Lead capillary at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$46.55
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.
$133.00
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.
$8.72 with Renaissance vs $133.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $8.72 | ↓ -81% |
| Wellpoint | Medicaid|CHIP | $10.17 | ↓ -78% |
| TCHP | Medicaid|STARKIDS | $10.17 | ↓ -78% |
| TCHP | Medicaid|All Other Plans | $10.17 | ↓ -78% |
| Wellpoint | Medicaid|STARKIDS | $10.17 | ↓ -78% |
| Wellpoint | Medicaid|All Other Plans | $10.17 | ↓ -78% |
| UHC | Medicaid|STARKIDS | $10.37 | ↓ -78% |
| UNITED | Medicaid|All Other Plans | $10.37 | ↓ -78% |
| UHC | Medicaid|CHIP | $10.37 | ↓ -78% |
| BCBS | Medicaid|All Plans | $10.68 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $11.70 | ↓ -75% |
| Humana | Medicare|TRANSPLANT | $12.11 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|HMO | $12.11 | ↓ -74% |
| AETNA | Medicare|TRANSPLANT | $12.11 | ↓ -74% |
| KELSEY | Medicare|All Plans | $12.11 | ↓ -74% |
| BCBS | Medicare|All Plans | $12.11 | ↓ -74% |
| Humana | Medicare|All Other Plans | $12.11 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|PPO | $12.23 | ↓ -74% |
| AETNA | Medicare|All Other Plans | $12.35 | ↓ -73% |
| UHC-SecureHorizons | Medicare|All Plans | $12.35 | ↓ -73% |
| Amerivantage | Medicare|All Plans | $12.47 | ↓ -73% |
| SELECTCARE | Medicare|All Plans | $12.72 | ↓ -73% |
| SCANHealth | Medicare|All Plans | $12.96 | ↓ -72% |
| DEVOTED | Medicare|All Plans | $12.96 | ↓ -72% |
| TCHP | Medicaid|STAR | $13.63 | ↓ -71% |
| Wellpoint | Medicaid|STAR | $13.63 | ↓ -71% |
| UNITED | Medicaid|STAR | $13.93 | ↓ -70% |
| KINDRED | Medicare|All Plans | $14.53 | ↓ -69% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $14.53 | ↓ -69% |
| CHC | Medicaid|STAR | $15.66 | ↓ -66% |
| KelseyCare | Commercial|Exchange | $16.35 | ↓ -65% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $16.83 | ↓ -64% |
| Employer Direct | Commercial|PPO | $16.95 | ↓ -64% |
| Superior Health Plan | Commercial|All Plans | $18.16 | ↓ -61% |
| Community Health Choice | Commercial|Exchange | $18.16 | ↓ -61% |
| Wellpoint | Commercial|Exchange | $18.16 | ↓ -61% |
| Harris Health | Commercial|ERS | $18.16 | ↓ -61% |
| Community Health Choice | Commercial|All Other Plans | $18.16 | ↓ -61% |
| Aetna | Commercial|Exchange | $18.65 | ↓ -60% |
| Bright Health | Commercial|All Plans | $19.98 | ↓ -57% |
| United | Commercial|PPO | $22.43 | ↓ -52% |
| United | Commercial|Charter | $22.43 | ↓ -52% |
| United | Commercial|HMO | $22.43 | ↓ -52% |
| United | Commercial|Exchange | $22.43 | ↓ -52% |
| Cigna | Commercial|Surefit | $28.91 | ↓ -38% |
| UHC | Medicaid|STARPLUS | $31.73 | ↓ -32% |
| UNITED | Medicaid|STARPLUS | $31.73 | ↓ -32% |
| Cigna | Commercial|HMO | $31.90 | ↓ -31% |
| BCBS - TX | Commercial|Premier | $35.00 | ↓ -25% |
| OPTUM | Medicare|All Plans | $35.91 | ↓ -23% |
| NX Health | Commercial|PPO | $39.36 | ↓ -15% |
| Cigna | Commercial|PPO | $43.62 | ↓ -6% |
| BCBS - TX | Commercial|Transplant | $45.06 | ↓ -3% |
| BCBS - TX | Commercial|PPO Trad | $46.50 | ↓ -0% |
| OPTUM | Medicaid|STAR | $48.12 | ↑ +3% |
| BCBS - TX | Commercial|HMO | $48.32 | ↑ +4% |
| TCHPCHIP | Medicaid|HMO | $54.53 | ↑ +17% |
| TCH | Commercial|Transplant | $59.85 | ↑ +29% |
| United | Commercial|Optum | $62.51 | ↑ +34% |
| Shell | Commercial|All Plans | $66.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $73.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $73.15 | ↑ +57% |
| CHC | Medicaid|HMO | $73.15 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $79.80 | ↑ +71% |
| Humana | Commercial|Transplant | $86.45 | ↑ +86% |
| First Health | Commercial|All Plans | $86.45 | ↑ +86% |
| Coventry | Commercial|PPO | $86.45 | ↑ +86% |
| Cigna | Commercial|Transplant | $93.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $93.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $93.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $99.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $109.89 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $113.05 | ↑ +143% |
| MHealth Network | Commercial|PPO | $133.00 | ↑ +186% |
Visitor-reported prices
Comments
Lead capillary at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $46.55 | $8.72 – $133.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $10.17 – $50.18 |
| HCA HOUSTON WEST | HOUSTON | not published | $9.97 – $50.18 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $10.17 – $50.18 |
| Adventhealth Rollins Brook | Lampasas | $181.39 | $10.90 – $46.62 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $81.29 | $10.00 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $79.36 | $3.80 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $75.11 | $10.17 – $29.06 |