Radphm lcl tmr spect/ct 2+ areas/2+ days at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$3,978.80
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.
$11,368.00
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.
$652.23 with Wellpoint vs $11,368.00 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 | $652.23 | ↓ -84% |
| Wellpoint | Medicaid|CHIP | $660.91 | ↓ -83% |
| Wellpoint | Medicaid|STARKIDS | $660.91 | ↓ -83% |
| UHC | Medicaid|CHIP | $665.27 | ↓ -83% |
| UHC | Medicaid|STARKIDS | $665.27 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $674.13 | ↓ -83% |
| BCBS | Medicaid|All Plans | $684.84 | ↓ -83% |
| CHC | Medicaid|All Other Plans | $760.05 | ↓ -81% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $772.39 | ↓ -81% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $830.32 | ↓ -79% |
| Wellpoint | Medicaid|STAR | $885.62 | ↓ -78% |
| UNITED | Medicaid|STAR | $905.45 | ↓ -77% |
| Renaissance | Commercial|All Plans | $941.46 | ↓ -76% |
| CHC | Medicaid|STAR | $1,017.80 | ↓ -74% |
| TCHP | Medicaid|STARKIDS | $1,250.48 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $1,250.48 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,307.59 | ↓ -67% |
| AETNA | Medicare|TRANSPLANT | $1,307.59 | ↓ -67% |
| Humana | Medicare|All Other Plans | $1,307.59 | ↓ -67% |
| Humana | Medicare|TRANSPLANT | $1,307.59 | ↓ -67% |
| BCBS | Medicare|All Plans | $1,307.59 | ↓ -67% |
| KELSEY | Medicare|All Plans | $1,307.59 | ↓ -67% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,320.67 | ↓ -67% |
| AETNA | Medicare|All Other Plans | $1,333.74 | ↓ -66% |
| UHC-SecureHorizons | Medicare|All Plans | $1,333.74 | ↓ -66% |
| Amerivantage | Medicare|All Plans | $1,346.82 | ↓ -66% |
| SELECTCARE | Medicare|All Plans | $1,372.97 | ↓ -65% |
| DEVOTED | Medicare|All Plans | $1,399.12 | ↓ -65% |
| SCANHealth | Medicare|All Plans | $1,399.12 | ↓ -65% |
| KINDRED | Medicare|All Plans | $1,569.11 | ↓ -61% |
| TCHP | Medicaid|STAR | $1,675.65 | ↓ -58% |
| BCBS - TX | Commercial|Premier | $1,725.01 | ↓ -57% |
| KelseyCare | Commercial|Exchange | $1,765.25 | ↓ -56% |
| Employer Direct | Commercial|PPO | $1,830.63 | ↓ -54% |
| Community Health Choice | Commercial|All Other Plans | $1,961.38 | ↓ -51% |
| Superior Health Plan | Commercial|All Plans | $1,961.38 | ↓ -51% |
| Wellpoint | Commercial|Exchange | $1,961.38 | ↓ -51% |
| Community Health Choice | Commercial|Exchange | $1,961.38 | ↓ -51% |
| Harris Health | Commercial|ERS | $1,961.38 | ↓ -51% |
| Aetna | Commercial|Exchange | $2,013.69 | ↓ -49% |
| BCBS - TX | Commercial|HMO | $2,033.97 | ↓ -49% |
| UNITED | Medicaid|STARPLUS | $2,062.04 | ↓ -48% |
| UHC | Medicaid|STARPLUS | $2,062.04 | ↓ -48% |
| United | Commercial|Exchange | $2,184.00 | ↓ -45% |
| Bright Health | Commercial|All Plans | $2,185.34 | ↓ -45% |
| BCBS - TX | Commercial|PPO Trad | $2,252.81 | ↓ -43% |
| United | Commercial|Charter | $2,940.00 | ↓ -26% |
| OPTUM | Medicare|All Plans | $3,069.36 | ↓ -23% |
| United | Commercial|PPO | $3,268.00 | ↓ -18% |
| United | Commercial|HMO | $3,268.00 | ↓ -18% |
| Cigna | Commercial|Surefit | $3,637.76 | ↓ -9% |
| Cigna | Commercial|HMO | $3,978.80 | ↑ +0% |
| OPTUM | Medicaid|STAR | $4,112.95 | ↑ +3% |
| NX Health | Commercial|PPO | $4,249.67 | ↑ +7% |
| Cigna | Commercial|PPO | $4,660.88 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $4,660.88 | ↑ +17% |
| TCH | Commercial|Transplant | $5,115.60 | ↑ +29% |
| United | Commercial|Optum | $5,342.96 | ↑ +34% |
| Shell | Commercial|All Plans | $5,684.00 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $6,252.40 | ↑ +57% |
| CHC | Medicaid|CHIP | $6,252.40 | ↑ +57% |
| CHC | Medicaid|HMO | $6,252.40 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $6,820.80 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $6,934.48 | ↑ +74% |
| Coventry | Commercial|PPO | $7,389.20 | ↑ +86% |
| Humana | Commercial|Transplant | $7,389.20 | ↑ +86% |
| First Health | Commercial|All Plans | $7,389.20 | ↑ +86% |
| Healthsmart | Commercial|PPO | $7,957.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $7,957.60 | ↑ +100% |
| Aetna | Commercial|HMO | $7,957.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $7,957.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $8,526.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $9,392.25 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $9,662.80 | ↑ +143% |
| MHealth Network | Commercial|PPO | $11,368.00 | ↑ +186% |
Visitor-reported prices
Comments
Radphm lcl tmr spect/ct 2+ areas/2+ days at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $11,076.14 | $660.91 – $3,487.25 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,978.80 | $652.23 – $11,368.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $639.19 – $3,487.25 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $652.23 – $3,487.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,731.46 | $652.23 – $3,517.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,109.97 | $434.30 – $3,517.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,215.46 | $652.23 – $3,517.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,731.46 | $652.23 – $3,517.62 |