Insert drug delivery implant at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$105.35
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.
$301.00
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.
$45.64 with BCBS - TX vs $2,700.00 with Humana — 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 | $45.64 | ↓ -57% |
| Wellpoint | Medicaid|All Other Plans | $48.79 | ↓ -54% |
| TCHP | Medicaid|STARKIDS | $48.79 | ↓ -54% |
| TCHP | Medicaid|All Other Plans | $48.79 | ↓ -54% |
| Wellpoint | Medicaid|STARKIDS | $48.79 | ↓ -54% |
| Wellpoint | Medicaid|CHIP | $48.79 | ↓ -54% |
| UHC | Medicaid|CHIP | $49.77 | ↓ -53% |
| UNITED | Medicaid|All Other Plans | $49.77 | ↓ -53% |
| UHC | Medicaid|STARKIDS | $49.77 | ↓ -53% |
| BCBS | Medicaid|All Plans | $51.23 | ↓ -51% |
| CHC | Medicaid|All Other Plans | $56.11 | ↓ -47% |
| TCHP | Medicaid|STAR | $65.38 | ↓ -38% |
| Wellpoint | Medicaid|STAR | $65.38 | ↓ -38% |
| UNITED | Medicaid|STAR | $66.84 | ↓ -37% |
| CHC | Medicaid|STAR | $75.14 | ↓ -29% |
| OPTUM | Medicare|All Plans | $81.27 | ↓ -23% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $91.59 | ↓ -13% |
| Renaissance | Commercial|All Plans | $92.96 | ↓ -12% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $100.31 | ↓ -5% |
| OPTUM | Medicaid|STAR | $108.91 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $123.41 | ↑ +17% |
| Humana | Medicare|All Other Plans | $129.11 | ↑ +23% |
| Humana | Medicare|TRANSPLANT | $129.11 | ↑ +23% |
| AETNA | Medicare|TRANSPLANT | $129.11 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicare|HMO | $129.11 | ↑ +23% |
| KELSEY | Medicare|All Plans | $129.11 | ↑ +23% |
| BCBS | Medicare|All Plans | $129.11 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicare|PPO | $130.40 | ↑ +24% |
| UHC-SecureHorizons | Medicare|All Plans | $131.69 | ↑ +25% |
| AETNA | Medicare|All Other Plans | $131.69 | ↑ +25% |
| Amerivantage | Medicare|All Plans | $132.98 | ↑ +26% |
| TCH | Commercial|Transplant | $135.45 | ↑ +29% |
| SELECTCARE | Medicare|All Plans | $135.57 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $138.15 | ↑ +31% |
| DEVOTED | Medicare|All Plans | $138.15 | ↑ +31% |
| Cigna | Commercial|Surefit | $140.00 | ↑ +33% |
| United | Commercial|Optum | $141.47 | ↑ +34% |
| Shell | Commercial|All Plans | $150.50 | ↑ +43% |
| UNITED | Medicaid|STARPLUS | $152.22 | ↑ +44% |
| UHC | Medicaid|STARPLUS | $152.22 | ↑ +44% |
| Cigna | Commercial|HMO | $154.00 | ↑ +46% |
| KINDRED | Medicare|All Plans | $154.93 | ↑ +47% |
| CHC | Medicaid|CHIP | $165.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $165.55 | ↑ +57% |
| CHC | Medicaid|HMO | $165.55 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $174.30 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $180.60 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $180.60 | ↑ +71% |
| Employer Direct | Commercial|PPO | $180.75 | ↑ +72% |
| BCBS - TX | Commercial|Premier | $182.08 | ↑ +73% |
| Bright Health | Commercial|All Plans | $188.56 | ↑ +79% |
| Harris Health | Commercial|ERS | $193.67 | ↑ +84% |
| Community Health Choice | Commercial|All Other Plans | $193.67 | ↑ +84% |
| Community Health Choice | Commercial|Exchange | $193.67 | ↑ +84% |
| Superior Health Plan | Commercial|All Plans | $193.67 | ↑ +84% |
| Wellpoint | Commercial|Exchange | $193.67 | ↑ +84% |
| First Health | Commercial|All Plans | $195.65 | ↑ +86% |
| PHCS | Commercial|PPO | $195.65 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $195.65 | ↑ +86% |
| Coventry | Commercial|PPO | $195.65 | ↑ +86% |
| Humana | Commercial|Transplant | $195.65 | ↑ +86% |
| Aetna | Commercial|Exchange | $198.83 | ↑ +89% |
| Healthsmart | Commercial|PPO | $210.70 | ↑ +100% |
| Aetna | Commercial|PPO | $210.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $210.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $210.70 | ↑ +100% |
| BCBS - TX | Commercial|HMO | $222.42 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $225.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $228.76 | ↑ +117% |
| BCBS - TX | Commercial|PPO Trad | $239.87 | ↑ +128% |
| OPTUM | Medicaid|STARPLUS | $248.69 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $255.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $301.00 | ↑ +186% |
| Cigna | Commercial|PPO | $387.00 | ↑ +267% |
| NX Health | Commercial|PPO | $419.61 | ↑ +298% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +750% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +924% |
| United | Commercial|Exchange | $1,452.00 | ↑ +1278% |
| United | Commercial|Charter | $1,955.00 | ↑ +1756% |
| United | Commercial|PPO | $2,172.00 | ↑ +1962% |
| United | Commercial|HMO | $2,172.00 | ↑ +1962% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +2183% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +2463% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +2463% |
Visitor-reported prices
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Insert drug delivery implant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $105.35 | $81.27 – $301.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $49.77 – $223.51 |
| HCA HOUSTON WEST | HOUSTON | not published | $45.45 – $189.71 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $46.38 – $189.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $239.98 | $49.40 – $359.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $826.70 | $46.38 – $1,033.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $239.98 | $49.63 – $359.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $239.98 | $46.38 – $359.97 |