Prgrmg eval implantable dfb at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$586.25
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.
$1,675.00
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 $1,971.00 with United — 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 | ↓ -95% |
| Humana | Medicare|All Other Plans | $37.35 | ↓ -94% |
| AETNA | Medicare|TRANSPLANT | $37.35 | ↓ -94% |
| KELSEY | Medicare|All Plans | $37.35 | ↓ -94% |
| Humana | Medicare|TRANSPLANT | $37.35 | ↓ -94% |
| CIGNA HEALTHSPRING | Medicare|HMO | $37.35 | ↓ -94% |
| BCBS | Medicare|All Plans | $37.35 | ↓ -94% |
| CIGNA HEALTHSPRING | Medicare|PPO | $37.72 | ↓ -94% |
| AETNA | Medicare|All Other Plans | $38.10 | ↓ -94% |
| UHC-SecureHorizons | Medicare|All Plans | $38.10 | ↓ -94% |
| Amerivantage | Medicare|All Plans | $38.47 | ↓ -93% |
| SELECTCARE | Medicare|All Plans | $39.22 | ↓ -93% |
| SCANHealth | Medicare|All Plans | $39.96 | ↓ -93% |
| DEVOTED | Medicare|All Plans | $39.96 | ↓ -93% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $42.78 | ↓ -93% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $43.50 | ↓ -93% |
| KINDRED | Medicare|All Plans | $44.82 | ↓ -92% |
| KelseyCare | Commercial|Exchange | $50.42 | ↓ -91% |
| Employer Direct | Commercial|PPO | $52.29 | ↓ -91% |
| Wellpoint | Commercial|Exchange | $56.02 | ↓ -90% |
| Superior Health Plan | Commercial|All Plans | $56.02 | ↓ -90% |
| Community Health Choice | Commercial|Exchange | $56.02 | ↓ -90% |
| Community Health Choice | Commercial|All Other Plans | $56.02 | ↓ -90% |
| Harris Health | Commercial|ERS | $56.02 | ↓ -90% |
| Aetna | Commercial|Exchange | $57.52 | ↓ -90% |
| Bright Health | Commercial|All Plans | $62.27 | ↓ -89% |
| BCBS - TX | Commercial|PPO Trad | $73.23 | ↓ -88% |
| BCBS - TX | Commercial|Premier | $77.94 | ↓ -87% |
| Cigna | Commercial|HMO | $100.00 | ↓ -83% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -83% |
| Cigna | Commercial|PPO | $100.00 | ↓ -83% |
| BCBS - TX | Commercial|Transplant | $100.09 | ↓ -83% |
| BCBS - TX | Commercial|HMO | $112.38 | ↓ -81% |
| NX Health | Commercial|PPO | $121.39 | ↓ -79% |
| OPTUM | Medicare|All Plans | $452.25 | ↓ -23% |
| OPTUM | Medicaid|STAR | $606.02 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $686.75 | ↑ +17% |
| TCH | Commercial|Transplant | $753.75 | ↑ +29% |
| United | Commercial|Optum | $787.25 | ↑ +34% |
| Shell | Commercial|All Plans | $837.50 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $921.25 | ↑ +57% |
| CHC | Medicaid|CHIP | $921.25 | ↑ +57% |
| CHC | Medicaid|HMO | $921.25 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,005.00 | ↑ +71% |
| Humana | Commercial|Transplant | $1,088.75 | ↑ +86% |
| First Health | Commercial|All Plans | $1,088.75 | ↑ +86% |
| Coventry | Commercial|PPO | $1,088.75 | ↑ +86% |
| Cigna | Commercial|Transplant | $1,172.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,172.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,172.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,256.25 | ↑ +114% |
| United | Commercial|Exchange | $1,318.00 | ↑ +125% |
| OPTUM | Medicaid|STARPLUS | $1,383.89 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,423.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,675.00 | ↑ +186% |
| United | Commercial|Charter | $1,773.00 | ↑ +202% |
| United | Commercial|HMO | $1,971.00 | ↑ +236% |
| United | Commercial|PPO | $1,971.00 | ↑ +236% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $586.25 | $52.93 – $1,675.00 |
| 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 | $247.66 | $35.62 – $309.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $388.76 | $80.02 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $320.29 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $247.66 | $35.62 – $917.00 |