Radphm lcl tumor plr sgl day at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,425.55
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.
$4,073.00
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.
$200.66 with BCBS - TX vs $4,073.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $200.66 | ↓ -86% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $215.71 | ↓ -85% |
| Wellpoint | Medicaid|CHIP | $235.56 | ↓ -83% |
| Wellpoint | Medicaid|STARKIDS | $235.56 | ↓ -83% |
| Wellpoint | Medicaid|All Other Plans | $235.56 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $240.27 | ↓ -83% |
| UHC | Medicaid|CHIP | $240.27 | ↓ -83% |
| UHC | Medicaid|STARKIDS | $240.27 | ↓ -83% |
| BCBS | Medicaid|All Plans | $247.34 | ↓ -83% |
| CHC | Medicaid|All Other Plans | $270.89 | ↓ -81% |
| Renaissance | Commercial|All Plans | $289.79 | ↓ -80% |
| Wellpoint | Medicaid|STAR | $315.65 | ↓ -78% |
| UNITED | Medicaid|STAR | $322.72 | ↓ -77% |
| CHC | Medicaid|STAR | $362.76 | ↓ -75% |
| BCBS | Medicare|All Plans | $402.48 | ↓ -72% |
| AETNA | Medicare|TRANSPLANT | $402.48 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicare|HMO | $402.48 | ↓ -72% |
| Humana | Medicare|TRANSPLANT | $402.48 | ↓ -72% |
| Humana | Medicare|All Other Plans | $402.48 | ↓ -72% |
| KELSEY | Medicare|All Plans | $402.48 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicare|PPO | $406.50 | ↓ -71% |
| AETNA | Medicare|All Other Plans | $410.53 | ↓ -71% |
| UHC-SecureHorizons | Medicare|All Plans | $410.53 | ↓ -71% |
| Amerivantage | Medicare|All Plans | $414.55 | ↓ -71% |
| SELECTCARE | Medicare|All Plans | $422.60 | ↓ -70% |
| DEVOTED | Medicare|All Plans | $430.65 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $430.65 | ↓ -70% |
| TCHP | Medicaid|All Other Plans | $448.03 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $448.03 | ↓ -69% |
| BCBS - TX | Commercial|Premier | $448.15 | ↓ -69% |
| KINDRED | Medicare|All Plans | $482.98 | ↓ -66% |
| BCBS - TX | Commercial|HMO | $528.42 | ↓ -63% |
| KelseyCare | Commercial|Exchange | $543.35 | ↓ -62% |
| Employer Direct | Commercial|PPO | $563.47 | ↓ -60% |
| BCBS - TX | Commercial|PPO Trad | $585.27 | ↓ -59% |
| TCHP | Medicaid|STAR | $600.37 | ↓ -58% |
| Community Health Choice | Commercial|Exchange | $603.72 | ↓ -58% |
| Superior Health Plan | Commercial|All Plans | $603.72 | ↓ -58% |
| Wellpoint | Commercial|Exchange | $603.72 | ↓ -58% |
| Community Health Choice | Commercial|All Other Plans | $603.72 | ↓ -58% |
| Harris Health | Commercial|ERS | $603.72 | ↓ -58% |
| Aetna | Commercial|Exchange | $619.82 | ↓ -57% |
| Bright Health | Commercial|All Plans | $630.40 | ↓ -56% |
| UNITED | Medicaid|STARPLUS | $734.95 | ↓ -48% |
| UHC | Medicaid|STARPLUS | $734.95 | ↓ -48% |
| BCBS - TX | Commercial|Transplant | $762.88 | ↓ -46% |
| OPTUM | Medicare|All Plans | $1,099.71 | ↓ -23% |
| Cigna | Commercial|Surefit | $1,303.36 | ↓ -9% |
| NX Health | Commercial|PPO | $1,308.06 | ↓ -8% |
| Cigna | Commercial|HMO | $1,425.55 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,473.62 | ↑ +3% |
| Cigna | Commercial|PPO | $1,669.93 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $1,669.93 | ↑ +17% |
| TCH | Commercial|Transplant | $1,832.85 | ↑ +29% |
| United | Commercial|Optum | $1,914.31 | ↑ +34% |
| Shell | Commercial|All Plans | $2,036.50 | ↑ +43% |
| United | Commercial|Exchange | $2,184.00 | ↑ +53% |
| CHC | Medicaid|CHIP | $2,240.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,240.15 | ↑ +57% |
| CHC | Medicaid|HMO | $2,240.15 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,443.80 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $2,484.53 | ↑ +74% |
| First Health | Commercial|All Plans | $2,647.45 | ↑ +86% |
| Coventry | Commercial|PPO | $2,647.45 | ↑ +86% |
| Humana | Commercial|Transplant | $2,647.45 | ↑ +86% |
| Aetna | Commercial|HMO | $2,851.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,851.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,851.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,851.10 | ↑ +100% |
| United | Commercial|Charter | $2,940.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $3,054.75 | ↑ +114% |
| United | Commercial|HMO | $3,268.00 | ↑ +129% |
| United | Commercial|PPO | $3,268.00 | ↑ +129% |
| OPTUM | Medicaid|STARPLUS | $3,365.12 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,462.05 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,073.00 | ↑ +186% |
Visitor-reported prices
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Radphm lcl tumor plr sgl day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $6,338.63 | $251.60 – $1,249.83 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,425.55 | $235.56 – $4,073.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $235.56 – $1,249.83 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,494.49 | $228.55 – $1,868.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,147.41 | $236.18 – $1,721.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,185.84 | $228.55 – $1,482.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,494.49 | $228.55 – $1,868.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,147.41 | $244.55 – $1,721.12 |