Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$10,759.35
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.
$30,741.00
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.
$2,404.80 with KelseyCare vs $34,067.41 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 |
|---|---|---|---|
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -78% |
| Aetna | Commercial|KelseyCare | $2,670.00 | ↓ -75% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -75% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -75% |
| Aetna | Commercial|HMO | $3,212.00 | ↓ -70% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -69% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $6,786.35 | ↓ -37% |
| TCHP | Medicaid|STARKIDS | $6,786.35 | ↓ -37% |
| TCHP | Medicaid|All Other Plans | $6,786.35 | ↓ -37% |
| Wellpoint | Medicaid|STARKIDS | $6,786.35 | ↓ -37% |
| Wellpoint | Medicaid|CHIP | $6,786.35 | ↓ -37% |
| UHC | Medicaid|CHIP | $6,922.08 | ↓ -36% |
| UNITED | Medicaid|All Other Plans | $6,922.08 | ↓ -36% |
| UHC | Medicaid|STARKIDS | $6,922.08 | ↓ -36% |
| BCBS | Medicaid|All Plans | $7,125.67 | ↓ -34% |
| Renaissance | Commercial|All Plans | $7,547.24 | ↓ -30% |
| CHC | Medicaid|All Other Plans | $7,804.30 | ↓ -27% |
| OPTUM | Medicare|All Plans | $8,300.07 | ↓ -23% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $8,611.63 | ↓ -20% |
| Wellpoint | Medicaid|STAR | $9,093.71 | ↓ -15% |
| TCHP | Medicaid|STAR | $9,093.71 | ↓ -15% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -15% |
| UNITED | Medicaid|STAR | $9,297.30 | ↓ -14% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $9,431.78 | ↓ -12% |
| United | Commercial|Exchange | $10,290.00 | ↓ -4% |
| CHC | Medicaid|STAR | $10,450.98 | ↓ -3% |
| BCBS | Medicare|All Plans | $10,482.28 | ↓ -3% |
| KELSEY | Medicare|All Plans | $10,482.28 | ↓ -3% |
| CIGNA HEALTHSPRING | Medicare|HMO | $10,482.28 | ↓ -3% |
| Humana | Medicare|All Other Plans | $10,482.28 | ↓ -3% |
| Humana | Medicare|TRANSPLANT | $10,482.28 | ↓ -3% |
| AETNA | Medicare|TRANSPLANT | $10,482.28 | ↓ -3% |
| CIGNA HEALTHSPRING | Medicare|PPO | $10,587.10 | ↓ -2% |
| AETNA | Medicare|All Other Plans | $10,691.93 | ↓ -1% |
| UHC-SecureHorizons | Medicare|All Plans | $10,691.93 | ↓ -1% |
| Amerivantage | Medicare|All Plans | $10,796.75 | ↑ +0% |
| SELECTCARE | Medicare|All Plans | $11,006.39 | ↑ +2% |
| OPTUM | Medicaid|STAR | $11,122.10 | ↑ +3% |
| SCANHealth | Medicare|All Plans | $11,216.04 | ↑ +4% |
| DEVOTED | Medicare|All Plans | $11,216.04 | ↑ +4% |
| Shell | Commercial|All Plans | $12,200.00 | ↑ +13% |
| KINDRED | Medicare|All Plans | $12,578.74 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $12,603.81 | ↑ +17% |
| TCH | Commercial|Transplant | $13,833.45 | ↑ +29% |
| United | Commercial|Charter | $13,856.00 | ↑ +29% |
| KelseyCare | Commercial|Exchange | $14,151.08 | ↑ +32% |
| United | Commercial|Optum | $14,448.27 | ↑ +34% |
| Employer Direct | Commercial|PPO | $14,675.19 | ↑ +36% |
| United | Commercial|PPO | $15,397.00 | ↑ +43% |
| United | Commercial|HMO | $15,397.00 | ↑ +43% |
| Superior Health Plan | Commercial|All Plans | $15,723.42 | ↑ +46% |
| Wellpoint | Commercial|Exchange | $15,723.42 | ↑ +46% |
| Community Health Choice | Commercial|All Other Plans | $15,723.42 | ↑ +46% |
| Community Health Choice | Commercial|Exchange | $15,723.42 | ↑ +46% |
| Harris Health | Commercial|ERS | $15,723.42 | ↑ +46% |
| Aetna | Commercial|Exchange | $16,142.71 | ↑ +50% |
| BCBS - TX | Commercial|Transplant | $16,646.37 | ↑ +55% |
| TEXASTRUECHOICE | Medicaid|CHIP | $16,907.55 | ↑ +57% |
| CHC | Medicaid|HMO | $16,907.55 | ↑ +57% |
| CHC | Medicaid|CHIP | $16,907.55 | ↑ +57% |
| BCBS - TX | Commercial|Premier | $17,120.74 | ↑ +59% |
| Bright Health | Commercial|All Plans | $17,388.36 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $18,444.60 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $18,444.60 | ↑ +71% |
| PHCS | Commercial|PPO | $19,981.65 | ↑ +86% |
| Coventry | Commercial|PPO | $19,981.65 | ↑ +86% |
| First Health | Commercial|All Plans | $19,981.65 | ↑ +86% |
| Humana | Commercial|Transplant | $19,981.65 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $19,981.65 | ↑ +86% |
| BCBS - TX | Commercial|HMO | $20,913.96 | ↑ +94% |
| UHC | Medicaid|STARPLUS | $21,173.41 | ↑ +97% |
| UNITED | Medicaid|STARPLUS | $21,173.41 | ↑ +97% |
| Interlink | Commercial|Transplant | $21,518.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $21,518.70 | ↑ +100% |
| Aetna | Commercial|PPO | $21,518.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $21,518.70 | ↑ +100% |
| BCBS - TX | Commercial|PPO Trad | $22,554.27 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $23,055.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $23,363.16 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $25,398.22 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $26,129.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $30,741.00 | ↑ +186% |
| NX Health | Commercial|PPO | $34,067.41 | ↑ +217% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $60,031.13 | $6,922.08 – $21,016.48 |
| HCA HOUSTON WEST | HOUSTON | $45,316.00 | $6,321.88 – $17,838.38 |
| St. Luke's Health - The Vintage Hospital | Houston | $10,759.35 | $8,300.07 – $30,741.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $77,281.88 | $6,450.90 – $17,838.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,677.49 | $6,299.00 – $28,346.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $19,320.87 | $3,976.88 – $28,981.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,444.40 | $6,450.90 – $26,805.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,677.49 | $6,450.90 – $28,346.87 |