Prq card revasc mi 1 vsl at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$8,828.05
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.
$25,223.00
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.
$1,194.95 with BCBS - TX vs $46,852.00 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 | $1,194.95 | ↓ -86% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,432.54 | ↓ -84% |
| BCBS - TX | Commercial|Premier | $2,005.56 | ↓ -77% |
| BCBS - TX | Commercial|HMO | $2,767.25 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $2,774.53 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $2,774.53 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $2,830.03 | ↓ -68% |
| BCBS - TX | Commercial|PPO Trad | $3,088.70 | ↓ -65% |
| TCHP | Medicaid|STAR | $3,717.88 | ↓ -58% |
| UNITED | Medicaid|STAR | $3,801.11 | ↓ -57% |
| OPTUM | Medicare|All Plans | $6,810.21 | ↓ -23% |
| Aetna | Commercial|KelseyCare | $7,418.00 | ↓ -16% |
| UNITED | Medicaid|STARPLUS | $8,656.54 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $8,656.54 | ↓ -2% |
| Aetna | Commercial|HMO | $8,925.00 | ↑ +1% |
| OPTUM | Medicaid|STAR | $9,125.69 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $10,341.43 | ↑ +17% |
| United | Commercial|Exchange | $11,055.00 | ↑ +25% |
| TCH | Commercial|Transplant | $11,350.35 | ↑ +29% |
| Shell | Commercial|All Plans | $11,800.00 | ↑ +34% |
| United | Commercial|Optum | $11,854.81 | ↑ +34% |
| CHC | Medicaid|CHIP | $13,872.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $13,872.65 | ↑ +57% |
| CHC | Medicaid|HMO | $13,872.65 | ↑ +57% |
| United | Commercial|Charter | $14,888.00 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $15,133.80 | ↑ +71% |
| Coventry | Commercial|PPO | $16,394.95 | ↑ +86% |
| First Health | Commercial|All Plans | $16,394.95 | ↑ +86% |
| Humana | Commercial|Transplant | $16,394.95 | ↑ +86% |
| United | Commercial|PPO | $16,540.00 | ↑ +87% |
| United | Commercial|HMO | $16,540.00 | ↑ +87% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +92% |
| Aetna | Commercial|PPO | $17,656.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $17,656.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $17,656.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $17,656.10 | ↑ +100% |
| Humana | Commercial|HMO | $18,000.00 | ↑ +104% |
| Humana | Commercial|PPO | $18,000.00 | ↑ +104% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $18,917.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $20,839.25 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $21,439.55 | ↑ +143% |
| MHealth Network | Commercial|PPO | $25,223.00 | ↑ +186% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +431% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $8,828.05 | $2,017.84 – $25,223.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,544.35 – $1,544.35 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,313.74 – $1,313.74 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,544.35 – $1,544.35 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,392.20 | $1,726.04 – $26,055.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,678.62 | $1,921.70 – $25,017.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $17,636.90 | $1,921.70 – $22,046.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,392.20 | $1,509.41 – $26,055.62 |