Ins pm gen w/exist mlt leads at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$15,162.00
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.
$43,320.00
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.
$1,369.00 with Aetna vs $62,081.69 with NX Health — 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 | $1,369.00 | ↓ -91% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↓ -90% |
| Aetna | Commercial|HMO | $1,648.00 | ↓ -89% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -82% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -82% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -78% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -76% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -40% |
| United | Commercial|Exchange | $10,290.00 | ↓ -32% |
| Wellpoint | Medicaid|All Other Plans | $10,381.64 | ↓ -32% |
| Wellpoint | Medicaid|CHIP | $10,381.64 | ↓ -32% |
| TCHP | Medicaid|STARKIDS | $10,381.64 | ↓ -32% |
| TCHP | Medicaid|All Other Plans | $10,381.64 | ↓ -32% |
| Wellpoint | Medicaid|STARKIDS | $10,381.64 | ↓ -32% |
| UHC | Medicaid|STARKIDS | $10,589.27 | ↓ -30% |
| UHC | Medicaid|CHIP | $10,589.27 | ↓ -30% |
| UNITED | Medicaid|All Other Plans | $10,589.27 | ↓ -30% |
| BCBS | Medicaid|All Plans | $10,900.72 | ↓ -28% |
| OPTUM | Medicare|All Plans | $11,696.40 | ↓ -23% |
| CHC | Medicaid|All Other Plans | $11,938.89 | ↓ -21% |
| BCBS - TX | Commercial|Transplant | $12,662.27 | ↓ -16% |
| Renaissance | Commercial|All Plans | $13,753.48 | ↓ -9% |
| United | Commercial|Charter | $13,856.00 | ↓ -9% |
| Wellpoint | Medicaid|STAR | $13,911.40 | ↓ -8% |
| TCHP | Medicaid|STAR | $13,911.40 | ↓ -8% |
| UNITED | Medicaid|STAR | $14,222.85 | ↓ -6% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $15,383.10 | ↑ +1% |
| United | Commercial|HMO | $15,397.00 | ↑ +2% |
| United | Commercial|PPO | $15,397.00 | ↑ +2% |
| OPTUM | Medicaid|STAR | $15,673.18 | ↑ +3% |
| CHC | Medicaid|STAR | $15,987.73 | ↑ +5% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $16,848.16 | ↑ +11% |
| TCHPCHIP | Medicaid|HMO | $17,761.20 | ↑ +17% |
| CIGNA HEALTHSPRING | Medicare|HMO | $19,102.06 | ↑ +26% |
| Humana | Medicare|All Other Plans | $19,102.06 | ↑ +26% |
| Humana | Medicare|TRANSPLANT | $19,102.06 | ↑ +26% |
| KELSEY | Medicare|All Plans | $19,102.06 | ↑ +26% |
| BCBS | Medicare|All Plans | $19,102.06 | ↑ +26% |
| AETNA | Medicare|TRANSPLANT | $19,102.06 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|PPO | $19,293.08 | ↑ +27% |
| AETNA | Medicare|All Other Plans | $19,484.10 | ↑ +29% |
| UHC-SecureHorizons | Medicare|All Plans | $19,484.10 | ↑ +29% |
| TCH | Commercial|Transplant | $19,494.00 | ↑ +29% |
| Amerivantage | Medicare|All Plans | $19,675.12 | ↑ +30% |
| SELECTCARE | Medicare|All Plans | $20,057.16 | ↑ +32% |
| United | Commercial|Optum | $20,360.40 | ↑ +34% |
| DEVOTED | Medicare|All Plans | $20,439.20 | ↑ +35% |
| SCANHealth | Medicare|All Plans | $20,439.20 | ↑ +35% |
| Shell | Commercial|All Plans | $21,660.00 | ↑ +43% |
| KINDRED | Medicare|All Plans | $22,922.47 | ↑ +51% |
| CHC | Medicaid|HMO | $23,826.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $23,826.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $23,826.00 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $25,787.78 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $25,992.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $25,992.00 | ↑ +71% |
| Employer Direct | Commercial|PPO | $26,742.88 | ↑ +76% |
| Humana | Commercial|Transplant | $28,158.00 | ↑ +86% |
| Coventry | Commercial|PPO | $28,158.00 | ↑ +86% |
| PHCS | Commercial|PPO | $28,158.00 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $28,158.00 | ↑ +86% |
| First Health | Commercial|All Plans | $28,158.00 | ↑ +86% |
| Wellpoint | Commercial|Exchange | $28,653.09 | ↑ +89% |
| Superior Health Plan | Commercial|All Plans | $28,653.09 | ↑ +89% |
| Community Health Choice | Commercial|All Other Plans | $28,653.09 | ↑ +89% |
| Community Health Choice | Commercial|Exchange | $28,653.09 | ↑ +89% |
| Harris Health | Commercial|ERS | $28,653.09 | ↑ +89% |
| Aetna | Commercial|Exchange | $29,417.17 | ↑ +94% |
| Aetna | Commercial|PPO | $30,324.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $30,324.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $30,324.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $30,324.00 | ↑ +100% |
| BCBS - TX | Commercial|Premier | $30,583.08 | ↑ +102% |
| Bright Health | Commercial|All Plans | $31,145.15 | ↑ +105% |
| UNITED | Medicaid|STARPLUS | $32,390.72 | ↑ +114% |
| UHC | Medicaid|STARPLUS | $32,390.72 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $32,490.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $32,923.20 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $35,790.99 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $36,822.00 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $37,358.97 | ↑ +146% |
| BCBS - TX | Commercial|PPO Trad | $40,289.08 | ↑ +166% |
| MHealth Network | Commercial|PPO | $43,320.00 | ↑ +186% |
| NX Health | Commercial|PPO | $62,081.69 | ↑ +309% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $15,162.00 | $11,696.40 – $43,320.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $10,589.27 – $37,542.10 |
| HCA HOUSTON WEST | HOUSTON | not published | $9,671.11 – $31,865.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $9,868.48 – $31,865.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19,886.41 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,353.83 | $2,131.16 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16,463.38 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19,886.41 | $9,868.48 – $48,269.91 |