Proctosigmoidoscopy dx 45300 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$631.05
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.
$1,803.00
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.
$86.65 with BCBS - TX vs $5,160.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $86.65 | ↓ -86% |
| Wellpoint | Medicaid|All Other Plans | $86.79 | ↓ -86% |
| TCHP | Medicaid|STARKIDS | $86.79 | ↓ -86% |
| TCHP | Medicaid|All Other Plans | $86.79 | ↓ -86% |
| Wellpoint | Medicaid|STARKIDS | $86.79 | ↓ -86% |
| Wellpoint | Medicaid|CHIP | $86.79 | ↓ -86% |
| UNITED | Medicaid|All Other Plans | $88.53 | ↓ -86% |
| UHC | Medicaid|CHIP | $88.53 | ↓ -86% |
| UHC | Medicaid|STARKIDS | $88.53 | ↓ -86% |
| BCBS | Medicaid|All Plans | $91.13 | ↓ -86% |
| CHC | Medicaid|All Other Plans | $99.81 | ↓ -84% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $101.73 | ↓ -84% |
| BCBS - TX | Commercial|Transplant | $116.13 | ↓ -82% |
| TCHP | Medicaid|STAR | $116.30 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $116.30 | ↓ -82% |
| UNITED | Medicaid|STAR | $118.90 | ↓ -81% |
| CHC | Medicaid|STAR | $133.66 | ↓ -79% |
| BCBS - TX | Commercial|Premier | $157.30 | ↓ -75% |
| BCBS - TX | Commercial|HMO | $202.51 | ↓ -68% |
| BCBS - TX | Commercial|PPO Trad | $215.70 | ↓ -66% |
| UNITED | Medicaid|STARPLUS | $270.78 | ↓ -57% |
| UHC | Medicaid|STARPLUS | $270.78 | ↓ -57% |
| OPTUM | Medicare|All Plans | $486.81 | ↓ -23% |
| OPTUM | Medicaid|STAR | $652.33 | ↑ +3% |
| Renaissance | Commercial|All Plans | $657.50 | ↑ +4% |
| TCHPCHIP | Medicaid|HMO | $739.23 | ↑ +17% |
| TCH | Commercial|Transplant | $811.35 | ↑ +29% |
| United | Commercial|Optum | $847.41 | ↑ +34% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +42% |
| Shell | Commercial|All Plans | $901.50 | ↑ +43% |
| BCBS | Medicare|All Plans | $913.19 | ↑ +45% |
| Humana | Medicare|All Other Plans | $913.19 | ↑ +45% |
| KELSEY | Medicare|All Plans | $913.19 | ↑ +45% |
| Humana | Medicare|TRANSPLANT | $913.19 | ↑ +45% |
| AETNA | Medicare|TRANSPLANT | $913.19 | ↑ +45% |
| CIGNA HEALTHSPRING | Medicare|HMO | $913.19 | ↑ +45% |
| CIGNA HEALTHSPRING | Medicare|PPO | $922.32 | ↑ +46% |
| UHC-SecureHorizons | Medicare|All Plans | $931.45 | ↑ +48% |
| AETNA | Medicare|All Other Plans | $931.45 | ↑ +48% |
| Amerivantage | Medicare|All Plans | $940.59 | ↑ +49% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +49% |
| SELECTCARE | Medicare|All Plans | $958.85 | ↑ +52% |
| SCANHealth | Medicare|All Plans | $977.11 | ↑ +55% |
| DEVOTED | Medicare|All Plans | $977.11 | ↑ +55% |
| TEXASTRUECHOICE | Medicaid|CHIP | $991.65 | ↑ +57% |
| CHC | Medicaid|HMO | $991.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $991.65 | ↑ +57% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $1,081.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,081.80 | ↑ +71% |
| KINDRED | Medicare|All Plans | $1,095.83 | ↑ +74% |
| PHCS | Commercial|PPO | $1,171.95 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,171.95 | ↑ +86% |
| Humana | Commercial|Transplant | $1,171.95 | ↑ +86% |
| Coventry | Commercial|PPO | $1,171.95 | ↑ +86% |
| First Health | Commercial|All Plans | $1,171.95 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $1,232.81 | ↑ +95% |
| Healthsmart | Commercial|PPO | $1,262.10 | ↑ +100% |
| Aetna | Commercial|PPO | $1,262.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,262.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,262.10 | ↑ +100% |
| Employer Direct | Commercial|PPO | $1,278.47 | ↑ +103% |
| Bright Health | Commercial|All Plans | $1,327.10 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $1,352.25 | ↑ +114% |
| Community Health Choice | Commercial|All Other Plans | $1,369.79 | ↑ +117% |
| Wellpoint | Commercial|Exchange | $1,369.79 | ↑ +117% |
| Harris Health | Commercial|ERS | $1,369.79 | ↑ +117% |
| Community Health Choice | Commercial|Exchange | $1,369.79 | ↑ +117% |
| Superior Health Plan | Commercial|All Plans | $1,369.79 | ↑ +117% |
| Aetna | Commercial|Transplant | $1,370.28 | ↑ +117% |
| Aetna | Commercial|Exchange | $1,406.31 | ↑ +123% |
| United | Commercial|Exchange | $1,452.00 | ↑ +130% |
| OPTUM | Medicaid|STARPLUS | $1,489.64 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,532.55 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,803.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +195% |
| United | Commercial|Charter | $1,955.00 | ↑ +210% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +225% |
| United | Commercial|PPO | $2,172.00 | ↑ +244% |
| United | Commercial|HMO | $2,172.00 | ↑ +244% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +328% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +328% |
| NX Health | Commercial|PPO | $2,967.87 | ↑ +370% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +718% |
Visitor-reported prices
Comments
Proctosigmoidoscopy dx 45300 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $631.05 | $486.81 – $1,803.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $88.53 – $680.05 |
| HCA HOUSTON WEST | HOUSTON | not published | $80.85 – $938.87 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $82.50 – $680.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,650.30 | $82.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,650.30 | $88.28 – $2,475.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,650.30 | $82.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,650.30 | $82.50 – $2,264.11 |