Quant diff pulm perf and vent w/imaging at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,538.60
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.
$4,396.00
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.
$282.01 with Wellpoint vs $4,396.00 with MHealth Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $282.01 | ↓ -82% |
| Wellpoint | Medicaid|CHIP | $282.01 | ↓ -82% |
| Wellpoint | Medicaid|STARKIDS | $282.01 | ↓ -82% |
| UHC | Medicaid|CHIP | $287.65 | ↓ -81% |
| UHC | Medicaid|STARKIDS | $287.65 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $287.65 | ↓ -81% |
| BCBS | Medicaid|All Plans | $296.11 | ↓ -81% |
| CHC | Medicaid|All Other Plans | $324.31 | ↓ -79% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $329.98 | ↓ -79% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $354.72 | ↓ -77% |
| Wellpoint | Medicaid|STAR | $377.89 | ↓ -75% |
| UNITED | Medicaid|STAR | $386.35 | ↓ -75% |
| Renaissance | Commercial|All Plans | $388.18 | ↓ -75% |
| CHC | Medicaid|STAR | $434.30 | ↓ -72% |
| TCHP | Medicaid|STARKIDS | $483.56 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $483.56 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicare|HMO | $539.14 | ↓ -65% |
| AETNA | Medicare|TRANSPLANT | $539.14 | ↓ -65% |
| Humana | Medicare|All Other Plans | $539.14 | ↓ -65% |
| Humana | Medicare|TRANSPLANT | $539.14 | ↓ -65% |
| BCBS | Medicare|All Plans | $539.14 | ↓ -65% |
| KELSEY | Medicare|All Plans | $539.14 | ↓ -65% |
| CIGNA HEALTHSPRING | Medicare|PPO | $544.53 | ↓ -65% |
| AETNA | Medicare|All Other Plans | $549.92 | ↓ -64% |
| UHC-SecureHorizons | Medicare|All Plans | $549.92 | ↓ -64% |
| Amerivantage | Medicare|All Plans | $555.31 | ↓ -64% |
| SELECTCARE | Medicare|All Plans | $566.10 | ↓ -63% |
| DEVOTED | Medicare|All Plans | $576.88 | ↓ -63% |
| SCANHealth | Medicare|All Plans | $576.88 | ↓ -63% |
| KINDRED | Medicare|All Plans | $646.97 | ↓ -58% |
| TCHP | Medicaid|STAR | $647.98 | ↓ -58% |
| KelseyCare | Commercial|Exchange | $727.84 | ↓ -53% |
| BCBS - TX | Commercial|Premier | $736.95 | ↓ -52% |
| Employer Direct | Commercial|PPO | $754.80 | ↓ -51% |
| Community Health Choice | Commercial|All Other Plans | $808.71 | ↓ -47% |
| Superior Health Plan | Commercial|All Plans | $808.71 | ↓ -47% |
| Wellpoint | Commercial|Exchange | $808.71 | ↓ -47% |
| Community Health Choice | Commercial|Exchange | $808.71 | ↓ -47% |
| Harris Health | Commercial|ERS | $808.71 | ↓ -47% |
| Bright Health | Commercial|All Plans | $818.35 | ↓ -47% |
| Aetna | Commercial|Exchange | $830.28 | ↓ -46% |
| BCBS - TX | Commercial|HMO | $868.94 | ↓ -44% |
| UHC | Medicaid|STARPLUS | $879.87 | ↓ -43% |
| UNITED | Medicaid|STARPLUS | $879.87 | ↓ -43% |
| BCBS - TX | Commercial|PPO Trad | $962.43 | ↓ -37% |
| OPTUM | Medicare|All Plans | $1,186.92 | ↓ -23% |
| Cigna | Commercial|Surefit | $1,406.72 | ↓ -9% |
| Cigna | Commercial|HMO | $1,538.60 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,590.48 | ↑ +3% |
| NX Health | Commercial|PPO | $1,752.20 | ↑ +14% |
| TCHPCHIP | Medicaid|HMO | $1,802.36 | ↑ +17% |
| Cigna | Commercial|PPO | $1,802.36 | ↑ +17% |
| TCH | Commercial|Transplant | $1,978.20 | ↑ +29% |
| United | Commercial|Optum | $2,066.12 | ↑ +34% |
| United | Commercial|Exchange | $2,184.00 | ↑ +42% |
| Shell | Commercial|All Plans | $2,198.00 | ↑ +43% |
| CHC | Medicaid|HMO | $2,417.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,417.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,417.80 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,637.60 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $2,681.56 | ↑ +74% |
| First Health | Commercial|All Plans | $2,857.40 | ↑ +86% |
| Coventry | Commercial|PPO | $2,857.40 | ↑ +86% |
| Humana | Commercial|Transplant | $2,857.40 | ↑ +86% |
| United | Commercial|Charter | $2,940.00 | ↑ +91% |
| Interlink | Commercial|Transplant | $3,077.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,077.20 | ↑ +100% |
| Aetna | Commercial|HMO | $3,077.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,077.20 | ↑ +100% |
| United | Commercial|HMO | $3,268.00 | ↑ +112% |
| United | Commercial|PPO | $3,268.00 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $3,297.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $3,631.98 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,736.60 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,396.00 | ↑ +186% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,538.60 | $282.01 – $4,396.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $7,029.08 | $282.01 – $1,480.85 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $298.71 – $1,480.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,610.93 | $269.31 – $2,013.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,425.08 | $293.33 – $2,137.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,425.08 | $269.31 – $1,781.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,610.93 | $269.31 – $2,013.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,425.08 | $288.16 – $2,137.63 |