Perc d-e cor revasc t cabg b at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,745.10
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.
$4,986.00
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.
$548.46 with TCHP vs $46,852.00 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $548.46 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $548.46 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $559.43 | ↓ -68% |
| TCHP | Medicaid|STAR | $734.94 | ↓ -58% |
| UNITED | Medicaid|STAR | $751.40 | ↓ -57% |
| OPTUM | Medicare|All Plans | $1,346.22 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $1,711.20 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $1,711.20 | ↓ -2% |
| OPTUM | Medicaid|STAR | $1,803.94 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $2,044.26 | ↑ +17% |
| TCH | Commercial|Transplant | $2,243.70 | ↑ +29% |
| United | Commercial|Optum | $2,343.42 | ↑ +34% |
| Shell | Commercial|All Plans | $2,493.00 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,742.30 | ↑ +57% |
| CHC | Medicaid|HMO | $2,742.30 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,742.30 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,991.60 | ↑ +71% |
| Coventry | Commercial|PPO | $3,240.90 | ↑ +86% |
| First Health | Commercial|All Plans | $3,240.90 | ↑ +86% |
| Humana | Commercial|Transplant | $3,240.90 | ↑ +86% |
| Healthsmart | Commercial|PPO | $3,490.20 | ↑ +100% |
| Aetna | Commercial|PPO | $3,490.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,490.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,490.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,739.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $4,119.44 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $4,238.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,986.00 | ↑ +186% |
| Aetna | Commercial|KelseyCare | $7,418.00 | ↑ +325% |
| Aetna | Commercial|HMO | $8,925.00 | ↑ +411% |
| United | Commercial|Exchange | $11,250.00 | ↑ +545% |
| United | Commercial|Charter | $15,148.00 | ↑ +768% |
| United | Commercial|PPO | $16,832.00 | ↑ +865% |
| United | Commercial|HMO | $16,832.00 | ↑ +865% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +870% |
| Humana | Commercial|PPO | $18,000.00 | ↑ +931% |
| Humana | Commercial|HMO | $18,000.00 | ↑ +931% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +969% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +2585% |
Visitor-reported prices
Comments
Perc d-e cor revasc t cabg b at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,745.10 | $398.88 – $4,986.00 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,110.85 | $401.07 – $4,523.25 |
| St. Luke's Health Memorial Lufkin | Lufkin | $7,561.20 | $100.00 – $45,367.20 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,745.10 | $498.60 – $4,986.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,745.10 | $398.88 – $4,986.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,745.10 | $398.88 – $4,986.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $5,402.25 | $926.10 – $7,717.50 |
| St. Luke's Health Memorial Livingston | Livingston | $7,561.20 | $100.00 – $45,367.20 |