Insert cath pleura without image at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,479.80
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.
$4,228.00
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.
$594.35 with TCHP vs $6,175.19 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $594.35 | ↓ -60% |
| Wellpoint | Medicaid|All Other Plans | $594.35 | ↓ -60% |
| Wellpoint | Medicaid|CHIP | $594.35 | ↓ -60% |
| Wellpoint | Medicaid|STARKIDS | $594.35 | ↓ -60% |
| TCHP | Medicaid|All Other Plans | $594.35 | ↓ -60% |
| UHC | Medicaid|STARKIDS | $606.24 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $606.24 | ↓ -59% |
| UHC | Medicaid|CHIP | $606.24 | ↓ -59% |
| BCBS | Medicaid|All Plans | $624.07 | ↓ -58% |
| CHC | Medicaid|All Other Plans | $683.50 | ↓ -54% |
| Wellpoint | Medicaid|STAR | $796.43 | ↓ -46% |
| TCHP | Medicaid|STAR | $796.43 | ↓ -46% |
| UNITED | Medicaid|STAR | $814.26 | ↓ -45% |
| CHC | Medicaid|STAR | $915.30 | ↓ -38% |
| OPTUM | Medicare|All Plans | $1,141.56 | ↓ -23% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↓ -19% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,308.22 | ↓ -12% |
| Renaissance | Commercial|All Plans | $1,368.04 | ↓ -8% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,432.81 | ↓ -3% |
| Aetna | Commercial|HMO | $1,438.00 | ↓ -3% |
| OPTUM | Medicaid|STAR | $1,529.70 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $1,733.48 | ↑ +17% |
| UHC | Medicaid|STARPLUS | $1,854.37 | ↑ +25% |
| UNITED | Medicaid|STARPLUS | $1,854.37 | ↑ +25% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +26% |
| Humana | Medicare|TRANSPLANT | $1,900.06 | ↑ +28% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,900.06 | ↑ +28% |
| BCBS | Medicare|All Plans | $1,900.06 | ↑ +28% |
| KELSEY | Medicare|All Plans | $1,900.06 | ↑ +28% |
| AETNA | Medicare|TRANSPLANT | $1,900.06 | ↑ +28% |
| Humana | Medicare|All Other Plans | $1,900.06 | ↑ +28% |
| TCH | Commercial|Transplant | $1,902.60 | ↑ +29% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,919.06 | ↑ +30% |
| AETNA | Medicare|All Other Plans | $1,938.06 | ↑ +31% |
| UHC-SecureHorizons | Medicare|All Plans | $1,938.06 | ↑ +31% |
| Amerivantage | Medicare|All Plans | $1,957.06 | ↑ +32% |
| United | Commercial|Exchange | $1,984.00 | ↑ +34% |
| United | Commercial|Optum | $1,987.16 | ↑ +34% |
| SELECTCARE | Medicare|All Plans | $1,995.06 | ↑ +35% |
| DEVOTED | Medicare|All Plans | $2,033.06 | ↑ +37% |
| SCANHealth | Medicare|All Plans | $2,033.06 | ↑ +37% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +39% |
| Shell | Commercial|All Plans | $2,114.00 | ↑ +43% |
| KINDRED | Medicare|All Plans | $2,280.07 | ↑ +54% |
| CHC | Medicaid|HMO | $2,325.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,325.40 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,325.40 | ↑ +57% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +63% |
| Independent Med System | Commercial|All Plans | $2,536.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $2,536.80 | ↑ +71% |
| KelseyCare | Commercial|Exchange | $2,565.08 | ↑ +73% |
| BCBS - TX | Commercial|Premier | $2,600.86 | ↑ +76% |
| Employer Direct | Commercial|PPO | $2,660.08 | ↑ +80% |
| United | Commercial|Charter | $2,669.00 | ↑ +80% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +82% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +82% |
| Bright Health | Commercial|All Plans | $2,716.18 | ↑ +84% |
| Coventry | Commercial|PPO | $2,748.20 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $2,748.20 | ↑ +86% |
| First Health | Commercial|All Plans | $2,748.20 | ↑ +86% |
| Humana | Commercial|Transplant | $2,748.20 | ↑ +86% |
| PHCS | Commercial|PPO | $2,748.20 | ↑ +86% |
| Harris Health | Commercial|ERS | $2,850.09 | ↑ +93% |
| Superior Health Plan | Commercial|All Plans | $2,850.09 | ↑ +93% |
| Community Health Choice | Commercial|All Other Plans | $2,850.09 | ↑ +93% |
| Community Health Choice | Commercial|Exchange | $2,850.09 | ↑ +93% |
| Wellpoint | Commercial|Exchange | $2,850.09 | ↑ +93% |
| Aetna | Commercial|Exchange | $2,926.09 | ↑ +98% |
| Healthsmart | Commercial|PPO | $2,959.60 | ↑ +100% |
| Aetna | Commercial|PPO | $2,959.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,959.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,959.60 | ↑ +100% |
| United | Commercial|PPO | $2,968.00 | ↑ +101% |
| United | Commercial|HMO | $2,968.00 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $3,171.00 | ↑ +114% |
| BCBS - TX | Commercial|HMO | $3,177.10 | ↑ +115% |
| Aetna | Commercial|Transplant | $3,213.28 | ↑ +117% |
| BCBS - TX | Commercial|PPO Trad | $3,426.28 | ↑ +132% |
| OPTUM | Medicaid|STARPLUS | $3,493.18 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,593.80 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,228.00 | ↑ +186% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +249% |
| NX Health | Commercial|PPO | $6,175.19 | ↑ +317% |
Visitor-reported prices
Comments
Insert cath pleura without image at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,479.80 | $1,141.56 – $4,228.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $606.24 – $3,192.67 |
| HCA HOUSTON WEST | HOUSTON | not published | $553.67 – $2,709.88 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $564.97 – $2,709.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,549.87 | $564.97 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,157.58 | $71.00 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,768.26 | $71.00 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,549.87 | $564.97 – $4,713.77 |