Njx aa&/strd lmbr plex nfs at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$861.00
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.
$2,460.00
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.
$238.14 with OPTUM vs $5,160.00 with Cigna — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $238.14 | ↓ -72% |
| OPTUM | Medicaid|STAR | $319.11 | ↓ -63% |
| Wellpoint | Medicaid|STARKIDS | $358.49 | ↓ -58% |
| Wellpoint | Medicaid|CHIP | $358.49 | ↓ -58% |
| TCHP | Medicaid|STARKIDS | $358.49 | ↓ -58% |
| TCHP | Medicaid|All Other Plans | $358.49 | ↓ -58% |
| Wellpoint | Medicaid|All Other Plans | $358.49 | ↓ -58% |
| TCHPCHIP | Medicaid|HMO | $361.62 | ↓ -58% |
| UNITED | Medicaid|All Other Plans | $365.66 | ↓ -58% |
| UHC | Medicaid|CHIP | $365.66 | ↓ -58% |
| UHC | Medicaid|STARKIDS | $365.66 | ↓ -58% |
| BCBS | Medicaid|All Plans | $376.41 | ↓ -56% |
| TCH | Commercial|Transplant | $396.90 | ↓ -54% |
| CHC | Medicaid|All Other Plans | $412.26 | ↓ -52% |
| United | Commercial|Optum | $414.54 | ↓ -52% |
| Shell | Commercial|All Plans | $441.00 | ↓ -49% |
| TCHP | Medicaid|STAR | $480.38 | ↓ -44% |
| Wellpoint | Medicaid|STAR | $480.38 | ↓ -44% |
| CHC | Medicaid|CHIP | $485.10 | ↓ -44% |
| TEXASTRUECHOICE | Medicaid|CHIP | $485.10 | ↓ -44% |
| CHC | Medicaid|HMO | $485.10 | ↓ -44% |
| UNITED | Medicaid|STAR | $491.13 | ↓ -43% |
| Cigna Lifesource | Commercial|Transplant | $529.20 | ↓ -39% |
| Independent Med System | Commercial|All Plans | $529.20 | ↓ -39% |
| CHC | Medicaid|STAR | $552.07 | ↓ -36% |
| Humana | Commercial|Transplant | $573.30 | ↓ -33% |
| Coventry | Commercial|PPO | $573.30 | ↓ -33% |
| First Health | Commercial|All Plans | $573.30 | ↓ -33% |
| PHCS | Commercial|PPO | $573.30 | ↓ -33% |
| PHCS Savility | Commercial|PPO | $573.30 | ↓ -33% |
| Aetna | Commercial|PPO | $617.40 | ↓ -28% |
| Interlink | Commercial|Transplant | $617.40 | ↓ -28% |
| Healthsmart | Commercial|PPO | $617.40 | ↓ -28% |
| Cigna | Commercial|Transplant | $617.40 | ↓ -28% |
| Renaissance | Commercial|All Plans | $642.05 | ↓ -25% |
| MultiPlan | Commercial|All Plans | $661.50 | ↓ -23% |
| Aetna | Commercial|Transplant | $670.32 | ↓ -22% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $682.12 | ↓ -21% |
| OPTUM | Medicaid|STARPLUS | $728.71 | ↓ -15% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $747.09 | ↓ -13% |
| USA Health Network | Commercial|All Plans | $749.70 | ↓ -13% |
| BCBS - TX | Commercial|Transplant | $829.12 | ↓ -4% |
| MHealth Network | Commercial|PPO | $882.00 | ↑ +2% |
| BCBS | Medicare|All Plans | $891.73 | ↑ +4% |
| AETNA | Medicare|TRANSPLANT | $891.73 | ↑ +4% |
| KELSEY | Medicare|All Plans | $891.73 | ↑ +4% |
| Humana | Medicare|All Other Plans | $891.73 | ↑ +4% |
| Humana | Medicare|TRANSPLANT | $891.73 | ↑ +4% |
| CIGNA HEALTHSPRING | Medicare|HMO | $891.73 | ↑ +4% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +4% |
| CIGNA HEALTHSPRING | Medicare|PPO | $900.65 | ↑ +5% |
| AETNA | Medicare|All Other Plans | $909.56 | ↑ +6% |
| UHC-SecureHorizons | Medicare|All Plans | $909.56 | ↑ +6% |
| Amerivantage | Medicare|All Plans | $918.48 | ↑ +7% |
| SELECTCARE | Medicare|All Plans | $936.32 | ↑ +9% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +9% |
| DEVOTED | Medicare|All Plans | $954.15 | ↑ +11% |
| SCANHealth | Medicare|All Plans | $954.15 | ↑ +11% |
| KINDRED | Medicare|All Plans | $1,070.08 | ↑ +24% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +25% |
| UNITED | Medicaid|STARPLUS | $1,118.49 | ↑ +30% |
| UHC | Medicaid|STARPLUS | $1,118.49 | ↑ +30% |
| KelseyCare | Commercial|Exchange | $1,203.84 | ↑ +40% |
| Employer Direct | Commercial|PPO | $1,248.42 | ↑ +45% |
| Community Health Choice | Commercial|Exchange | $1,337.60 | ↑ +55% |
| Wellpoint | Commercial|Exchange | $1,337.60 | ↑ +55% |
| Community Health Choice | Commercial|All Other Plans | $1,337.60 | ↑ +55% |
| Superior Health Plan | Commercial|All Plans | $1,337.60 | ↑ +55% |
| Harris Health | Commercial|ERS | $1,337.60 | ↑ +55% |
| BCBS - TX | Commercial|Premier | $1,356.12 | ↑ +58% |
| Aetna | Commercial|Exchange | $1,373.26 | ↑ +59% |
| Bright Health | Commercial|All Plans | $1,376.63 | ↑ +60% |
| United | Commercial|Exchange | $1,452.00 | ↑ +69% |
| BCBS - TX | Commercial|HMO | $1,656.58 | ↑ +92% |
| BCBS - TX | Commercial|PPO Trad | $1,786.51 | ↑ +107% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +116% |
| United | Commercial|Charter | $1,955.00 | ↑ +127% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +139% |
| United | Commercial|PPO | $2,172.00 | ↑ +152% |
| United | Commercial|HMO | $2,172.00 | ↑ +152% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +214% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +214% |
| NX Health | Commercial|PPO | $2,898.12 | ↑ +237% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +499% |
Visitor-reported prices
Comments
Njx aa&/strd lmbr plex nfs at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $861.00 | $238.14 – $882.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $365.66 – $1,664.70 |
| HCA HOUSTON WEST | HOUSTON | not published | $333.95 – $1,412.97 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $340.77 – $1,412.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,555.85 | $340.77 – $2,257.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,555.85 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,247.28 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,555.85 | $340.77 – $2,257.97 |