Knee MRI (with contrast) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$4,225.20
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.
?
What you pay up front if you don't use insurance.
$12,072.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$323.44 with Wellpoint vs $12,072.00 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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|All Other Plans | $323.44 | ↓ -92% |
| Wellpoint | Medicaid|CHIP | $328.79 | ↓ -92% |
| Wellpoint | Medicaid|STARKIDS | $328.79 | ↓ -92% |
| UHC | Medicaid|CHIP | $329.91 | ↓ -92% |
| UHC | Medicaid|STARKIDS | $329.91 | ↓ -92% |
| UNITED | Medicaid|All Other Plans | $335.37 | ↓ -92% |
| BCBS | Medicaid|All Plans | $339.61 | ↓ -92% |
| CHC | Medicaid|All Other Plans | $378.11 | ↓ -91% |
| Wellpoint | Medicaid|STAR | $440.58 | ↓ -90% |
| UNITED | Medicaid|STAR | $450.44 | ↓ -89% |
| CHC | Medicaid|STAR | $506.34 | ↓ -88% |
| Renaissance | Commercial|All Plans | $569.76 | ↓ -87% |
| Humana | Medicare|All Other Plans | $791.34 | ↓ -81% |
| KELSEY | Medicare|All Plans | $791.34 | ↓ -81% |
| Humana | Medicare|TRANSPLANT | $791.34 | ↓ -81% |
| AETNA | Medicare|TRANSPLANT | $791.34 | ↓ -81% |
| BCBS | Medicare|All Plans | $791.34 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|HMO | $791.34 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|PPO | $799.25 | ↓ -81% |
| AETNA | Medicare|All Other Plans | $807.17 | ↓ -81% |
| UHC-SecureHorizons | Medicare|All Plans | $807.17 | ↓ -81% |
| Amerivantage | Medicare|All Plans | $815.08 | ↓ -81% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $816.98 | ↓ -81% |
| SELECTCARE | Medicare|All Plans | $830.91 | ↓ -80% |
| DEVOTED | Medicare|All Plans | $846.73 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $846.73 | ↓ -80% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $912.30 | ↓ -78% |
| KINDRED | Medicare|All Plans | $949.61 | ↓ -78% |
| BCBS - TX | Commercial|Transplant | $983.04 | ↓ -77% |
| Cigna | Commercial|Surefit | $1,015.00 | ↓ -76% |
| Aetna | Commercial|Transplant | $1,023.00 | ↓ -76% |
| UNITED | Medicaid|STARPLUS | $1,025.82 | ↓ -76% |
| UHC | Medicaid|STARPLUS | $1,025.82 | ↓ -76% |
| Humana | Commercial|HMO | $1,050.00 | ↓ -75% |
| Humana | Commercial|PPO | $1,050.00 | ↓ -75% |
| KelseyCare | Commercial|Exchange | $1,068.31 | ↓ -75% |
| Healthsmart | Commercial|AP3 | $1,100.00 | ↓ -74% |
| Employer Direct | Commercial|PPO | $1,107.88 | ↓ -74% |
| Cigna | Commercial|HMO | $1,119.00 | ↓ -74% |
| Harris Health | Commercial|ERS | $1,187.01 | ↓ -72% |
| Community Health Choice | Commercial|Exchange | $1,187.01 | ↓ -72% |
| Wellpoint | Commercial|Exchange | $1,187.01 | ↓ -72% |
| Superior Health Plan | Commercial|All Plans | $1,187.01 | ↓ -72% |
| Community Health Choice | Commercial|All Other Plans | $1,187.01 | ↓ -72% |
| Bright Health | Commercial|All Plans | $1,196.41 | ↓ -72% |
| Aetna | Commercial|Exchange | $1,218.66 | ↓ -71% |
| Aetna | Commercial|PPO | $1,320.00 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $1,327.92 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $1,327.92 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $1,398.60 | ↓ -67% |
| United | Commercial|Exchange | $1,501.00 | ↓ -64% |
| TCHP | Medicaid|STAR | $1,779.42 | ↓ -58% |
| BCBS - TX | Commercial|Premier | $1,824.60 | ↓ -57% |
| United | Commercial|Charter | $2,021.00 | ↓ -52% |
| United | Commercial|PPO | $2,247.00 | ↓ -47% |
| United | Commercial|HMO | $2,247.00 | ↓ -47% |
| NX Health | Commercial|PPO | $2,571.86 | ↓ -39% |
| BCBS - TX | Commercial|HMO | $2,804.98 | ↓ -34% |
| Cigna | Commercial|PPO | $2,812.00 | ↓ -33% |
| BCBS - TX | Commercial|PPO Trad | $2,968.38 | ↓ -30% |
| OPTUM | Medicare|All Plans | $3,259.44 | ↓ -23% |
| OPTUM | Medicaid|STAR | $4,367.65 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $4,949.52 | ↑ +17% |
| TCH | Commercial|Transplant | $5,432.40 | ↑ +29% |
| United | Commercial|Optum | $5,673.84 | ↑ +34% |
| Shell | Commercial|All Plans | $6,036.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $6,639.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $6,639.60 | ↑ +57% |
| CHC | Medicaid|HMO | $6,639.60 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $7,243.20 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $7,363.92 | ↑ +74% |
| Coventry | Commercial|PPO | $7,846.80 | ↑ +86% |
| First Health | Commercial|All Plans | $7,846.80 | ↑ +86% |
| Humana | Commercial|Transplant | $7,846.80 | ↑ +86% |
| Cigna | Commercial|Transplant | $8,450.40 | ↑ +100% |
| Aetna | Commercial|HMO | $8,450.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $8,450.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $8,450.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $9,054.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $9,973.89 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $10,261.20 | ↑ +143% |
| MHealth Network | Commercial|PPO | $12,072.00 | ↑ +186% |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $4,225.20 | $323.44 – $12,072.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $328.79 – $1,463.76 |
| HCA HOUSTON WEST | HOUSTON | not published | $316.97 – $1,361.64 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $323.44 – $1,463.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,394.58 | $323.44 – $2,993.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,201.09 | $453.06 – $3,301.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,551.43 | $323.44 – $3,189.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,394.58 | $323.44 – $2,993.22 |