Ins/rpl ldless pm right vent w img & eval at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$14,670.25
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.
$41,915.00
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.
$1,695.00 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 | $1,695.00 | ↓ -88% |
| Aetna | Commercial|HMO | $2,038.00 | ↓ -86% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -77% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -75% |
| TCHP | Medicaid|All Other Plans | $4,610.65 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $4,610.65 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $4,702.87 | ↓ -68% |
| United | Commercial|Exchange | $5,984.00 | ↓ -59% |
| TCHP | Medicaid|STAR | $6,178.28 | ↓ -58% |
| UNITED | Medicaid|STAR | $6,316.60 | ↓ -57% |
| United | Commercial|Charter | $8,053.00 | ↓ -45% |
| United | Commercial|PPO | $8,949.00 | ↓ -39% |
| United | Commercial|HMO | $8,949.00 | ↓ -39% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -38% |
| OPTUM | Medicare|All Plans | $11,317.05 | ↓ -23% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $13,389.57 | ↓ -9% |
| Renaissance | Commercial|All Plans | $13,753.48 | ↓ -6% |
| UHC | Medicaid|STARPLUS | $14,385.23 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $14,385.23 | ↓ -2% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $14,664.77 | ↓ -0% |
| OPTUM | Medicaid|STAR | $15,164.85 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $17,185.15 | ↑ +17% |
| TCH | Commercial|Transplant | $18,861.75 | ↑ +29% |
| Humana | Medicare|TRANSPLANT | $19,102.06 | ↑ +30% |
| BCBS | Medicare|All Plans | $19,102.06 | ↑ +30% |
| KELSEY | Medicare|All Plans | $19,102.06 | ↑ +30% |
| AETNA | Medicare|TRANSPLANT | $19,102.06 | ↑ +30% |
| Humana | Medicare|All Other Plans | $19,102.06 | ↑ +30% |
| CIGNA HEALTHSPRING | Medicare|HMO | $19,102.06 | ↑ +30% |
| CIGNA HEALTHSPRING | Medicare|PPO | $19,293.08 | ↑ +32% |
| AETNA | Medicare|All Other Plans | $19,484.10 | ↑ +33% |
| UHC-SecureHorizons | Medicare|All Plans | $19,484.10 | ↑ +33% |
| Amerivantage | Medicare|All Plans | $19,675.12 | ↑ +34% |
| United | Commercial|Optum | $19,700.05 | ↑ +34% |
| SELECTCARE | Medicare|All Plans | $20,057.16 | ↑ +37% |
| SCANHealth | Medicare|All Plans | $20,439.20 | ↑ +39% |
| DEVOTED | Medicare|All Plans | $20,439.20 | ↑ +39% |
| Shell | Commercial|All Plans | $20,957.50 | ↑ +43% |
| KINDRED | Medicare|All Plans | $22,922.47 | ↑ +56% |
| CHC | Medicaid|HMO | $23,053.25 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $23,053.25 | ↑ +57% |
| CHC | Medicaid|CHIP | $23,053.25 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $25,149.00 | ↑ +71% |
| KelseyCare | Commercial|Exchange | $25,787.78 | ↑ +76% |
| BCBS - TX | Commercial|Premier | $26,619.75 | ↑ +81% |
| Employer Direct | Commercial|PPO | $26,742.88 | ↑ +82% |
| Bright Health | Commercial|All Plans | $26,857.58 | ↑ +83% |
| Humana | Commercial|Transplant | $27,244.75 | ↑ +86% |
| First Health | Commercial|All Plans | $27,244.75 | ↑ +86% |
| Coventry | Commercial|PPO | $27,244.75 | ↑ +86% |
| Community Health Choice | Commercial|Exchange | $28,653.09 | ↑ +95% |
| Superior Health Plan | Commercial|All Plans | $28,653.09 | ↑ +95% |
| Wellpoint | Commercial|Exchange | $28,653.09 | ↑ +95% |
| Community Health Choice | Commercial|All Other Plans | $28,653.09 | ↑ +95% |
| Harris Health | Commercial|ERS | $28,653.09 | ↑ +95% |
| Healthsmart | Commercial|PPO | $29,340.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $29,340.50 | ↑ +100% |
| Aetna | Commercial|PPO | $29,340.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $29,340.50 | ↑ +100% |
| Aetna | Commercial|Exchange | $29,417.17 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $31,436.25 | ↑ +114% |
| BCBS - TX | Commercial|HMO | $32,517.54 | ↑ +122% |
| OPTUM | Medicaid|STARPLUS | $34,630.18 | ↑ +136% |
| BCBS - TX | Commercial|PPO Trad | $35,067.93 | ↑ +139% |
| USA Health Network | Commercial|All Plans | $35,627.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $41,915.00 | ↑ +186% |
| NX Health | Commercial|PPO | $62,081.69 | ↑ +323% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $66,779.56 | $32,676.94 – $32,676.94 |
| HCA HOUSTON WEST | HOUSTON | $66,882.00 | $19,446.21 – $27,735.55 |
| St. Luke's Health - The Vintage Hospital | Houston | $14,670.25 | $3,353.20 – $41,915.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $48,747.68 | $27,735.55 – $27,735.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $29,327.76 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,327.76 | $6,036.63 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $26,661.60 | $5,332.32 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $29,327.76 | $7,820.74 – $48,269.91 |