Prgrmg dev eval impltbl sys at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$131.95
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.
$377.00
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.
$26.89 with Renaissance vs $377.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $26.89 | ↓ -80% |
| Humana | Medicare|All Other Plans | $37.35 | ↓ -72% |
| AETNA | Medicare|TRANSPLANT | $37.35 | ↓ -72% |
| KELSEY | Medicare|All Plans | $37.35 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicare|HMO | $37.35 | ↓ -72% |
| BCBS | Medicare|All Plans | $37.35 | ↓ -72% |
| Humana | Medicare|TRANSPLANT | $37.35 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicare|PPO | $37.72 | ↓ -71% |
| UHC-SecureHorizons | Medicare|All Plans | $38.10 | ↓ -71% |
| AETNA | Medicare|All Other Plans | $38.10 | ↓ -71% |
| Amerivantage | Medicare|All Plans | $38.47 | ↓ -71% |
| SELECTCARE | Medicare|All Plans | $39.22 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $39.96 | ↓ -70% |
| DEVOTED | Medicare|All Plans | $39.96 | ↓ -70% |
| TCHP | Medicaid|STARKIDS | $41.47 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $41.47 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $42.30 | ↓ -68% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $42.78 | ↓ -68% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $43.50 | ↓ -67% |
| KINDRED | Medicare|All Plans | $44.82 | ↓ -66% |
| KelseyCare | Commercial|Exchange | $50.42 | ↓ -62% |
| Employer Direct | Commercial|PPO | $52.29 | ↓ -60% |
| TCHP | Medicaid|STAR | $55.57 | ↓ -58% |
| Harris Health | Commercial|ERS | $56.02 | ↓ -58% |
| Superior Health Plan | Commercial|All Plans | $56.02 | ↓ -58% |
| Wellpoint | Commercial|Exchange | $56.02 | ↓ -58% |
| Community Health Choice | Commercial|All Other Plans | $56.02 | ↓ -58% |
| Community Health Choice | Commercial|Exchange | $56.02 | ↓ -58% |
| UNITED | Medicaid|STAR | $56.82 | ↓ -57% |
| Aetna | Commercial|Exchange | $57.52 | ↓ -56% |
| Bright Health | Commercial|All Plans | $62.27 | ↓ -53% |
| BCBS - TX | Commercial|PPO Trad | $73.23 | ↓ -45% |
| BCBS - TX | Commercial|Premier | $77.94 | ↓ -41% |
| Cigna | Commercial|HMO | $100.00 | ↓ -24% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -24% |
| Cigna | Commercial|PPO | $100.00 | ↓ -24% |
| OPTUM | Medicare|All Plans | $101.79 | ↓ -23% |
| BCBS - TX | Commercial|HMO | $112.38 | ↓ -15% |
| NX Health | Commercial|PPO | $121.39 | ↓ -8% |
| UNITED | Medicaid|STARPLUS | $129.39 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $129.39 | ↓ -2% |
| OPTUM | Medicaid|STAR | $136.40 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $154.57 | ↑ +17% |
| TCH | Commercial|Transplant | $169.65 | ↑ +29% |
| United | Commercial|Optum | $177.19 | ↑ +34% |
| Shell | Commercial|All Plans | $188.50 | ↑ +43% |
| CHC | Medicaid|HMO | $207.35 | ↑ +57% |
| CHC | Medicaid|CHIP | $207.35 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $207.35 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $226.20 | ↑ +71% |
| Humana | Commercial|Transplant | $245.05 | ↑ +86% |
| First Health | Commercial|All Plans | $245.05 | ↑ +86% |
| Coventry | Commercial|PPO | $245.05 | ↑ +86% |
| Healthsmart | Commercial|PPO | $263.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $263.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $263.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $282.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $311.48 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $320.45 | ↑ +143% |
| MHealth Network | Commercial|PPO | $377.00 | ↑ +186% |
Visitor-reported prices
Comments
Prgrmg dev eval impltbl sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $131.95 | $30.16 – $377.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $84.82 – $203.37 |
| HCA HOUSTON WEST | HOUSTON | not published | $84.82 – $203.37 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $84.82 – $203.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $210.00 | $35.62 – $262.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $210.00 | $43.23 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $210.00 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $210.00 | $35.62 – $917.00 |