Perq transcath septal reduxn at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$4,070.15
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.
$11,629.00
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.
$1,279.19 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|STARKIDS | $1,279.19 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $1,279.19 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $1,304.78 | ↓ -68% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,333.61 | ↓ -67% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,598.77 | ↓ -61% |
| TCHP | Medicaid|STAR | $1,714.12 | ↓ -58% |
| UNITED | Medicaid|STAR | $1,752.50 | ↓ -57% |
| BCBS - TX | Commercial|Premier | $2,238.28 | ↓ -45% |
| Aetna | Commercial|KelseyCare | $2,608.00 | ↓ -36% |
| BCBS - TX | Commercial|HMO | $3,088.36 | ↓ -24% |
| United | Commercial|Exchange | $3,128.00 | ↓ -23% |
| Aetna | Commercial|HMO | $3,136.00 | ↓ -23% |
| OPTUM | Medicare|All Plans | $3,139.83 | ↓ -23% |
| BCBS - TX | Commercial|PPO Trad | $3,447.11 | ↓ -15% |
| UHC | Medicaid|STARPLUS | $3,991.08 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $3,991.08 | ↓ -2% |
| OPTUM | Medicaid|STAR | $4,207.38 | ↑ +3% |
| United | Commercial|Charter | $4,211.00 | ↑ +3% |
| United | Commercial|PPO | $4,680.00 | ↑ +15% |
| United | Commercial|HMO | $4,680.00 | ↑ +15% |
| TCHPCHIP | Medicaid|HMO | $4,767.89 | ↑ +17% |
| TCH | Commercial|Transplant | $5,233.05 | ↑ +29% |
| United | Commercial|Optum | $5,465.63 | ↑ +34% |
| Shell | Commercial|All Plans | $5,814.50 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $6,395.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $6,395.95 | ↑ +57% |
| CHC | Medicaid|HMO | $6,395.95 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $6,977.40 | ↑ +71% |
| Coventry | Commercial|PPO | $7,558.85 | ↑ +86% |
| First Health | Commercial|All Plans | $7,558.85 | ↑ +86% |
| Humana | Commercial|Transplant | $7,558.85 | ↑ +86% |
| Cigna | Commercial|Transplant | $8,140.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $8,140.30 | ↑ +100% |
| Aetna | Commercial|PPO | $8,140.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $8,140.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $8,721.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $8,838.04 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $9,607.88 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $9,884.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $11,629.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +316% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +358% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +1051% |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $61,469.41 | $1,723.56 – $1,723.56 |
| St. Luke's Health - The Vintage Hospital | Houston | $4,070.15 | $930.32 – $11,629.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,466.19 – $1,466.19 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,723.56 – $1,723.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,203.10 | $1,926.33 – $31,454.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,369.23 | $281.83 – $2,053.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,369.23 | $273.85 – $2,144.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,203.10 | $1,684.56 – $31,454.39 |