Manipulation chest wall initial demonstration/evaluation at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$128.80
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.
$368.00
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.
$47.84 with BCBS - TX vs $2,082.00 with United — 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|Transplant | $47.84 | ↓ -63% |
| Renaissance | Commercial|All Plans | $92.96 | ↓ -28% |
| OPTUM | Medicare|All Plans | $99.36 | ↓ -23% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -22% |
| Cigna | Commercial|PPO | $100.00 | ↓ -22% |
| Cigna | Commercial|HMO | $100.00 | ↓ -22% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $128.66 | ↓ -0% |
| AETNA | Medicare|TRANSPLANT | $129.11 | ↑ +0% |
| BCBS | Medicare|All Plans | $129.11 | ↑ +0% |
| Humana | Medicare|All Other Plans | $129.11 | ↑ +0% |
| Humana | Medicare|TRANSPLANT | $129.11 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicare|HMO | $129.11 | ↑ +0% |
| KELSEY | Medicare|All Plans | $129.11 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicare|PPO | $130.40 | ↑ +1% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $130.84 | ↑ +2% |
| UHC-SecureHorizons | Medicare|All Plans | $131.69 | ↑ +2% |
| AETNA | Medicare|All Other Plans | $131.69 | ↑ +2% |
| Amerivantage | Medicare|All Plans | $132.98 | ↑ +3% |
| OPTUM | Medicaid|STAR | $133.15 | ↑ +3% |
| SELECTCARE | Medicare|All Plans | $135.57 | ↑ +5% |
| DEVOTED | Medicare|All Plans | $138.15 | ↑ +7% |
| SCANHealth | Medicare|All Plans | $138.15 | ↑ +7% |
| TCHPCHIP | Medicaid|HMO | $150.88 | ↑ +17% |
| KINDRED | Medicare|All Plans | $154.93 | ↑ +20% |
| TCH | Commercial|Transplant | $165.60 | ↑ +29% |
| United | Commercial|Optum | $172.96 | ↑ +34% |
| KelseyCare | Commercial|Exchange | $174.30 | ↑ +35% |
| Employer Direct | Commercial|PPO | $180.75 | ↑ +40% |
| Shell | Commercial|All Plans | $184.00 | ↑ +43% |
| Bright Health | Commercial|All Plans | $188.56 | ↑ +46% |
| Harris Health | Commercial|ERS | $193.67 | ↑ +50% |
| Community Health Choice | Commercial|All Other Plans | $193.67 | ↑ +50% |
| Community Health Choice | Commercial|Exchange | $193.67 | ↑ +50% |
| Superior Health Plan | Commercial|All Plans | $193.67 | ↑ +50% |
| Wellpoint | Commercial|Exchange | $193.67 | ↑ +50% |
| Aetna | Commercial|Exchange | $198.83 | ↑ +54% |
| CHC | Medicaid|CHIP | $202.40 | ↑ +57% |
| CHC | Medicaid|HMO | $202.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $202.40 | ↑ +57% |
| BCBS - TX | Commercial|PPO Trad | $220.24 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $220.80 | ↑ +71% |
| BCBS - TX | Commercial|Premier | $234.41 | ↑ +82% |
| First Health | Commercial|All Plans | $239.20 | ↑ +86% |
| Humana | Commercial|Transplant | $239.20 | ↑ +86% |
| Coventry | Commercial|PPO | $239.20 | ↑ +86% |
| Interlink | Commercial|Transplant | $257.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $257.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $257.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $276.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $304.05 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $312.80 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $337.99 | ↑ +162% |
| MHealth Network | Commercial|PPO | $368.00 | ↑ +186% |
| NX Health | Commercial|PPO | $419.61 | ↑ +226% |
| United | Commercial|Exchange | $1,392.00 | ↑ +981% |
| United | Commercial|Charter | $1,875.00 | ↑ +1356% |
| United | Commercial|PPO | $2,082.00 | ↑ +1516% |
| United | Commercial|HMO | $2,082.00 | ↑ +1516% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $171.85 | $248.95 – $255.13 |
| HCA HOUSTON WEST | HOUSTON | $411.00 | $248.95 – $255.13 |
| St. Luke's Health - The Vintage Hospital | Houston | $128.80 | $99.36 – $368.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $169.18 | $248.95 – $255.13 |
| Adventhealth Rollins Brook | Lampasas | $572.01 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $226.54 | $64.19 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $216.95 | $44.66 – $325.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $202.10 | $40.42 – $316.45 |