Plcmt xtn pros evasc rpr per vsl at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$51.80
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.
$148.00
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.
$16.28 with TCHP vs $9,158.00 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 | $16.28 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $16.28 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $16.61 | ↓ -68% |
| TCHP | Medicaid|STAR | $21.82 | ↓ -58% |
| UNITED | Medicaid|STAR | $22.31 | ↓ -57% |
| OPTUM | Medicare|All Plans | $39.96 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $50.80 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $50.80 | ↓ -2% |
| OPTUM | Medicaid|STAR | $53.55 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $60.68 | ↑ +17% |
| TCH | Commercial|Transplant | $66.60 | ↑ +29% |
| United | Commercial|Optum | $69.56 | ↑ +34% |
| Shell | Commercial|All Plans | $74.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $81.40 | ↑ +57% |
| CHC | Medicaid|HMO | $81.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $81.40 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $88.80 | ↑ +71% |
| Coventry | Commercial|PPO | $96.20 | ↑ +86% |
| Humana | Commercial|Transplant | $96.20 | ↑ +86% |
| First Health | Commercial|All Plans | $96.20 | ↑ +86% |
| Interlink | Commercial|Transplant | $103.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $103.60 | ↑ +100% |
| Aetna | Commercial|PPO | $103.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $103.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $111.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $122.28 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $125.80 | ↑ +143% |
| MHealth Network | Commercial|PPO | $148.00 | ↑ +186% |
| BCBS - TX | Commercial|Premier | $226.49 | ↑ +337% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $311.01 | ↑ +500% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $365.09 | ↑ +605% |
| BCBS - TX | Commercial|HMO | $726.81 | ↑ +1303% |
| BCBS - TX | Commercial|PPO Trad | $774.13 | ↑ +1394% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +1630% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +1983% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +5112% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +5112% |
| United | Commercial|Exchange | $3,128.00 | ↑ +5939% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +6288% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +6939% |
| United | Commercial|Charter | $4,211.00 | ↑ +8029% |
| United | Commercial|PPO | $4,680.00 | ↑ +8935% |
| United | Commercial|HMO | $4,680.00 | ↑ +8935% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +17580% |
Visitor-reported prices
Comments
Plcmt xtn pros evasc rpr per vsl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $3,099.92 – $3,099.92 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3,099.92 – $3,099.92 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,320.69 | $571.30 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,320.69 | $419.18 – $7,038.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,320.69 | $571.30 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $3,320.69 | $571.30 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $3,320.69 | $571.30 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $3,320.69 | $419.18 – $7,038.00 |