Inj for mammo ductogram at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$87.50
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.
$250.00
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.
$0.02 with BCBS - TX vs $2,700.00 with Humana — 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|Transplant | $0.02 | ↓ -100% |
| OPTUM | Medicare|All Plans | $67.50 | ↓ -23% |
| OPTUM | Medicaid|STAR | $90.45 | ↑ +3% |
| Cigna | Commercial|PPO | $100.00 | ↑ +14% |
| Cigna | Commercial|HMO | $100.00 | ↑ +14% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +14% |
| TCHPCHIP | Medicaid|HMO | $102.50 | ↑ +17% |
| TCH | Commercial|Transplant | $112.50 | ↑ +29% |
| United | Commercial|Optum | $117.50 | ↑ +34% |
| Shell | Commercial|All Plans | $125.00 | ↑ +43% |
| CHC | Medicaid|HMO | $137.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $137.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $137.50 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $150.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $150.00 | ↑ +71% |
| First Health | Commercial|All Plans | $162.50 | ↑ +86% |
| Coventry | Commercial|PPO | $162.50 | ↑ +86% |
| PHCS | Commercial|PPO | $162.50 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $162.50 | ↑ +86% |
| Humana | Commercial|Transplant | $162.50 | ↑ +86% |
| Interlink | Commercial|Transplant | $175.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $175.00 | ↑ +100% |
| Aetna | Commercial|PPO | $175.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $175.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $187.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $190.00 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $206.55 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $212.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $250.00 | ↑ +186% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +924% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +1133% |
| United | Commercial|Exchange | $1,452.00 | ↑ +1559% |
| United | Commercial|Charter | $1,955.00 | ↑ +2134% |
| United | Commercial|PPO | $2,172.00 | ↑ +2382% |
| United | Commercial|HMO | $2,172.00 | ↑ +2382% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +2648% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +2986% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +2986% |
Visitor-reported prices
Comments
Inj for mammo ductogram at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $87.50 | $67.50 – $250.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $621.62 | $176.13 – $880.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $219.68 | $45.22 – $329.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $219.68 | $43.94 – $274.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $621.62 | $165.77 – $880.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $219.68 | $70.52 – $329.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $219.68 | $113.50 – $329.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $219.68 | $71.00 – $329.53 |