↑ +24% |
| United | Commercial|Exchange | $1,452.00 | ↑ +25% |
| TCH | Commercial|Transplant | $1,490.40 | ↑ +29% |
| United | Commercial|Optum | $1,556.64 | ↑ +34% |
| Shell | Commercial|All Plans | $1,656.00 | ↑ +43% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +44% |
| CHC | Medicaid|HMO | $1,821.60 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,821.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,821.60 | ↑ +57% |
| United | Commercial|Charter | $1,955.00 | ↑ +69% |
| Humana | Commercial|HMO | $1,980.00 | ↑ +71% |
| Humana | Commercial|PPO | $1,980.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $1,987.20 | ↑ +71% |
| Coventry | Commercial|PPO | $2,152.80 | ↑ +86% |
| Humana | Commercial|Transplant | $2,152.80 | ↑ +86% |
| First Health | Commercial|All Plans | $2,152.80 | ↑ +86% |
| United | Commercial|PPO | $2,172.00 | ↑ +87% |
| United | Commercial|HMO | $2,172.00 | ↑ +87% |
| Interlink | Commercial|Transplant | $2,318.40 | ↑ +100% |
| Aetna | Commercial|PPO | $2,318.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,318.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,318.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,484.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,517.12 | ↑ +117% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +125% |
| OPTUM | Medicaid|STARPLUS | $2,736.38 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,815.20 | ↑ +143% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +148% |
| MHealth Network | Commercial|PPO | $3,312.00 | ↑ +186% |
| PHCS | Commercial|PPO | $5,185.00 | ↑ +347% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +347% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +523% |
Visitor-reported prices
Comments
Ghs simple repair over 30 cm - 12007 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,159.20 | $894.24 – $3,312.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $79.77 – $358.20 |
| HCA HOUSTON WEST | HOUSTON | not published | $72.85 – $304.03 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $74.34 – $304.03 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $980.75 | $74.34 – $1,225.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $471.32 | $71.00 – $706.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $353.59 | $71.00 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $980.75 | $74.34 – $1,225.94 |