Prq card revasc mi 1 vsl drug-eluting at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$11,086.60
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.
$31,676.00
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.
$724.30 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|Premier | $724.30 | ↓ -93% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $994.56 | ↓ -91% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,167.52 | ↓ -89% |
| BCBS - TX | Commercial|HMO | $2,324.24 | ↓ -79% |
| BCBS - TX | Commercial|PPO Trad | $2,475.58 | ↓ -78% |
| TCHP | Medicaid|STARKIDS | $3,484.36 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $3,484.36 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $3,554.05 | ↓ -68% |
| TCHP | Medicaid|STAR | $4,669.05 | ↓ -58% |
| UNITED | Medicaid|STAR | $4,773.58 | ↓ -57% |
| Aetna | Commercial|KelseyCare | $7,418.00 | ↓ -33% |
| OPTUM | Medicare|All Plans | $8,552.52 | ↓ -23% |
| Aetna | Commercial|HMO | $8,925.00 | ↓ -19% |
| UHC | Medicaid|STARPLUS | $10,871.21 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $10,871.21 | ↓ -2% |
| United | Commercial|Exchange | $11,250.00 | ↑ +1% |
| OPTUM | Medicaid|STAR | $11,460.38 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $12,987.16 | ↑ +17% |
| TCH | Commercial|Transplant | $14,254.20 | ↑ +29% |
| United | Commercial|Optum | $14,887.72 | ↑ +34% |
| United | Commercial|Charter | $15,148.00 | ↑ +37% |
| Shell | Commercial|All Plans | $15,838.00 | ↑ +43% |
| United | Commercial|PPO | $16,832.00 | ↑ +52% |
| United | Commercial|HMO | $16,832.00 | ↑ +52% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +53% |
| TEXASTRUECHOICE | Medicaid|CHIP | $17,421.80 | ↑ +57% |
| CHC | Medicaid|HMO | $17,421.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $17,421.80 | ↑ +57% |
| Humana | Commercial|HMO | $18,000.00 | ↑ +62% |
| Humana | Commercial|PPO | $18,000.00 | ↑ +62% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +68% |
| Cigna Lifesource | Commercial|Transplant | $19,005.60 | ↑ +71% |
| Coventry | Commercial|PPO | $20,589.40 | ↑ +86% |
| Humana | Commercial|Transplant | $20,589.40 | ↑ +86% |
| First Health | Commercial|All Plans | $20,589.40 | ↑ +86% |
| Aetna | Commercial|PPO | $22,173.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $22,173.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $22,173.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $22,173.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $23,757.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $26,170.72 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $26,924.60 | ↑ +143% |
| MHealth Network | Commercial|PPO | $31,676.00 | ↑ +186% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +323% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $11,086.60 | $2,534.08 – $31,676.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $9,913.14 – $9,913.14 |
| HCA HOUSTON WEST | HOUSTON | not published | $9,913.14 – $9,913.14 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $9,913.14 – $9,913.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,591.93 | $6,299.00 – $36,255.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,324.66 | $5,418.49 – $39,486.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,600.07 | $4,320.01 – $27,000.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,591.93 | $6,824.52 – $36,255.24 |