Ins mark thor for right perq at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$905.80
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.
$2,588.00
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.
$549.91 with TCHP vs $11,090.00 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $549.91 | ↓ -39% |
| Wellpoint | Medicaid|STARKIDS | $549.91 | ↓ -39% |
| TCHP | Medicaid|STARKIDS | $549.91 | ↓ -39% |
| Wellpoint | Medicaid|All Other Plans | $549.91 | ↓ -39% |
| Wellpoint | Medicaid|CHIP | $549.91 | ↓ -39% |
| UNITED | Medicaid|All Other Plans | $560.91 | ↓ -38% |
| UHC | Medicaid|CHIP | $560.91 | ↓ -38% |
| UHC | Medicaid|STARKIDS | $560.91 | ↓ -38% |
| BCBS | Medicaid|All Plans | $577.41 | ↓ -36% |
| CHC | Medicaid|All Other Plans | $632.40 | ↓ -30% |
| OPTUM | Medicare|All Plans | $698.76 | ↓ -23% |
| Wellpoint | Medicaid|STAR | $736.88 | ↓ -19% |
| TCHP | Medicaid|STAR | $736.88 | ↓ -19% |
| UNITED | Medicaid|STAR | $753.38 | ↓ -17% |
| CHC | Medicaid|STAR | $846.86 | ↓ -7% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -1% |
| OPTUM | Medicaid|STAR | $936.34 | ↑ +3% |
| Renaissance | Commercial|All Plans | $986.75 | ↑ +9% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,046.09 | ↑ +15% |
| TCHPCHIP | Medicaid|HMO | $1,061.08 | ↑ +17% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +19% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,145.71 | ↑ +26% |
| TCH | Commercial|Transplant | $1,164.60 | ↑ +29% |
| United | Commercial|Optum | $1,216.36 | ↑ +34% |
| Shell | Commercial|All Plans | $1,294.00 | ↑ +43% |
| Humana | Medicare|All Other Plans | $1,370.48 | ↑ +51% |
| KELSEY | Medicare|All Plans | $1,370.48 | ↑ +51% |
| AETNA | Medicare|TRANSPLANT | $1,370.48 | ↑ +51% |
| Humana | Medicare|TRANSPLANT | $1,370.48 | ↑ +51% |
| BCBS | Medicare|All Plans | $1,370.48 | ↑ +51% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,370.48 | ↑ +51% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,384.18 | ↑ +53% |
| AETNA | Medicare|All Other Plans | $1,397.89 | ↑ +54% |
| UHC-SecureHorizons | Medicare|All Plans | $1,397.89 | ↑ +54% |
| Amerivantage | Medicare|All Plans | $1,411.59 | ↑ +56% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,423.40 | ↑ +57% |
| CHC | Medicaid|HMO | $1,423.40 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,423.40 | ↑ +57% |
| SELECTCARE | Medicare|All Plans | $1,439.00 | ↑ +59% |
| SCANHealth | Medicare|All Plans | $1,466.41 | ↑ +62% |
| DEVOTED | Medicare|All Plans | $1,466.41 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $1,552.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,552.80 | ↑ +71% |
| BCBS - TX | Commercial|Transplant | $1,622.85 | ↑ +79% |
| KINDRED | Medicare|All Plans | $1,644.58 | ↑ +82% |
| Humana | Commercial|Transplant | $1,682.20 | ↑ +86% |
| Coventry | Commercial|PPO | $1,682.20 | ↑ +86% |
| First Health | Commercial|All Plans | $1,682.20 | ↑ +86% |
| PHCS | Commercial|PPO | $1,682.20 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,682.20 | ↑ +86% |
| UNITED | Medicaid|STARPLUS | $1,715.72 | ↑ +89% |
| UHC | Medicaid|STARPLUS | $1,715.72 | ↑ +89% |
| Aetna | Commercial|PPO | $1,811.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,811.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,811.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,811.60 | ↑ +100% |
| KelseyCare | Commercial|Exchange | $1,850.15 | ↑ +104% |
| Employer Direct | Commercial|PPO | $1,918.67 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $1,941.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,966.88 | ↑ +117% |
| United | Commercial|Exchange | $1,984.00 | ↑ +119% |
| Community Health Choice | Commercial|Exchange | $2,055.72 | ↑ +127% |
| Community Health Choice | Commercial|All Other Plans | $2,055.72 | ↑ +127% |
| Superior Health Plan | Commercial|All Plans | $2,055.72 | ↑ +127% |
| Harris Health | Commercial|ERS | $2,055.72 | ↑ +127% |
| Wellpoint | Commercial|Exchange | $2,055.72 | ↑ +127% |
| BCBS - TX | Commercial|Premier | $2,079.72 | ↑ +130% |
| Aetna | Commercial|Exchange | $2,110.54 | ↑ +133% |
| Bright Health | Commercial|All Plans | $2,111.74 | ↑ +133% |
| OPTUM | Medicaid|STARPLUS | $2,138.21 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,199.80 | ↑ +143% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +165% |
| BCBS - TX | Commercial|HMO | $2,540.49 | ↑ +180% |
| MHealth Network | Commercial|PPO | $2,588.00 | ↑ +186% |
| United | Commercial|Charter | $2,669.00 | ↑ +195% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +198% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +198% |
| BCBS - TX | Commercial|PPO Trad | $2,739.75 | ↑ +202% |
| United | Commercial|HMO | $2,968.00 | ↑ +228% |
| United | Commercial|PPO | $2,968.00 | ↑ +228% |
| Cigna | Commercial|Surefit | $4,007.00 | ↑ +342% |
| Cigna | Commercial|HMO | $4,415.00 | ↑ +387% |
| NX Health | Commercial|PPO | $4,454.06 | ↑ +392% |
| Cigna | Commercial|PPO | $11,090.00 | ↑ +1124% |
Visitor-reported prices
Comments
Ins mark thor for right perq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $905.80 | $698.76 – $2,588.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $560.91 – $2,552.95 |
| HCA HOUSTON WEST | HOUSTON | not published | $512.28 – $2,166.89 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $522.73 – $2,166.89 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,477.45 | $522.73 – $3,432.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,774.79 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,569.25 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,477.45 | $522.73 – $3,432.55 |