Peritoneogram rs&i at Baylor St Luke's Medical Center

1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$679.70

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,942.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$81.04 with Wellpoint vs $1,942.00 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 →

Payer
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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
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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
Wellpoint Medicaid|CHIP $81.04 ↓ -88%
Wellpoint Medicaid|STARKIDS $81.04 ↓ -88%
Wellpoint Medicaid|All Other Plans $81.04 ↓ -88%
UHC Medicaid|STARKIDS $82.66 ↓ -88%
UHC Medicaid|CHIP $82.66 ↓ -88%
UNITED Medicaid|All Other Plans $82.66 ↓ -88%
BCBS Medicaid|All Plans $85.09 ↓ -87%
CHC Medicaid|All Other Plans $93.20 ↓ -86%
Cigna Commercial|Surefit $103.69 ↓ -85%
Wellpoint Medicaid|STAR $108.59 ↓ -84%
UNITED Medicaid|STAR $111.02 ↓ -84%
Cigna Commercial|HMO $114.20 ↓ -83%
CHC Medicaid|STAR $124.80 ↓ -82%
Cigna Commercial|PPO $140.12 ↓ -79%
TCHP Medicaid|STARKIDS $213.62 ↓ -69%
TCHP Medicaid|All Other Plans $213.62 ↓ -69%
UNITED Medicaid|STARPLUS $252.84 ↓ -63%
UHC Medicaid|STARPLUS $252.84 ↓ -63%
TCHP Medicaid|STAR $286.26 ↓ -58%
Renaissance Commercial|All Plans $395.42 ↓ -42%
BCBS - TX Commercial|Transplant $508.75 ↓ -25%
OPTUM Medicare|All Plans $524.34 ↓ -23%
Humana Medicare|TRANSPLANT $549.19 ↓ -19%
AETNA Medicare|TRANSPLANT $549.19 ↓ -19%
CIGNA HEALTHSPRING Medicare|HMO $549.19 ↓ -19%
Humana Medicare|All Other Plans $549.19 ↓ -19%
KELSEY Medicare|All Plans $549.19 ↓ -19%
BCBS Medicare|All Plans $549.19 ↓ -19%
CIGNA HEALTHSPRING Medicare|PPO $554.68 ↓ -18%
AETNA Medicare|All Other Plans $560.17 ↓ -18%
UHC-SecureHorizons Medicare|All Plans $560.17 ↓ -18%
Amerivantage Medicare|All Plans $565.67 ↓ -17%
SELECTCARE Medicare|All Plans $576.65 ↓ -15%
BCBS - TX Commercial|MyBlue Health Exchange $577.90 ↓ -15%
United Commercial|Exchange $582.00 ↓ -14%
SCANHealth Medicare|All Plans $587.63 ↓ -14%
DEVOTED Medicare|All Plans $587.63 ↓ -14%
BCBS - TX Commercial|Blue Advantage Exchange $621.24 ↓ -9%
KINDRED Medicare|All Plans $659.03 ↓ -3%
OPTUM Medicaid|STAR $702.62 ↑ +3%
KelseyCare Commercial|Exchange $741.41 ↑ +9%
Employer Direct Commercial|PPO $768.87 ↑ +13%
United Commercial|Charter $782.00 ↑ +15%
TCHPCHIP Medicaid|HMO $796.22 ↑ +17%
Bright Health Commercial|All Plans $808.04 ↑ +19%
Community Health Choice Commercial|Exchange $823.79 ↑ +21%
Superior Health Plan Commercial|All Plans $823.79 ↑ +21%
Wellpoint Commercial|Exchange $823.79 ↑ +21%
Community Health Choice Commercial|All Other Plans $823.79 ↑ +21%
Harris Health Commercial|ERS $823.79 ↑ +21%
Aetna Commercial|Exchange $845.75 ↑ +24%
United Commercial|HMO $869.00 ↑ +28%
United Commercial|PPO $869.00 ↑ +28%
TCH Commercial|Transplant $873.90 ↑ +29%
United Commercial|Optum $912.74 ↑ +34%
Shell Commercial|All Plans $971.00 ↑ +43%
CHC Medicaid|HMO $1,068.10 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $1,068.10 ↑ +57%
CHC Medicaid|CHIP $1,068.10 ↑ +57%
Cigna Lifesource Commercial|Transplant $1,165.20 ↑ +71%
Aetna Commercial|KelseyCare $1,184.62 ↑ +74%
Humana Commercial|Transplant $1,262.30 ↑ +86%
First Health Commercial|All Plans $1,262.30 ↑ +86%
Coventry Commercial|PPO $1,262.30 ↑ +86%
BCBS - TX Commercial|Premier $1,290.63 ↑ +90%
Interlink Commercial|Transplant $1,359.40 ↑ +100%
Healthsmart Commercial|PPO $1,359.40 ↑ +100%
Cigna Commercial|Transplant $1,359.40 ↑ +100%
Aetna Commercial|HMO $1,359.40 ↑ +100%
MultiPlan Commercial|All Plans $1,456.50 ↑ +114%
BCBS - TX Commercial|HMO $1,521.79 ↑ +124%
OPTUM Medicaid|STARPLUS $1,604.49 ↑ +136%
USA Health Network Commercial|All Plans $1,650.70 ↑ +143%
BCBS - TX Commercial|PPO Trad $1,685.53 ↑ +148%
NX Health Commercial|PPO $1,784.87 ↑ +163%
MHealth Network Commercial|PPO $1,942.00 ↑ +186%

Visitor-reported prices

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Peritoneogram rs&i at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - The Vintage Hospital Houston $679.70 $81.04 – $1,942.00
HCA HOUSTON MEDICAL CENTER Houston not published $81.04 – $2,839.93
HCA HOUSTON WEST HOUSTON not published $79.42 – $2,839.93
HCA HOUSTON TOMBALL HOUSTON not published $81.04 – $2,839.93
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $563.20 $81.04 – $1,366.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $510.85 $105.15 – $1,366.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $510.85 $81.04 – $1,366.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $563.20 $81.04 – $1,366.64

All Texas hospitals for this procedure →