Intracran angioplsty w/stent at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,704.80
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.
$7,728.00
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.
$1,028.87 with BCBS - TX vs $9,029.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Premier | $1,028.87 | ↓ -62% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,412.78 | ↓ -48% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,658.48 | ↓ -39% |
| OPTUM | Medicare|All Plans | $2,086.56 | ↓ -23% |
| BCBS - TX | Commercial|Transplant | $2,342.88 | ↓ -13% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -11% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -0% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -0% |
| OPTUM | Medicaid|STAR | $2,796.00 | ↑ +3% |
| United | Commercial|Exchange | $3,128.00 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $3,168.48 | ↑ +17% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +21% |
| BCBS - TX | Commercial|HMO | $3,301.60 | ↑ +22% |
| TCH | Commercial|Transplant | $3,477.60 | ↑ +29% |
| BCBS - TX | Commercial|PPO Trad | $3,516.59 | ↑ +30% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +33% |
| United | Commercial|Optum | $3,632.16 | ↑ +34% |
| Shell | Commercial|All Plans | $3,864.00 | ↑ +43% |
| United | Commercial|Charter | $4,211.00 | ↑ +56% |
| CHC | Medicaid|HMO | $4,250.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,250.40 | ↑ +57% |
| CHC | Medicaid|CHIP | $4,250.40 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $4,636.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $4,636.80 | ↑ +71% |
| United | Commercial|HMO | $4,680.00 | ↑ +73% |
| United | Commercial|PPO | $4,680.00 | ↑ +73% |
| Humana | Commercial|Transplant | $5,023.20 | ↑ +86% |
| PHCS | Commercial|PPO | $5,023.20 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $5,023.20 | ↑ +86% |
| First Health | Commercial|All Plans | $5,023.20 | ↑ +86% |
| Coventry | Commercial|PPO | $5,023.20 | ↑ +86% |
| Interlink | Commercial|Transplant | $5,409.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,409.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $5,409.60 | ↑ +100% |
| Aetna | Commercial|PPO | $5,409.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $5,796.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $5,873.28 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $6,384.88 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $6,568.80 | ↑ +143% |
| MHealth Network | Commercial|PPO | $7,728.00 | ↑ +186% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +234% |
Visitor-reported prices
Comments
Intracran angioplsty w/stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $38,698.99 | $14,081.73 – $14,081.73 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,704.80 | $2,086.56 – $7,728.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $14,081.73 – $14,081.73 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $14,081.73 – $14,081.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,038.64 | $2,546.00 – $17,054.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,035.96 | $71.00 – $12,053.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,440.70 | $71.00 – $9,300.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,038.64 | $1,904.18 – $17,054.74 |