Pacemaker leadless 19.5f 32.2mm ra at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$88,200.00
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.
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What you pay up front if you don't use insurance.
$252,000.00
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.
$15,435.00 with BCBS - TX vs $73,500.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $15,435.00 | ↓ -83% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $15,435.00 | ↓ -83% |
| Aetna | Commercial|KelseyCare | $18,375.00 | ↓ -79% |
| Bright Health | Commercial|All Plans | $19,110.00 | ↓ -78% |
| BCBS - TX | Commercial|Premier | $19,110.00 | ↓ -78% |
| OPTUM | Medicare|All Plans | $19,845.00 | ↓ -78% |
| United | Commercial|Exchange | $19,845.00 | ↓ -78% |
| Aetna | Commercial|PPO | $21,315.00 | ↓ -76% |
| Aetna | Commercial|HMO | $21,315.00 | ↓ -76% |
| Cigna | Commercial|Surefit | $22,050.00 | ↓ -75% |
| Cigna | Commercial|HMO | $22,050.00 | ↓ -75% |
| Cigna | Commercial|PPO | $22,050.00 | ↓ -75% |
| United | Commercial|Charter | $22,785.00 | ↓ -74% |
| BCBS - TX | Commercial|PPO Trad | $24,255.00 | ↓ -73% |
| BCBS - TX | Commercial|HMO | $24,255.00 | ↓ -73% |
| United | Commercial|HMO | $24,990.00 | ↓ -72% |
| United | Commercial|PPO | $24,990.00 | ↓ -72% |
| OPTUM | Medicaid|STAR | $26,592.30 | ↓ -70% |
| Aetna | Commercial|Transplant | $27,195.00 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $30,135.00 | ↓ -66% |
| TCHPCHIP | Medicaid|HMO | $30,135.00 | ↓ -66% |
| Humana | Commercial|PPO | $33,075.00 | ↓ -63% |
| TCH | Commercial|Transplant | $33,075.00 | ↓ -63% |
| Humana | Commercial|HMO | $33,075.00 | ↓ -63% |
| United | Commercial|Optum | $34,545.00 | ↓ -61% |
| Shell | Commercial|All Plans | $36,750.00 | ↓ -58% |
| BCBS - TX | Commercial|Transplant | $40,425.00 | ↓ -54% |
| TEXASTRUECHOICE | Medicaid|CHIP | $40,425.00 | ↓ -54% |
| CHC | Medicaid|CHIP | $40,425.00 | ↓ -54% |
| CHC | Medicaid|HMO | $40,425.00 | ↓ -54% |
| Cigna Lifesource | Commercial|Transplant | $44,100.00 | ↓ -50% |
| Interlink | Commercial|Transplant | $44,100.00 | ↓ -50% |
| Independent Med System | Commercial|All Plans | $44,100.00 | ↓ -50% |
| First Health | Commercial|All Plans | $47,775.00 | ↓ -46% |
| Coventry | Commercial|PPO | $47,775.00 | ↓ -46% |
| PHCS | Commercial|PPO | $47,775.00 | ↓ -46% |
| PHCS Savility | Commercial|PPO | $47,775.00 | ↓ -46% |
| Humana | Commercial|Transplant | $47,775.00 | ↓ -46% |
| Cigna | Commercial|Transplant | $51,450.00 | ↓ -42% |
| Healthsmart | Commercial|PPO | $51,450.00 | ↓ -42% |
| Healthsmart | Commercial|AP3 | $52,920.00 | ↓ -40% |
| MultiPlan | Commercial|All Plans | $55,125.00 | ↓ -38% |
| OPTUM | Medicaid|STARPLUS | $60,725.70 | ↓ -31% |
| USA Health Network | Commercial|All Plans | $62,475.00 | ↓ -29% |
| MHealth Network | Commercial|PPO | $73,500.00 | ↓ -17% |
Visitor-reported prices
Comments
Pacemaker leadless 19.5f 32.2mm ra at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $100,000.00 | $342.64 – $342.64 |
| St. Luke's Health - The Vintage Hospital | Houston | $88,200.00 | $15,435.00 – $73,500.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $342.64 – $342.64 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $342.64 – $342.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $48,945.60 | $13,867.92 – $65,260.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48,945.60 | $10,074.64 – $73,418.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $48,945.60 | $9,789.12 – $65,260.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $48,945.60 | $13,052.16 – $65,260.80 |