Perq plmt bile duct stent at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$9,069.20
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.
$25,912.00
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.
$1,369.00 with Aetna vs $25,912.00 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $1,369.00 | ↓ -85% |
| Aetna | Commercial|HMO | $1,648.00 | ↓ -82% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -73% |
| Wellpoint | Medicaid|STARKIDS | $2,692.15 | ↓ -70% |
| Wellpoint | Medicaid|CHIP | $2,692.15 | ↓ -70% |
| TCHP | Medicaid|STARKIDS | $2,692.15 | ↓ -70% |
| TCHP | Medicaid|All Other Plans | $2,692.15 | ↓ -70% |
| Wellpoint | Medicaid|All Other Plans | $2,692.15 | ↓ -70% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -70% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -70% |
| UNITED | Medicaid|All Other Plans | $2,745.99 | ↓ -70% |
| UHC | Medicaid|CHIP | $2,745.99 | ↓ -70% |
| UHC | Medicaid|STARKIDS | $2,745.99 | ↓ -70% |
| BCBS | Medicaid|All Plans | $2,826.76 | ↓ -69% |
| CHC | Medicaid|All Other Plans | $3,095.97 | ↓ -66% |
| TCHP | Medicaid|STAR | $3,607.48 | ↓ -60% |
| Wellpoint | Medicaid|STAR | $3,607.48 | ↓ -60% |
| UNITED | Medicaid|STAR | $3,688.25 | ↓ -59% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $4,060.32 | ↓ -55% |
| CHC | Medicaid|STAR | $4,145.91 | ↓ -54% |
| Renaissance | Commercial|All Plans | $4,207.54 | ↓ -54% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,447.01 | ↓ -51% |
| United | Commercial|Exchange | $4,848.00 | ↓ -47% |
| Humana | Medicare|All Other Plans | $5,843.81 | ↓ -36% |
| KELSEY | Medicare|All Plans | $5,843.81 | ↓ -36% |
| Humana | Medicare|TRANSPLANT | $5,843.81 | ↓ -36% |
| BCBS | Medicare|All Plans | $5,843.81 | ↓ -36% |
| AETNA | Medicare|TRANSPLANT | $5,843.81 | ↓ -36% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,843.81 | ↓ -36% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,902.25 | ↓ -35% |
| UHC-SecureHorizons | Medicare|All Plans | $5,960.69 | ↓ -34% |
| AETNA | Medicare|All Other Plans | $5,960.69 | ↓ -34% |
| Amerivantage | Medicare|All Plans | $6,019.12 | ↓ -34% |
| SELECTCARE | Medicare|All Plans | $6,136.00 | ↓ -32% |
| SCANHealth | Medicare|All Plans | $6,252.88 | ↓ -31% |
| DEVOTED | Medicare|All Plans | $6,252.88 | ↓ -31% |
| United | Commercial|Charter | $6,527.00 | ↓ -28% |
| OPTUM | Medicare|All Plans | $6,996.24 | ↓ -23% |
| KINDRED | Medicare|All Plans | $7,012.57 | ↓ -23% |
| United | Commercial|HMO | $7,252.00 | ↓ -20% |
| United | Commercial|PPO | $7,252.00 | ↓ -20% |
| Cigna | Commercial|Surefit | $7,455.00 | ↓ -18% |
| KelseyCare | Commercial|Exchange | $7,889.14 | ↓ -13% |
| BCBS - TX | Commercial|Premier | $8,072.30 | ↓ -11% |
| Employer Direct | Commercial|PPO | $8,181.33 | ↓ -10% |
| Cigna | Commercial|HMO | $8,215.00 | ↓ -9% |
| UNITED | Medicaid|STARPLUS | $8,399.51 | ↓ -7% |
| UHC | Medicaid|STARPLUS | $8,399.51 | ↓ -7% |
| Bright Health | Commercial|All Plans | $8,461.71 | ↓ -7% |
| Harris Health | Commercial|ERS | $8,765.72 | ↓ -3% |
| Wellpoint | Commercial|Exchange | $8,765.72 | ↓ -3% |
| Superior Health Plan | Commercial|All Plans | $8,765.72 | ↓ -3% |
| Community Health Choice | Commercial|All Other Plans | $8,765.72 | ↓ -3% |
| Community Health Choice | Commercial|Exchange | $8,765.72 | ↓ -3% |
| Aetna | Commercial|Exchange | $8,999.47 | ↓ -1% |
| OPTUM | Medicaid|STAR | $9,374.97 | ↑ +3% |
| BCBS - TX | Commercial|HMO | $9,860.77 | ↑ +9% |
| TCHPCHIP | Medicaid|HMO | $10,623.92 | ↑ +17% |
| BCBS - TX | Commercial|PPO Trad | $10,634.16 | ↑ +17% |
| TCH | Commercial|Transplant | $11,660.40 | ↑ +29% |
| United | Commercial|Optum | $12,178.64 | ↑ +34% |
| Shell | Commercial|All Plans | $12,956.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $14,251.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $14,251.60 | ↑ +57% |
| CHC | Medicaid|HMO | $14,251.60 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $15,547.20 | ↑ +71% |
| Coventry | Commercial|PPO | $16,842.80 | ↑ +86% |
| Humana | Commercial|Transplant | $16,842.80 | ↑ +86% |
| First Health | Commercial|All Plans | $16,842.80 | ↑ +86% |
| Aetna | Commercial|PPO | $18,138.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $18,138.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $18,138.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $18,138.40 | ↑ +100% |
| NX Health | Commercial|PPO | $18,992.38 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $19,434.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $19,693.12 | ↑ +117% |
| Cigna | Commercial|PPO | $20,636.00 | ↑ +128% |
| OPTUM | Medicaid|STARPLUS | $21,408.50 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $22,025.20 | ↑ +143% |
| MHealth Network | Commercial|PPO | $25,912.00 | ↑ +186% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $9,069.20 | $6,996.24 – $25,912.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,745.99 – $9,909.11 |
| HCA HOUSTON WEST | HOUSTON | not published | $2,507.90 – $8,410.66 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,559.08 – $8,410.66 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,085.18 | $2,559.08 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,847.95 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,847.95 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,085.18 | $2,559.08 – $14,293.73 |