Hdr rdncl ntrstl/icav brchtx at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$3,727.85
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.
$10,651.00
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.
$279.37 with BCBS - TX vs $10,651.00 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|MyBlue Health Exchange | $279.37 | ↓ -93% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $337.57 | ↓ -91% |
| Renaissance | Commercial|All Plans | $500.35 | ↓ -87% |
| BCBS - TX | Commercial|Premier | $616.95 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicare|HMO | $694.93 | ↓ -81% |
| Humana | Medicare|All Other Plans | $694.93 | ↓ -81% |
| Humana | Medicare|TRANSPLANT | $694.93 | ↓ -81% |
| AETNA | Medicare|TRANSPLANT | $694.93 | ↓ -81% |
| KELSEY | Medicare|All Plans | $694.93 | ↓ -81% |
| BCBS | Medicare|All Plans | $694.93 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|PPO | $701.88 | ↓ -81% |
| UHC-SecureHorizons | Medicare|All Plans | $708.83 | ↓ -81% |
| AETNA | Medicare|All Other Plans | $708.83 | ↓ -81% |
| Amerivantage | Medicare|All Plans | $715.78 | ↓ -81% |
| SELECTCARE | Medicare|All Plans | $729.68 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $743.58 | ↓ -80% |
| DEVOTED | Medicare|All Plans | $743.58 | ↓ -80% |
| KINDRED | Medicare|All Plans | $833.92 | ↓ -78% |
| BCBS - TX | Commercial|HMO | $889.33 | ↓ -76% |
| KelseyCare | Commercial|Exchange | $938.16 | ↓ -75% |
| Employer Direct | Commercial|PPO | $972.90 | ↓ -74% |
| BCBS - TX | Commercial|PPO Trad | $989.44 | ↓ -73% |
| Community Health Choice | Commercial|All Other Plans | $1,042.39 | ↓ -72% |
| Wellpoint | Commercial|Exchange | $1,042.39 | ↓ -72% |
| Superior Health Plan | Commercial|All Plans | $1,042.39 | ↓ -72% |
| Community Health Choice | Commercial|Exchange | $1,042.39 | ↓ -72% |
| Harris Health | Commercial|ERS | $1,042.39 | ↓ -72% |
| Aetna | Commercial|Exchange | $1,070.19 | ↓ -71% |
| Bright Health | Commercial|All Plans | $1,186.32 | ↓ -68% |
| NX Health | Commercial|PPO | $2,258.52 | ↓ -39% |
| United | Commercial|Exchange | $2,358.00 | ↓ -37% |
| OPTUM | Medicare|All Plans | $2,875.77 | ↓ -23% |
| Cigna | Commercial|Surefit | $2,982.28 | ↓ -20% |
| United | Commercial|Charter | $3,177.00 | ↓ -15% |
| Cigna | Commercial|HMO | $3,301.81 | ↓ -11% |
| United | Commercial|HMO | $3,527.00 | ↓ -5% |
| United | Commercial|PPO | $3,527.00 | ↓ -5% |
| OPTUM | Medicaid|STAR | $3,853.54 | ↑ +3% |
| Cigna | Commercial|PPO | $4,366.91 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $4,366.91 | ↑ +17% |
| TCH | Commercial|Transplant | $4,792.95 | ↑ +29% |
| United | Commercial|Optum | $5,005.97 | ↑ +34% |
| Shell | Commercial|All Plans | $5,325.50 | ↑ +43% |
| CHC | Medicaid|HMO | $5,858.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,858.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,858.05 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $6,390.60 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $6,497.11 | ↑ +74% |
| Humana | Commercial|Transplant | $6,923.15 | ↑ +86% |
| First Health | Commercial|All Plans | $6,923.15 | ↑ +86% |
| Coventry | Commercial|PPO | $6,923.15 | ↑ +86% |
| Cigna | Commercial|Transplant | $7,455.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $7,455.70 | ↑ +100% |
| Aetna | Commercial|HMO | $7,455.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $7,455.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $7,988.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $8,799.86 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $9,053.35 | ↑ +143% |
| MHealth Network | Commercial|PPO | $10,651.00 | ↑ +186% |
Visitor-reported prices
Comments
Hdr rdncl ntrstl/icav brchtx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $3,727.85 | $339.90 – $10,651.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $426.04 – $3,979.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $426.04 – $3,979.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $426.04 – $3,979.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,138.90 | $363.18 – $2,673.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,770.48 | $776.09 – $5,655.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,496.27 | $664.67 – $4,370.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,138.90 | $223.50 – $2,673.63 |