Plc pq device breast ea addl lesion Ultrasound guide at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$544.25
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.
$1,555.00
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.
$100.00 with Cigna vs $2,700.00 with Humana — 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 |
|---|---|---|---|
| Cigna | Commercial|HMO | $100.00 | ↓ -82% |
| Cigna | Commercial|PPO | $100.00 | ↓ -82% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -82% |
| OPTUM | Medicare|All Plans | $419.85 | ↓ -23% |
| OPTUM | Medicaid|STAR | $562.60 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $637.55 | ↑ +17% |
| TCH | Commercial|Transplant | $699.75 | ↑ +29% |
| United | Commercial|Optum | $730.85 | ↑ +34% |
| Shell | Commercial|All Plans | $777.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $855.25 | ↑ +57% |
| CHC | Medicaid|HMO | $855.25 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $855.25 | ↑ +57% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $933.00 | ↑ +71% |
| Coventry | Commercial|PPO | $1,010.75 | ↑ +86% |
| First Health | Commercial|All Plans | $1,010.75 | ↑ +86% |
| Humana | Commercial|Transplant | $1,010.75 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,010.75 | ↑ +86% |
| PHCS | Commercial|PPO | $1,010.75 | ↑ +86% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +98% |
| Interlink | Commercial|Transplant | $1,088.50 | ↑ +100% |
| Aetna | Commercial|PPO | $1,088.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,088.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,088.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,166.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,181.80 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,284.75 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,321.75 | ↑ +143% |
| United | Commercial|Exchange | $1,452.00 | ↑ +167% |
| MHealth Network | Commercial|PPO | $1,555.00 | ↑ +186% |
| United | Commercial|Charter | $1,955.00 | ↑ +259% |
| United | Commercial|PPO | $2,172.00 | ↑ +299% |
| United | Commercial|HMO | $2,172.00 | ↑ +299% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +342% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +396% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +396% |
Visitor-reported prices
Comments
Plc pq device breast ea addl lesion Ultrasound guide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $544.25 | $100.00 – $1,555.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,071.23 | $303.51 – $1,517.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $410.62 | $71.00 – $615.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $386.81 | $71.00 – $483.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,071.23 | $285.66 – $1,517.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $410.62 | $85.00 – $615.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $410.62 | $212.15 – $615.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $386.81 | $71.00 – $580.21 |