Radphm quant measure sgl area add-on at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$553.35
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.
$1,581.00
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.
$89.21 with Wellpoint vs $3,268.00 with United — 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 | $89.21 | ↓ -84% |
| UHC | Medicaid|STARKIDS | $90.99 | ↓ -84% |
| UHC | Medicaid|CHIP | $90.99 | ↓ -84% |
| Wellpoint | Medicaid|CHIP | $92.55 | ↓ -83% |
| Wellpoint | Medicaid|STARKIDS | $92.55 | ↓ -83% |
| BCBS | Medicaid|All Plans | $93.67 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $94.40 | ↓ -83% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $99.90 | ↓ -82% |
| CHC | Medicaid|All Other Plans | $106.43 | ↓ -81% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $107.39 | ↓ -81% |
| Wellpoint | Medicaid|STAR | $124.02 | ↓ -78% |
| UNITED | Medicaid|STAR | $126.79 | ↓ -77% |
| CHC | Medicaid|STAR | $142.53 | ↓ -74% |
| TCHP | Medicaid|STARKIDS | $173.91 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $173.91 | ↓ -69% |
| BCBS - TX | Commercial|Premier | $223.11 | ↓ -60% |
| TCHP | Medicaid|STAR | $233.04 | ↓ -58% |
| BCBS - TX | Commercial|HMO | $263.07 | ↓ -52% |
| UNITED | Medicaid|STARPLUS | $288.76 | ↓ -48% |
| UHC | Medicaid|STARPLUS | $288.76 | ↓ -48% |
| BCBS - TX | Commercial|PPO Trad | $291.38 | ↓ -47% |
| OPTUM | Medicare|All Plans | $426.87 | ↓ -23% |
| Cigna | Commercial|Surefit | $505.92 | ↓ -9% |
| Cigna | Commercial|HMO | $553.35 | ↑ +0% |
| OPTUM | Medicaid|STAR | $572.01 | ↑ +3% |
| Cigna | Commercial|PPO | $648.21 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $648.21 | ↑ +17% |
| TCH | Commercial|Transplant | $711.45 | ↑ +29% |
| United | Commercial|Optum | $743.07 | ↑ +34% |
| Shell | Commercial|All Plans | $790.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $869.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $869.55 | ↑ +57% |
| CHC | Medicaid|HMO | $869.55 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $948.60 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $964.41 | ↑ +74% |
| Coventry | Commercial|PPO | $1,027.65 | ↑ +86% |
| First Health | Commercial|All Plans | $1,027.65 | ↑ +86% |
| Humana | Commercial|Transplant | $1,027.65 | ↑ +86% |
| Healthsmart | Commercial|PPO | $1,106.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,106.70 | ↑ +100% |
| Aetna | Commercial|HMO | $1,106.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,106.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,185.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,306.23 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,343.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,581.00 | ↑ +186% |
| United | Commercial|Exchange | $2,184.00 | ↑ +295% |
| United | Commercial|Charter | $2,940.00 | ↑ +431% |
| United | Commercial|HMO | $3,268.00 | ↑ +491% |
| United | Commercial|PPO | $3,268.00 | ↑ +491% |
Visitor-reported prices
Comments
Radphm quant measure sgl area add-on at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $553.35 | $89.21 – $1,581.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $92.55 – $437.90 |
| HCA HOUSTON WEST | HOUSTON | not published | $87.43 – $437.90 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $89.21 – $437.90 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $734.09 | $89.21 – $1,039.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $403.49 | $83.05 – $605.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $403.49 | $89.21 – $504.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $734.09 | $89.21 – $1,039.96 |