Inst via cath agent pleurds at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$493.50
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.
$1,410.00
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.
$155.10 with TCHP vs $5,160.00 with Cigna — 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 | $155.10 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $155.10 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $158.21 | ↓ -68% |
| TCHP | Medicaid|STAR | $207.84 | ↓ -58% |
| UNITED | Medicaid|STAR | $212.49 | ↓ -57% |
| OPTUM | Medicare|All Plans | $380.70 | ↓ -23% |
| Renaissance | Commercial|All Plans | $445.87 | ↓ -10% |
| UNITED | Medicaid|STARPLUS | $483.92 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $483.92 | ↓ -2% |
| OPTUM | Medicaid|STAR | $510.14 | ↑ +3% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $529.63 | ↑ +7% |
| TCHPCHIP | Medicaid|HMO | $578.10 | ↑ +17% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $580.07 | ↑ +18% |
| BCBS - TX | Commercial|Transplant | $616.67 | ↑ +25% |
| BCBS | Medicare|All Plans | $619.26 | ↑ +25% |
| Humana | Medicare|All Other Plans | $619.26 | ↑ +25% |
| Humana | Medicare|TRANSPLANT | $619.26 | ↑ +25% |
| AETNA | Medicare|TRANSPLANT | $619.26 | ↑ +25% |
| KELSEY | Medicare|All Plans | $619.26 | ↑ +25% |
| CIGNA HEALTHSPRING | Medicare|HMO | $619.26 | ↑ +25% |
| CIGNA HEALTHSPRING | Medicare|PPO | $625.45 | ↑ +27% |
| UHC-SecureHorizons | Medicare|All Plans | $631.65 | ↑ +28% |
| AETNA | Medicare|All Other Plans | $631.65 | ↑ +28% |
| TCH | Commercial|Transplant | $634.50 | ↑ +29% |
| Amerivantage | Medicare|All Plans | $637.84 | ↑ +29% |
| SELECTCARE | Medicare|All Plans | $650.22 | ↑ +32% |
| SCANHealth | Medicare|All Plans | $662.61 | ↑ +34% |
| DEVOTED | Medicare|All Plans | $662.61 | ↑ +34% |
| United | Commercial|Optum | $662.70 | ↑ +34% |
| Shell | Commercial|All Plans | $705.00 | ↑ +43% |
| KINDRED | Medicare|All Plans | $743.11 | ↑ +51% |
| CHC | Medicaid|HMO | $775.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $775.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $775.50 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $836.00 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $846.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $846.00 | ↑ +71% |
| Employer Direct | Commercial|PPO | $866.96 | ↑ +76% |
| Bright Health | Commercial|All Plans | $903.92 | ↑ +83% |
| PHCS Savility | Commercial|PPO | $916.50 | ↑ +86% |
| Humana | Commercial|Transplant | $916.50 | ↑ +86% |
| PHCS | Commercial|PPO | $916.50 | ↑ +86% |
| First Health | Commercial|All Plans | $916.50 | ↑ +86% |
| Coventry | Commercial|PPO | $916.50 | ↑ +86% |
| Community Health Choice | Commercial|Exchange | $928.89 | ↑ +88% |
| Superior Health Plan | Commercial|All Plans | $928.89 | ↑ +88% |
| Wellpoint | Commercial|Exchange | $928.89 | ↑ +88% |
| Community Health Choice | Commercial|All Other Plans | $928.89 | ↑ +88% |
| Harris Health | Commercial|ERS | $928.89 | ↑ +88% |
| Aetna | Commercial|Exchange | $953.66 | ↑ +93% |
| Cigna | Commercial|Transplant | $987.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $987.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $987.00 | ↑ +100% |
| Aetna | Commercial|PPO | $987.00 | ↑ +100% |
| BCBS - TX | Commercial|Premier | $1,052.95 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $1,057.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,071.60 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,164.95 | ↑ +136% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↑ +142% |
| USA Health Network | Commercial|All Plans | $1,198.50 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $1,286.24 | ↑ +161% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +176% |
| BCBS - TX | Commercial|PPO Trad | $1,387.12 | ↑ +181% |
| MHealth Network | Commercial|PPO | $1,410.00 | ↑ +186% |
| Aetna | Commercial|HMO | $1,438.00 | ↑ +191% |
| United | Commercial|Exchange | $1,452.00 | ↑ +194% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +278% |
| United | Commercial|Charter | $1,955.00 | ↑ +296% |
| NX Health | Commercial|PPO | $2,012.60 | ↑ +308% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +316% |
| United | Commercial|HMO | $2,172.00 | ↑ +340% |
| United | Commercial|PPO | $2,172.00 | ↑ +340% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +447% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +447% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +946% |
Visitor-reported prices
Comments
Inst via cath agent pleurds at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $493.50 | $112.80 – $1,410.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,292.55 – $1,292.55 |
| HCA HOUSTON WEST | HOUSTON | not published | $633.31 – $1,097.09 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,097.09 – $1,097.09 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,137.05 | $322.17 – $1,556.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,205.80 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,074.68 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,137.05 | $303.21 – $1,556.23 |