Kit tissue closure sealant adhesive air leak progel 4 ml pleura at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$4,454.10
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.
$12,726.00
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.
$164.64 with BCBS - TX vs $784.00 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 | $164.64 | ↓ -96% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $164.64 | ↓ -96% |
| Aetna | Commercial|KelseyCare | $196.00 | ↓ -96% |
| Bright Health | Commercial|All Plans | $203.84 | ↓ -95% |
| BCBS - TX | Commercial|Premier | $203.84 | ↓ -95% |
| OPTUM | Medicare|All Plans | $211.68 | ↓ -95% |
| United | Commercial|Exchange | $211.68 | ↓ -95% |
| Aetna | Commercial|PPO | $227.36 | ↓ -95% |
| Aetna | Commercial|HMO | $227.36 | ↓ -95% |
| Cigna | Commercial|Surefit | $235.20 | ↓ -95% |
| Cigna | Commercial|HMO | $235.20 | ↓ -95% |
| Cigna | Commercial|PPO | $235.20 | ↓ -95% |
| United | Commercial|Charter | $243.04 | ↓ -95% |
| BCBS - TX | Commercial|PPO Trad | $258.72 | ↓ -94% |
| BCBS - TX | Commercial|HMO | $258.72 | ↓ -94% |
| United | Commercial|HMO | $266.56 | ↓ -94% |
| United | Commercial|PPO | $266.56 | ↓ -94% |
| OPTUM | Medicaid|STAR | $283.66 | ↓ -94% |
| Aetna | Commercial|Transplant | $290.08 | ↓ -93% |
| KelseyCare | Commercial|All Other Plans | $321.44 | ↓ -93% |
| TCHPCHIP | Medicaid|HMO | $321.44 | ↓ -93% |
| Humana | Commercial|PPO | $352.80 | ↓ -92% |
| TCH | Commercial|Transplant | $352.80 | ↓ -92% |
| Humana | Commercial|HMO | $352.80 | ↓ -92% |
| United | Commercial|Optum | $368.48 | ↓ -92% |
| Shell | Commercial|All Plans | $392.00 | ↓ -91% |
| BCBS - TX | Commercial|Transplant | $431.20 | ↓ -90% |
| TEXASTRUECHOICE | Medicaid|CHIP | $431.20 | ↓ -90% |
| CHC | Medicaid|CHIP | $431.20 | ↓ -90% |
| CHC | Medicaid|HMO | $431.20 | ↓ -90% |
| Cigna Lifesource | Commercial|Transplant | $470.40 | ↓ -89% |
| Interlink | Commercial|Transplant | $470.40 | ↓ -89% |
| Independent Med System | Commercial|All Plans | $470.40 | ↓ -89% |
| First Health | Commercial|All Plans | $509.60 | ↓ -89% |
| Coventry | Commercial|PPO | $509.60 | ↓ -89% |
| PHCS | Commercial|PPO | $509.60 | ↓ -89% |
| PHCS Savility | Commercial|PPO | $509.60 | ↓ -89% |
| Humana | Commercial|Transplant | $509.60 | ↓ -89% |
| Cigna | Commercial|Transplant | $548.80 | ↓ -88% |
| Healthsmart | Commercial|PPO | $548.80 | ↓ -88% |
| Healthsmart | Commercial|AP3 | $564.48 | ↓ -87% |
| MultiPlan | Commercial|All Plans | $588.00 | ↓ -87% |
| OPTUM | Medicaid|STARPLUS | $647.75 | ↓ -85% |
| USA Health Network | Commercial|All Plans | $666.40 | ↓ -85% |
| MHealth Network | Commercial|PPO | $784.00 | ↓ -82% |
Visitor-reported prices
Comments
Kit tissue closure sealant adhesive air leak progel 4 ml pleura at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $4,454.10 | $164.64 – $784.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,541.00 | $713.56 – $3,357.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,541.00 | $518.38 – $3,777.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,541.00 | $503.69 – $3,357.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,541.00 | $671.58 – $3,357.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,541.00 | $808.42 – $3,777.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,541.00 | $1,301.19 – $3,777.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,541.00 | $839.48 – $3,777.65 |