Prq revasc byp graft addl at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,540.00
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.
$4,400.00
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.
$484.00 with TCHP 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $484.00 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $484.00 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $493.68 | ↓ -68% |
| TCHP | Medicaid|STAR | $648.56 | ↓ -58% |
| UNITED | Medicaid|STAR | $663.08 | ↓ -57% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -42% |
| Aetna | Commercial|HMO | $1,079.00 | ↓ -30% |
| OPTUM | Medicare|All Plans | $1,188.00 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $1,510.08 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $1,510.08 | ↓ -2% |
| OPTUM | Medicaid|STAR | $1,591.92 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $1,804.00 | ↑ +17% |
| TCH | Commercial|Transplant | $1,980.00 | ↑ +29% |
| United | Commercial|Optum | $2,068.00 | ↑ +34% |
| Shell | Commercial|All Plans | $2,200.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $2,420.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,420.00 | ↑ +57% |
| CHC | Medicaid|HMO | $2,420.00 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,640.00 | ↑ +71% |
| First Health | Commercial|All Plans | $2,860.00 | ↑ +86% |
| Coventry | Commercial|PPO | $2,860.00 | ↑ +86% |
| Humana | Commercial|Transplant | $2,860.00 | ↑ +86% |
| Aetna | Commercial|PPO | $3,080.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,080.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,080.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,080.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,300.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $3,635.28 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,740.00 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,400.00 | ↑ +186% |
| United | Commercial|Exchange | $11,055.00 | ↑ +618% |
| United | Commercial|Charter | $14,888.00 | ↑ +867% |
| United | Commercial|HMO | $16,540.00 | ↑ +974% |
| United | Commercial|PPO | $16,540.00 | ↑ +974% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +999% |
| Humana | Commercial|HMO | $18,000.00 | ↑ +1069% |
| Humana | Commercial|PPO | $18,000.00 | ↑ +1069% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +1111% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +2942% |
Visitor-reported prices
Comments
Prq revasc byp graft addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,540.00 | $352.00 – $4,400.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $15,079.29 | $4,272.47 – $21,362.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,079.29 | $3,103.82 – $22,618.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,660.42 | $2,932.08 – $18,325.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $15,079.29 | $4,021.14 – $21,362.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,079.29 | $4,840.45 – $22,618.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,079.29 | $7,790.97 – $22,618.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,660.42 | $4,886.81 – $21,990.63 |