Kit ipg optimizer smart at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$95,550.00
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.
$273,000.00
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.
$48,276.27 with BCBS - TX vs $229,887.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $48,276.27 | ↓ -49% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $48,276.27 | ↓ -49% |
| Aetna | Commercial|KelseyCare | $57,471.75 | ↓ -40% |
| Bright Health | Commercial|All Plans | $59,770.62 | ↓ -37% |
| BCBS - TX | Commercial|Premier | $59,770.62 | ↓ -37% |
| OPTUM | Medicare|All Plans | $62,069.49 | ↓ -35% |
| United | Commercial|Exchange | $62,069.49 | ↓ -35% |
| Aetna | Commercial|PPO | $66,667.23 | ↓ -30% |
| Aetna | Commercial|HMO | $66,667.23 | ↓ -30% |
| Cigna | Commercial|Surefit | $68,966.10 | ↓ -28% |
| Cigna | Commercial|HMO | $68,966.10 | ↓ -28% |
| Cigna | Commercial|PPO | $68,966.10 | ↓ -28% |
| United | Commercial|Charter | $71,264.97 | ↓ -25% |
| BCBS - TX | Commercial|PPO Trad | $75,862.71 | ↓ -21% |
| BCBS - TX | Commercial|HMO | $75,862.71 | ↓ -21% |
| United | Commercial|HMO | $78,161.58 | ↓ -18% |
| United | Commercial|PPO | $78,161.58 | ↓ -18% |
| OPTUM | Medicaid|STAR | $83,173.12 | ↓ -13% |
| Aetna | Commercial|Transplant | $85,058.19 | ↓ -11% |
| KelseyCare | Commercial|All Other Plans | $94,253.67 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $94,253.67 | ↓ -1% |
| Humana | Commercial|PPO | $103,449.15 | ↑ +8% |
| TCH | Commercial|Transplant | $103,449.15 | ↑ +8% |
| Humana | Commercial|HMO | $103,449.15 | ↑ +8% |
| United | Commercial|Optum | $108,046.89 | ↑ +13% |
| Shell | Commercial|All Plans | $114,943.50 | ↑ +20% |
| BCBS - TX | Commercial|Transplant | $126,437.85 | ↑ +32% |
| TEXASTRUECHOICE | Medicaid|CHIP | $126,437.85 | ↑ +32% |
| CHC | Medicaid|CHIP | $126,437.85 | ↑ +32% |
| CHC | Medicaid|HMO | $126,437.85 | ↑ +32% |
| Cigna Lifesource | Commercial|Transplant | $137,932.20 | ↑ +44% |
| Interlink | Commercial|Transplant | $137,932.20 | ↑ +44% |
| Independent Med System | Commercial|All Plans | $137,932.20 | ↑ +44% |
| First Health | Commercial|All Plans | $149,426.55 | ↑ +56% |
| Coventry | Commercial|PPO | $149,426.55 | ↑ +56% |
| PHCS | Commercial|PPO | $149,426.55 | ↑ +56% |
| PHCS Savility | Commercial|PPO | $149,426.55 | ↑ +56% |
| Humana | Commercial|Transplant | $149,426.55 | ↑ +56% |
| Cigna | Commercial|Transplant | $160,920.90 | ↑ +68% |
| Healthsmart | Commercial|PPO | $160,920.90 | ↑ +68% |
| Healthsmart | Commercial|AP3 | $165,518.64 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $172,415.25 | ↑ +80% |
| OPTUM | Medicaid|STARPLUS | $189,932.64 | ↑ +99% |
| USA Health Network | Commercial|All Plans | $195,403.95 | ↑ +105% |
| MHealth Network | Commercial|PPO | $229,887.00 | ↑ +141% |
Visitor-reported prices
Comments
Kit ipg optimizer smart at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $95,550.00 | $48,276.27 – $229,887.00 |
| Covenant Children's Hospital | Lubbock | $46,737.60 | not published |
| St. Luke's Health Memorial Lufkin | Lufkin | $40,950.00 | $40,950.00 – $245,700.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $95,550.00 | $48,276.27 – $229,887.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $95,550.00 | $48,276.27 – $229,887.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $95,550.00 | $48,276.27 – $229,887.00 |
| St. Luke's Health Memorial Livingston | Livingston | $40,950.00 | $40,950.00 – $245,700.00 |
| Covenant Medical Center | Lubbock | $46,737.60 | not published |