Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$59.15
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.
$169.00
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.
$37.18 with Aetna vs $169.00 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $37.18 | ↓ -37% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $41.14 | ↓ -30% |
| Aetna | Commercial|PPO | $43.94 | ↓ -26% |
| Aetna | Commercial|HMO | $43.94 | ↓ -26% |
| OPTUM | Medicare|All Plans | $45.63 | ↓ -23% |
| United | Commercial|Exchange | $47.32 | ↓ -20% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $51.65 | ↓ -13% |
| Aetna | Commercial|Transplant | $54.08 | ↓ -9% |
| Bright Health | Commercial|All Plans | $55.77 | ↓ -6% |
| United | Commercial|Charter | $55.77 | ↓ -6% |
| Cigna | Commercial|Surefit | $60.84 | ↑ +3% |
| Cigna | Commercial|HMO | $60.84 | ↑ +3% |
| Cigna | Commercial|PPO | $60.84 | ↑ +3% |
| OPTUM | Medicaid|STAR | $61.15 | ↑ +3% |
| United | Commercial|PPO | $64.22 | ↑ +9% |
| United | Commercial|HMO | $64.22 | ↑ +9% |
| BCBS - TX | Commercial|Premier | $64.91 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $69.29 | ↑ +17% |
| TCH | Commercial|Transplant | $76.05 | ↑ +29% |
| United | Commercial|Optum | $79.43 | ↑ +34% |
| KelseyCare | Commercial|All Other Plans | $82.81 | ↑ +40% |
| Humana | Commercial|HMO | $82.81 | ↑ +40% |
| Humana | Commercial|PPO | $82.81 | ↑ +40% |
| Shell | Commercial|All Plans | $84.50 | ↑ +43% |
| BCBS - TX | Commercial|HMO | $84.56 | ↑ +43% |
| BCBS - TX | Commercial|PPO Trad | $91.42 | ↑ +55% |
| TEXASTRUECHOICE | Medicaid|CHIP | $92.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $92.95 | ↑ +57% |
| CHC | Medicaid|HMO | $92.95 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $101.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $101.40 | ↑ +71% |
| First Health | Commercial|All Plans | $109.85 | ↑ +86% |
| Coventry | Commercial|PPO | $109.85 | ↑ +86% |
| Humana | Commercial|Transplant | $109.85 | ↑ +86% |
| Interlink | Commercial|Transplant | $118.30 | ↑ +100% |
| PHCS | Commercial|PPO | $118.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $118.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $118.30 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $118.30 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $121.68 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $126.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $139.63 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $143.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $169.00 | ↑ +186% |
Visitor-reported prices
Comments
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $59.15 | $37.18 – $169.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $51.79 – $446.38 |
| HCA HOUSTON WEST | HOUSTON | not published | $89.59 – $446.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $51.79 – $446.38 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $64.26 | $51.79 – $446.38 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,361.19 | $29.57 – $100.80 |
| St. Luke's Health Memorial Lufkin | Lufkin | $115.44 | $20.61 – $132.47 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $59.15 | $37.18 – $169.00 |