Injection radioactive tracer sentinel node (both sides) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$477.75
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.
$1,365.00
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.
$288.35 with BCBS - TX vs $5,160.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Transplant | $288.35 | ↓ -40% |
| Renaissance | Commercial|All Plans | $289.79 | ↓ -39% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $309.23 | ↓ -35% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $338.68 | ↓ -29% |
| OPTUM | Medicare|All Plans | $368.55 | ↓ -23% |
| CIGNA HEALTHSPRING | Medicare|HMO | $402.48 | ↓ -16% |
| Humana | Medicare|All Other Plans | $402.48 | ↓ -16% |
| Humana | Medicare|TRANSPLANT | $402.48 | ↓ -16% |
| AETNA | Medicare|TRANSPLANT | $402.48 | ↓ -16% |
| KELSEY | Medicare|All Plans | $402.48 | ↓ -16% |
| BCBS | Medicare|All Plans | $402.48 | ↓ -16% |
| CIGNA HEALTHSPRING | Medicare|PPO | $406.50 | ↓ -15% |
| UHC-SecureHorizons | Medicare|All Plans | $410.53 | ↓ -14% |
| AETNA | Medicare|All Other Plans | $410.53 | ↓ -14% |
| Amerivantage | Medicare|All Plans | $414.55 | ↓ -13% |
| SELECTCARE | Medicare|All Plans | $422.60 | ↓ -12% |
| DEVOTED | Medicare|All Plans | $430.65 | ↓ -10% |
| SCANHealth | Medicare|All Plans | $430.65 | ↓ -10% |
| KINDRED | Medicare|All Plans | $482.98 | ↑ +1% |
| OPTUM | Medicaid|STAR | $493.86 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $543.35 | ↑ +14% |
| TCHPCHIP | Medicaid|HMO | $559.65 | ↑ +17% |
| Employer Direct | Commercial|PPO | $563.47 | ↑ +18% |
| Superior Health Plan | Commercial|All Plans | $603.72 | ↑ +26% |
| Wellpoint | Commercial|Exchange | $603.72 | ↑ +26% |
| Community Health Choice | Commercial|All Other Plans | $603.72 | ↑ +26% |
| Harris Health | Commercial|ERS | $603.72 | ↑ +26% |
| Community Health Choice | Commercial|Exchange | $603.72 | ↑ +26% |
| TCH | Commercial|Transplant | $614.25 | ↑ +29% |
| BCBS - TX | Commercial|Premier | $614.78 | ↑ +29% |
| Aetna | Commercial|Exchange | $619.82 | ↑ +30% |
| Bright Health | Commercial|All Plans | $630.40 | ↑ +32% |
| United | Commercial|Optum | $641.55 | ↑ +34% |
| Shell | Commercial|All Plans | $682.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $750.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $750.75 | ↑ +57% |
| CHC | Medicaid|HMO | $750.75 | ↑ +57% |
| BCBS - TX | Commercial|HMO | $750.99 | ↑ +57% |
| BCBS - TX | Commercial|PPO Trad | $809.89 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $819.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $819.00 | ↑ +71% |
| Humana | Commercial|Transplant | $887.25 | ↑ +86% |
| PHCS | Commercial|PPO | $887.25 | ↑ +86% |
| First Health | Commercial|All Plans | $887.25 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $887.25 | ↑ +86% |
| Coventry | Commercial|PPO | $887.25 | ↑ +86% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +88% |
| Aetna | Commercial|PPO | $955.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $955.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $955.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $955.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,023.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,037.40 | ↑ +117% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +126% |
| OPTUM | Medicaid|STARPLUS | $1,127.77 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,160.25 | ↑ +143% |
| NX Health | Commercial|PPO | $1,308.06 | ↑ +174% |
| MHealth Network | Commercial|PPO | $1,365.00 | ↑ +186% |
| United | Commercial|Exchange | $1,452.00 | ↑ +204% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +290% |
| United | Commercial|Charter | $1,955.00 | ↑ +309% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +330% |
| United | Commercial|PPO | $2,172.00 | ↑ +355% |
| United | Commercial|HMO | $2,172.00 | ↑ +355% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +403% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +465% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +465% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +980% |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $477.75 | $368.55 – $1,365.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $754.67 – $754.67 |
| HCA HOUSTON WEST | HOUSTON | not published | $403.60 – $640.55 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $640.55 – $640.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,481.87 | $381.51 – $1,852.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,481.87 | $71.00 – $2,222.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,481.87 | $71.00 – $1,852.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,481.87 | $381.51 – $1,852.34 |