Nushield 1 square cm at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$302.05
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.
$863.00
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.
$164.38 with United vs $863.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $164.38 | ↓ -46% |
| Aetna | Commercial|KelseyCare | $189.86 | ↓ -37% |
| Aetna | Commercial|PPO | $224.38 | ↓ -26% |
| Aetna | Commercial|HMO | $224.38 | ↓ -26% |
| United | Commercial|PPO | $225.43 | ↓ -25% |
| United | Commercial|Charter | $225.43 | ↓ -25% |
| United | Commercial|HMO | $225.43 | ↓ -25% |
| OPTUM | Medicare|All Plans | $233.01 | ↓ -23% |
| Aetna | Commercial|Transplant | $276.16 | ↓ -9% |
| Cigna | Commercial|PPO | $284.38 | ↓ -6% |
| Bright Health | Commercial|All Plans | $284.79 | ↓ -6% |
| Cigna | Commercial|HMO | $299.80 | ↓ -1% |
| Cigna | Commercial|Surefit | $299.80 | ↓ -1% |
| OPTUM | Medicaid|STAR | $312.24 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $353.83 | ↑ +17% |
| TCH | Commercial|Transplant | $388.35 | ↑ +29% |
| United | Commercial|Optum | $405.61 | ↑ +34% |
| Humana | Commercial|PPO | $422.87 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $422.87 | ↑ +40% |
| Humana | Commercial|HMO | $422.87 | ↑ +40% |
| Shell | Commercial|All Plans | $431.50 | ↑ +43% |
| CHC | Medicaid|HMO | $474.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $474.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $474.65 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $517.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $517.80 | ↑ +71% |
| First Health | Commercial|All Plans | $560.95 | ↑ +86% |
| Coventry | Commercial|PPO | $560.95 | ↑ +86% |
| Humana | Commercial|Transplant | $560.95 | ↑ +86% |
| Interlink | Commercial|Transplant | $604.10 | ↑ +100% |
| PHCS | Commercial|PPO | $604.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $604.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $604.10 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $604.10 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $621.36 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $647.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $713.02 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $733.55 | ↑ +143% |
| MHealth Network | Commercial|PPO | $863.00 | ↑ +186% |
Visitor-reported prices
Comments
Nushield 1 square cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $2,571.00 | $92.65 – $1,282.60 |
| St. Luke's Health - The Vintage Hospital | Houston | $302.05 | $134.13 – $863.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $209.78 – $1,282.60 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $92.65 – $1,282.60 |
| Covenant Children's Hospital | Lubbock | $5,532.28 | $372.36 – $1,855.00 |
| St. Luke's Health - Patients Medical Center | Pasadena | $508.26 | $134.13 – $918.23 |
| St. Luke's Health Memorial Lufkin | Lufkin | $931.43 | $41.53 – $266.95 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $302.05 | $134.13 – $863.00 |