Pretreat rbc w chem/drugs reference at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$53.55
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.
$153.00
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.
$36.95 with BCBS - TX vs $193.38 with NX Health — 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Transplant | $36.95 | ↓ -31% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $40.12 | ↓ -25% |
| OPTUM | Medicare|All Plans | $41.31 | ↓ -23% |
| Renaissance | Commercial|All Plans | $42.84 | ↓ -20% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $46.47 | ↓ -13% |
| United | Commercial|PPO | $47.70 | ↓ -11% |
| United | Commercial|HMO | $47.70 | ↓ -11% |
| United | Commercial|Exchange | $47.70 | ↓ -11% |
| United | Commercial|Charter | $47.70 | ↓ -11% |
| OPTUM | Medicaid|STAR | $55.36 | ↑ +3% |
| Bright Health | Commercial|All Plans | $56.61 | ↑ +6% |
| KELSEY | Medicare|All Plans | $59.50 | ↑ +11% |
| Humana | Medicare|All Other Plans | $59.50 | ↑ +11% |
| Humana | Medicare|TRANSPLANT | $59.50 | ↑ +11% |
| AETNA | Medicare|TRANSPLANT | $59.50 | ↑ +11% |
| CIGNA HEALTHSPRING | Medicare|HMO | $59.50 | ↑ +11% |
| BCBS | Medicare|All Plans | $59.50 | ↑ +11% |
| CIGNA HEALTHSPRING | Medicare|PPO | $60.09 | ↑ +12% |
| UHC-SecureHorizons | Medicare|All Plans | $60.69 | ↑ +13% |
| AETNA | Medicare|All Other Plans | $60.69 | ↑ +13% |
| Amerivantage | Medicare|All Plans | $61.28 | ↑ +14% |
| SELECTCARE | Medicare|All Plans | $62.48 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $62.73 | ↑ +17% |
| SCANHealth | Medicare|All Plans | $63.66 | ↑ +19% |
| DEVOTED | Medicare|All Plans | $63.66 | ↑ +19% |
| TCH | Commercial|Transplant | $68.85 | ↑ +29% |
| Cigna | Commercial|Surefit | $70.23 | ↑ +31% |
| KINDRED | Medicare|All Plans | $71.40 | ↑ +33% |
| United | Commercial|Optum | $71.91 | ↑ +34% |
| Shell | Commercial|All Plans | $76.50 | ↑ +43% |
| Cigna | Commercial|HMO | $77.49 | ↑ +45% |
| KelseyCare | Commercial|Exchange | $80.33 | ↑ +50% |
| Employer Direct | Commercial|PPO | $83.30 | ↑ +56% |
| CHC | Medicaid|HMO | $84.15 | ↑ +57% |
| CHC | Medicaid|CHIP | $84.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $84.15 | ↑ +57% |
| Superior Health Plan | Commercial|All Plans | $89.25 | ↑ +67% |
| Wellpoint | Commercial|Exchange | $89.25 | ↑ +67% |
| Community Health Choice | Commercial|All Other Plans | $89.25 | ↑ +67% |
| Community Health Choice | Commercial|Exchange | $89.25 | ↑ +67% |
| Harris Health | Commercial|ERS | $89.25 | ↑ +67% |
| Aetna | Commercial|Exchange | $91.63 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $91.80 | ↑ +71% |
| BCBS - TX | Commercial|Premier | $96.61 | ↑ +80% |
| First Health | Commercial|All Plans | $99.45 | ↑ +86% |
| Humana | Commercial|Transplant | $99.45 | ↑ +86% |
| Coventry | Commercial|PPO | $99.45 | ↑ +86% |
| Cigna | Commercial|PPO | $105.94 | ↑ +98% |
| Interlink | Commercial|Transplant | $107.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $107.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $107.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $114.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $126.41 | ↑ +136% |
| BCBS - TX | Commercial|PPO Trad | $128.37 | ↑ +140% |
| USA Health Network | Commercial|All Plans | $130.05 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $133.39 | ↑ +149% |
| MHealth Network | Commercial|PPO | $153.00 | ↑ +186% |
| NX Health | Commercial|PPO | $193.38 | ↑ +261% |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $422.02 | $33.84 – $314.21 |
| HCA HOUSTON WEST | HOUSTON | $246.00 | $33.84 – $314.21 |
| St. Luke's Health - The Vintage Hospital | Houston | $53.55 | $41.31 – $153.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $137.70 | $33.84 – $314.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $132.48 | $10.00 – $165.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $106.00 | $12.00 – $159.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $80.03 | $12.00 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $132.48 | $10.00 – $165.60 |