Insert hepatic shunt (tips) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$4,767.70
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.
$13,622.00
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.
$574.44 with BCBS - TX vs $13,622.00 with MHealth Network — 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|Premier | $574.44 | ↓ -88% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $788.78 | ↓ -83% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $925.96 | ↓ -81% |
| BCBS - TX | Commercial|HMO | $1,843.35 | ↓ -61% |
| BCBS - TX | Commercial|PPO Trad | $1,963.38 | ↓ -59% |
| BCBS - TX | Commercial|Transplant | $2,169.95 | ↓ -54% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -50% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -43% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -43% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -31% |
| Aetna | Commercial|KelseyCare | $3,586.00 | ↓ -25% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -24% |
| OPTUM | Medicare|All Plans | $3,677.94 | ↓ -23% |
| United | Commercial|Exchange | $4,175.00 | ↓ -12% |
| Aetna | Commercial|HMO | $4,314.00 | ↓ -10% |
| OPTUM | Medicaid|STAR | $4,928.44 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $5,585.02 | ↑ +17% |
| United | Commercial|Charter | $5,621.00 | ↑ +18% |
| TCH | Commercial|Transplant | $6,129.90 | ↑ +29% |
| United | Commercial|PPO | $6,245.00 | ↑ +31% |
| United | Commercial|HMO | $6,245.00 | ↑ +31% |
| United | Commercial|Optum | $6,402.34 | ↑ +34% |
| Shell | Commercial|All Plans | $6,811.00 | ↑ +43% |
| CHC | Medicaid|HMO | $7,492.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $7,492.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $7,492.10 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $8,173.20 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $8,173.20 | ↑ +71% |
| PHCS | Commercial|PPO | $8,854.30 | ↑ +86% |
| Coventry | Commercial|PPO | $8,854.30 | ↑ +86% |
| Humana | Commercial|Transplant | $8,854.30 | ↑ +86% |
| First Health | Commercial|All Plans | $8,854.30 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $8,854.30 | ↑ +86% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +92% |
| Interlink | Commercial|Transplant | $9,535.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $9,535.40 | ↑ +100% |
| Aetna | Commercial|PPO | $9,535.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $9,535.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $10,216.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $10,352.72 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $11,254.50 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $11,578.70 | ↑ +143% |
| MHealth Network | Commercial|PPO | $13,622.00 | ↑ +186% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $37,351.79 | $7,862.08 – $7,862.08 |
| St. Luke's Health - The Vintage Hospital | Houston | $4,767.70 | $3,677.94 – $13,622.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $7,862.08 – $7,862.08 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $7,862.08 – $7,862.08 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $9,754.48 | $1,448.96 – $39,592.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,699.59 | $71.00 – $5,549.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,180.79 | $71.00 – $19,335.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $9,754.48 | $2,601.20 – $39,592.62 |