Kidney img w/bldflw sgl without rx at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,631.00
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.
$4,660.00
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.
$218.53 with Wellpoint vs $4,660.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|STARKIDS | $218.53 | ↓ -87% |
| Wellpoint | Medicaid|CHIP | $218.53 | ↓ -87% |
| Wellpoint | Medicaid|All Other Plans | $218.53 | ↓ -87% |
| UHC | Medicaid|CHIP | $222.90 | ↓ -86% |
| UHC | Medicaid|STARKIDS | $222.90 | ↓ -86% |
| UNITED | Medicaid|All Other Plans | $222.90 | ↓ -86% |
| BCBS | Medicaid|All Plans | $229.46 | ↓ -86% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $232.24 | ↓ -86% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $249.65 | ↓ -85% |
| CHC | Medicaid|All Other Plans | $251.31 | ↓ -85% |
| Wellpoint | Medicaid|STAR | $292.83 | ↓ -82% |
| UNITED | Medicaid|STAR | $299.39 | ↓ -82% |
| CHC | Medicaid|STAR | $336.54 | ↓ -79% |
| Renaissance | Commercial|All Plans | $388.18 | ↓ -76% |
| TCHP | Medicaid|All Other Plans | $512.60 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $512.60 | ↓ -69% |
| BCBS - TX | Commercial|Premier | $518.66 | ↓ -68% |
| AETNA | Medicare|TRANSPLANT | $539.14 | ↓ -67% |
| KELSEY | Medicare|All Plans | $539.14 | ↓ -67% |
| Humana | Medicare|TRANSPLANT | $539.14 | ↓ -67% |
| BCBS | Medicare|All Plans | $539.14 | ↓ -67% |
| Humana | Medicare|All Other Plans | $539.14 | ↓ -67% |
| CIGNA HEALTHSPRING | Medicare|HMO | $539.14 | ↓ -67% |
| CIGNA HEALTHSPRING | Medicare|PPO | $544.53 | ↓ -67% |
| AETNA | Medicare|All Other Plans | $549.92 | ↓ -66% |
| UHC-SecureHorizons | Medicare|All Plans | $549.92 | ↓ -66% |
| Amerivantage | Medicare|All Plans | $555.31 | ↓ -66% |
| SELECTCARE | Medicare|All Plans | $566.10 | ↓ -65% |
| DEVOTED | Medicare|All Plans | $576.88 | ↓ -65% |
| SCANHealth | Medicare|All Plans | $576.88 | ↓ -65% |
| BCBS - TX | Commercial|HMO | $611.55 | ↓ -63% |
| KINDRED | Medicare|All Plans | $646.97 | ↓ -60% |
| BCBS - TX | Commercial|PPO Trad | $677.36 | ↓ -58% |
| UNITED | Medicaid|STARPLUS | $681.81 | ↓ -58% |
| UHC | Medicaid|STARPLUS | $681.81 | ↓ -58% |
| TCHP | Medicaid|STAR | $686.89 | ↓ -58% |
| KelseyCare | Commercial|Exchange | $727.84 | ↓ -55% |
| Employer Direct | Commercial|PPO | $754.80 | ↓ -54% |
| Community Health Choice | Commercial|Exchange | $808.71 | ↓ -50% |
| Superior Health Plan | Commercial|All Plans | $808.71 | ↓ -50% |
| Wellpoint | Commercial|Exchange | $808.71 | ↓ -50% |
| Community Health Choice | Commercial|All Other Plans | $808.71 | ↓ -50% |
| Harris Health | Commercial|ERS | $808.71 | ↓ -50% |
| Bright Health | Commercial|All Plans | $818.35 | ↓ -50% |
| Aetna | Commercial|Exchange | $830.28 | ↓ -49% |
| BCBS - TX | Commercial|Transplant | $838.92 | ↓ -49% |
| OPTUM | Medicare|All Plans | $1,258.20 | ↓ -23% |
| Cigna | Commercial|Surefit | $1,491.20 | ↓ -9% |
| Cigna | Commercial|HMO | $1,631.00 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,685.99 | ↑ +3% |
| NX Health | Commercial|PPO | $1,752.20 | ↑ +7% |
| TCHPCHIP | Medicaid|HMO | $1,910.60 | ↑ +17% |
| Cigna | Commercial|PPO | $1,910.60 | ↑ +17% |
| TCH | Commercial|Transplant | $2,097.00 | ↑ +29% |
| United | Commercial|Exchange | $2,184.00 | ↑ +34% |
| United | Commercial|Optum | $2,190.20 | ↑ +34% |
| Shell | Commercial|All Plans | $2,330.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $2,563.00 | ↑ +57% |
| CHC | Medicaid|HMO | $2,563.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,563.00 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,796.00 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $2,842.60 | ↑ +74% |
| United | Commercial|Charter | $2,940.00 | ↑ +80% |
| First Health | Commercial|All Plans | $3,029.00 | ↑ +86% |
| Coventry | Commercial|PPO | $3,029.00 | ↑ +86% |
| Humana | Commercial|Transplant | $3,029.00 | ↑ +86% |
| Interlink | Commercial|Transplant | $3,262.00 | ↑ +100% |
| Aetna | Commercial|HMO | $3,262.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,262.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,262.00 | ↑ +100% |
| United | Commercial|PPO | $3,268.00 | ↑ +100% |
| United | Commercial|HMO | $3,268.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,495.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $3,850.10 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,961.00 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,660.00 | ↑ +186% |
Visitor-reported prices
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Kidney img w/bldflw sgl without rx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $5,060.92 | $227.21 – $1,050.60 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,631.00 | $218.53 – $4,660.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $7,036.35 | $218.53 – $1,050.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,468.04 | $212.84 – $1,835.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,465.10 | $301.57 – $2,197.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,398.79 | $212.84 – $1,748.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,468.04 | $212.84 – $1,835.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,465.10 | $227.74 – $2,197.65 |