Mra, w/o&w/dye, spinal canal at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$316.40
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.
$904.00
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.
$244.08 with OPTUM vs $2,812.00 with Cigna — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $244.08 | ↓ -23% |
| Renaissance | Commercial|All Plans | $257.55 | ↓ -19% |
| OPTUM | Medicaid|STAR | $327.07 | ↑ +3% |
| Humana | Medicare|TRANSPLANT | $357.71 | ↑ +13% |
| KELSEY | Medicare|All Plans | $357.71 | ↑ +13% |
| BCBS | Medicare|All Plans | $357.71 | ↑ +13% |
| CIGNA HEALTHSPRING | Medicare|HMO | $357.71 | ↑ +13% |
| Humana | Medicare|All Other Plans | $357.71 | ↑ +13% |
| AETNA | Medicare|TRANSPLANT | $357.71 | ↑ +13% |
| CIGNA HEALTHSPRING | Medicare|PPO | $361.29 | ↑ +14% |
| AETNA | Medicare|All Other Plans | $364.86 | ↑ +15% |
| UHC-SecureHorizons | Medicare|All Plans | $364.86 | ↑ +15% |
| Amerivantage | Medicare|All Plans | $368.44 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $370.64 | ↑ +17% |
| SELECTCARE | Medicare|All Plans | $375.60 | ↑ +19% |
| SCANHealth | Medicare|All Plans | $382.75 | ↑ +21% |
| DEVOTED | Medicare|All Plans | $382.75 | ↑ +21% |
| TCH | Commercial|Transplant | $406.80 | ↑ +29% |
| United | Commercial|Optum | $424.88 | ↑ +34% |
| KINDRED | Medicare|All Plans | $429.25 | ↑ +36% |
| Shell | Commercial|All Plans | $452.00 | ↑ +43% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $458.22 | ↑ +45% |
| KelseyCare | Commercial|Exchange | $482.91 | ↑ +53% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $492.59 | ↑ +56% |
| CHC | Medicaid|HMO | $497.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $497.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $497.20 | ↑ +57% |
| Employer Direct | Commercial|PPO | $500.79 | ↑ +58% |
| Wellpoint | Commercial|Exchange | $536.57 | ↑ +70% |
| Harris Health | Commercial|ERS | $536.57 | ↑ +70% |
| Superior Health Plan | Commercial|All Plans | $536.57 | ↑ +70% |
| Community Health Choice | Commercial|Exchange | $536.57 | ↑ +70% |
| Community Health Choice | Commercial|All Other Plans | $536.57 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $542.40 | ↑ +71% |
| Aetna | Commercial|Exchange | $550.87 | ↑ +74% |
| Coventry | Commercial|PPO | $587.60 | ↑ +86% |
| First Health | Commercial|All Plans | $587.60 | ↑ +86% |
| Humana | Commercial|Transplant | $587.60 | ↑ +86% |
| Bright Health | Commercial|All Plans | $615.81 | ↑ +95% |
| Healthsmart | Commercial|PPO | $632.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $632.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $632.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $678.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $746.89 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $768.40 | ↑ +143% |
| BCBS - TX | Commercial|PPO Trad | $904.00 | ↑ +186% |
| BCBS - TX | Commercial|HMO | $904.00 | ↑ +186% |
| BCBS - TX | Commercial|Premier | $904.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $904.00 | ↑ +186% |
| Aetna | Commercial|KelseyCare | $950.00 | ↑ +200% |
| Cigna | Commercial|Surefit | $1,015.00 | ↑ +221% |
| Aetna | Commercial|Transplant | $1,023.00 | ↑ +223% |
| Humana | Commercial|PPO | $1,050.00 | ↑ +232% |
| Humana | Commercial|HMO | $1,050.00 | ↑ +232% |
| Healthsmart | Commercial|AP3 | $1,100.00 | ↑ +248% |
| Cigna | Commercial|HMO | $1,119.00 | ↑ +254% |
| Aetna | Commercial|HMO | $1,143.00 | ↑ +261% |
| NX Health | Commercial|PPO | $1,162.56 | ↑ +267% |
| Aetna | Commercial|PPO | $1,320.00 | ↑ +317% |
| KelseyCare | Commercial|All Other Plans | $1,398.60 | ↑ +342% |
| United | Commercial|Exchange | $1,501.00 | ↑ +374% |
| United | Commercial|Charter | $2,021.00 | ↑ +539% |
| United | Commercial|PPO | $2,247.00 | ↑ +610% |
| United | Commercial|HMO | $2,247.00 | ↑ +610% |
| Cigna | Commercial|PPO | $2,812.00 | ↑ +789% |
Visitor-reported prices
Comments
Mra, w/o&w/dye, spinal canal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $316.40 | $244.08 – $1,398.60 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $672.06 – $699.43 |
| HCA HOUSTON WEST | HOUSTON | not published | $672.06 – $699.43 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $672.06 – $699.43 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,590.76 | $332.94 – $2,386.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,590.76 | $332.94 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,590.76 | $332.94 – $2,149.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,590.76 | $332.94 – $2,577.00 |