Observation direct referral from physician office for admission at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$545.65
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.
$1,559.00
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.
$90.90 with KelseyCare vs $10,335.00 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 |
|---|---|---|---|
| KelseyCare | Commercial|All Other Plans | $90.90 | ↓ -83% |
| BCBS - TX | Commercial|Transplant | $98.42 | ↓ -82% |
| Humana | Commercial|PPO | $100.00 | ↓ -82% |
| Humana | Commercial|HMO | $100.00 | ↓ -82% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $150.12 | ↓ -72% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $152.66 | ↓ -72% |
| Wellpoint | Medicaid|CHIP | $171.49 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $171.49 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $171.49 | ↓ -69% |
| CHC | Medicaid|All Other Plans | $171.49 | ↓ -69% |
| Wellpoint | Medicaid|STARKIDS | $171.49 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $171.49 | ↓ -69% |
| UHC | Medicaid|STARKIDS | $174.92 | ↓ -68% |
| UHC | Medicaid|CHIP | $174.92 | ↓ -68% |
| UNITED | Medicaid|All Other Plans | $174.92 | ↓ -68% |
| BCBS | Medicaid|All Plans | $180.07 | ↓ -67% |
| TCHP | Medicaid|STAR | $229.80 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $229.80 | ↓ -58% |
| CHC | Medicaid|STAR | $229.80 | ↓ -58% |
| UNITED | Medicaid|STAR | $234.95 | ↓ -57% |
| BCBS - TX | Commercial|PPO Trad | $256.98 | ↓ -53% |
| BCBS - TX | Commercial|Premier | $273.52 | ↓ -50% |
| BCBS - TX | Commercial|HMO | $394.38 | ↓ -28% |
| OPTUM | Medicare|All Plans | $420.93 | ↓ -23% |
| Renaissance | Commercial|All Plans | $442.14 | ↓ -19% |
| UHC | Medicaid|STARPLUS | $535.05 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $535.05 | ↓ -2% |
| OPTUM | Medicaid|STAR | $564.05 | ↑ +3% |
| Humana | Medicare|All Other Plans | $614.09 | ↑ +13% |
| CIGNA HEALTHSPRING | Medicare|HMO | $614.09 | ↑ +13% |
| BCBS | Medicare|All Plans | $614.09 | ↑ +13% |
| KELSEY | Medicare|All Plans | $614.09 | ↑ +13% |
| AETNA | Medicare|TRANSPLANT | $614.09 | ↑ +13% |
| Humana | Medicare|TRANSPLANT | $614.09 | ↑ +13% |
| CIGNA HEALTHSPRING | Medicare|PPO | $620.23 | ↑ +14% |
| UHC-SecureHorizons | Medicare|All Plans | $626.37 | ↑ +15% |
| AETNA | Medicare|All Other Plans | $626.37 | ↑ +15% |
| Amerivantage | Medicare|All Plans | $632.51 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $639.19 | ↑ +17% |
| SELECTCARE | Medicare|All Plans | $644.79 | ↑ +18% |
| DEVOTED | Medicare|All Plans | $657.08 | ↑ +20% |
| SCANHealth | Medicare|All Plans | $657.08 | ↑ +20% |
| TCH | Commercial|Transplant | $701.55 | ↑ +29% |
| United | Commercial|Optum | $732.73 | ↑ +34% |
| KINDRED | Medicare|All Plans | $736.91 | ↑ +35% |
| Shell | Commercial|All Plans | $779.50 | ↑ +43% |
| KelseyCare | Commercial|Exchange | $829.02 | ↑ +52% |
| CHC | Medicaid|CHIP | $857.45 | ↑ +57% |
| CHC | Medicaid|HMO | $857.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $857.45 | ↑ +57% |
| Employer Direct | Commercial|PPO | $859.73 | ↑ +58% |
| Bright Health | Commercial|All Plans | $873.20 | ↑ +60% |
| Aetna | Commercial|KelseyCare | $888.63 | ↑ +63% |
| Wellpoint | Commercial|Exchange | $921.13 | ↑ +69% |
| Community Health Choice | Commercial|All Other Plans | $921.13 | ↑ +69% |
| Community Health Choice | Commercial|Exchange | $921.13 | ↑ +69% |
| Superior Health Plan | Commercial|All Plans | $921.13 | ↑ +69% |
| Harris Health | Commercial|ERS | $921.13 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $935.40 | ↑ +71% |
| Aetna | Commercial|Exchange | $945.70 | ↑ +73% |
| Coventry | Commercial|PPO | $1,013.35 | ↑ +86% |
| PHCS | Commercial|PPO | $1,013.35 | ↑ +86% |
| First Health | Commercial|All Plans | $1,013.35 | ↑ +86% |
| Humana | Commercial|Transplant | $1,013.35 | ↑ +86% |
| Aetna | Commercial|HMO | $1,028.94 | ↑ +89% |
| Healthsmart | Commercial|PPO | $1,091.30 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $1,091.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,091.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,091.30 | ↑ +100% |
| Aetna | Commercial|PPO | $1,091.30 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $1,122.48 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,169.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,184.84 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,288.05 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,325.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,559.00 | ↑ +186% |
| NX Health | Commercial|PPO | $1,995.79 | ↑ +266% |
| United | Commercial|Exchange | $2,922.00 | ↑ +436% |
| Cigna | Commercial|Surefit | $3,734.00 | ↑ +584% |
| United | Commercial|Charter | $3,935.00 | ↑ +621% |
| Cigna | Commercial|HMO | $4,115.00 | ↑ +654% |
| United | Commercial|HMO | $4,371.00 | ↑ +701% |
| United | Commercial|PPO | $4,371.00 | ↑ +701% |
| Cigna | Commercial|PPO | $10,335.00 | ↑ +1794% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $545.65 | $90.00 – $1,559.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $297.69 – $297.69 |
| HCA HOUSTON WEST | HOUSTON | not published | $297.69 – $297.69 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $297.69 – $297.69 |
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| Covenant Children's Hospital | Lubbock | $128.52 | $433.82 – $433.82 |
| St. Luke's Health - Patients Medical Center | Pasadena | $189.35 | $35.98 – $405.75 |
| St. Joseph Health Madison Hospital | Madisonville | $272.65 | $198.49 – $1,402.20 |