Insertion single tranvenous electrode/ppm/implantable defibrillator at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$5,136.60
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.
$14,676.00
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 $26,940.52 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 | ↓ -67% |
| Aetna | Commercial|HMO | $2,038.00 | ↓ -60% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -53% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -47% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -47% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -36% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -29% |
| OPTUM | Medicare|All Plans | $3,962.52 | ↓ -23% |
| TCHP | Medicaid|All Other Plans | $4,774.29 | ↓ -7% |
| Wellpoint | Medicaid|CHIP | $4,774.29 | ↓ -7% |
| Wellpoint | Medicaid|All Other Plans | $4,774.29 | ↓ -7% |
| TCHP | Medicaid|STARKIDS | $4,774.29 | ↓ -7% |
| Wellpoint | Medicaid|STARKIDS | $4,774.29 | ↓ -7% |
| United | Commercial|Exchange | $4,848.00 | ↓ -6% |
| UHC | Medicaid|CHIP | $4,869.78 | ↓ -5% |
| UHC | Medicaid|STARKIDS | $4,869.78 | ↓ -5% |
| UNITED | Medicaid|All Other Plans | $4,869.78 | ↓ -5% |
| BCBS | Medicaid|All Plans | $5,013.00 | ↓ -2% |
| OPTUM | Medicaid|STAR | $5,309.78 | ↑ +3% |
| CHC | Medicaid|All Other Plans | $5,490.43 | ↑ +7% |
| BCBS - TX | Commercial|Transplant | $5,835.94 | ↑ +14% |
| Renaissance | Commercial|All Plans | $5,968.36 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $6,017.16 | ↑ +17% |
| Wellpoint | Medicaid|STAR | $6,397.55 | ↑ +25% |
| TCHP | Medicaid|STAR | $6,397.55 | ↑ +25% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $6,419.15 | ↑ +25% |
| United | Commercial|Charter | $6,527.00 | ↑ +27% |
| UNITED | Medicaid|STAR | $6,540.78 | ↑ +27% |
| TCH | Commercial|Transplant | $6,604.20 | ↑ +29% |
| United | Commercial|Optum | $6,897.72 | ↑ +34% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $7,030.50 | ↑ +37% |
| United | Commercial|HMO | $7,252.00 | ↑ +41% |
| United | Commercial|PPO | $7,252.00 | ↑ +41% |
| Shell | Commercial|All Plans | $7,338.00 | ↑ +43% |
| CHC | Medicaid|STAR | $7,352.41 | ↑ +43% |
| CHC | Medicaid|CHIP | $8,071.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $8,071.80 | ↑ +57% |
| CHC | Medicaid|HMO | $8,071.80 | ↑ +57% |
| AETNA | Medicare|TRANSPLANT | $8,289.39 | ↑ +61% |
| Humana | Medicare|All Other Plans | $8,289.39 | ↑ +61% |
| Humana | Medicare|TRANSPLANT | $8,289.39 | ↑ +61% |
| CIGNA HEALTHSPRING | Medicare|HMO | $8,289.39 | ↑ +61% |
| KELSEY | Medicare|All Plans | $8,289.39 | ↑ +61% |
| BCBS | Medicare|All Plans | $8,289.39 | ↑ +61% |
| CIGNA HEALTHSPRING | Medicare|PPO | $8,372.28 | ↑ +63% |
| UHC-SecureHorizons | Medicare|All Plans | $8,455.18 | ↑ +65% |
| AETNA | Medicare|All Other Plans | $8,455.18 | ↑ +65% |
| Amerivantage | Medicare|All Plans | $8,538.07 | ↑ +66% |
| SELECTCARE | Medicare|All Plans | $8,703.86 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $8,805.60 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $8,805.60 | ↑ +71% |
| SCANHealth | Medicare|All Plans | $8,869.65 | ↑ +73% |
| DEVOTED | Medicare|All Plans | $8,869.65 | ↑ +73% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +78% |
| Humana | Commercial|Transplant | $9,539.40 | ↑ +86% |
| PHCS | Commercial|PPO | $9,539.40 | ↑ +86% |
| First Health | Commercial|All Plans | $9,539.40 | ↑ +86% |
| Coventry | Commercial|PPO | $9,539.40 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $9,539.40 | ↑ +86% |
| KINDRED | Medicare|All Plans | $9,947.27 | ↑ +94% |
| Interlink | Commercial|Transplant | $10,273.20 | ↑ +100% |
| Aetna | Commercial|PPO | $10,273.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $10,273.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $10,273.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $11,007.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $11,153.76 | ↑ +117% |
| KelseyCare | Commercial|Exchange | $11,190.68 | ↑ +118% |
| Employer Direct | Commercial|PPO | $11,605.15 | ↑ +126% |
| OPTUM | Medicaid|STARPLUS | $12,125.32 | ↑ +136% |
| Community Health Choice | Commercial|Exchange | $12,434.08 | ↑ +142% |
| Community Health Choice | Commercial|All Other Plans | $12,434.08 | ↑ +142% |
| Wellpoint | Commercial|Exchange | $12,434.08 | ↑ +142% |
| Superior Health Plan | Commercial|All Plans | $12,434.08 | ↑ +142% |
| Harris Health | Commercial|ERS | $12,434.08 | ↑ +142% |
| USA Health Network | Commercial|All Plans | $12,474.60 | ↑ +143% |
| BCBS - TX | Commercial|Premier | $12,761.89 | ↑ +148% |
| Aetna | Commercial|Exchange | $12,765.66 | ↑ +149% |
| Bright Health | Commercial|All Plans | $13,643.65 | ↑ +166% |
| MHealth Network | Commercial|PPO | $14,676.00 | ↑ +186% |
| UNITED | Medicaid|STARPLUS | $14,895.78 | ↑ +190% |
| UHC | Medicaid|STARPLUS | $14,895.78 | ↑ +190% |
| BCBS - TX | Commercial|HMO | $15,589.37 | ↑ +203% |
| BCBS - TX | Commercial|PPO Trad | $16,812.07 | ↑ +227% |
| NX Health | Commercial|PPO | $26,940.52 | ↑ +424% |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $6,593.22 | $4,869.78 – $15,665.79 |
| HCA HOUSTON WEST | HOUSTON | $26,435.00 | $4,447.53 – $13,296.82 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,136.60 | $3,962.52 – $14,676.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $40,154.02 | $4,538.30 – $13,296.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,799.55 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,687.71 | $2,405.72 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,465.05 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,799.55 | $4,538.30 – $21,045.99 |