Removal embedded foreign body vestibule mouth smpl at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$650.65
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.
$1,859.00
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.
$45.64 with BCBS - TX vs $3,052.01 with NX Health — 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|Transplant | $45.64 | ↓ -93% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -78% |
| Cigna | Commercial|HMO | $154.00 | ↓ -76% |
| TCHP | Medicaid|All Other Plans | $204.49 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $204.49 | ↓ -69% |
| CHC | Medicaid|All Other Plans | $204.49 | ↓ -69% |
| Wellpoint | Medicaid|STARKIDS | $204.49 | ↓ -69% |
| Wellpoint | Medicaid|CHIP | $204.49 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $204.49 | ↓ -69% |
| UHC | Medicaid|STARKIDS | $208.58 | ↓ -68% |
| UNITED | Medicaid|All Other Plans | $208.58 | ↓ -68% |
| UHC | Medicaid|CHIP | $208.58 | ↓ -68% |
| BCBS | Medicaid|All Plans | $214.72 | ↓ -67% |
| CHC | Medicaid|STAR | $274.02 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $274.02 | ↓ -58% |
| TCHP | Medicaid|STAR | $274.02 | ↓ -58% |
| UNITED | Medicaid|STAR | $280.16 | ↓ -57% |
| Cigna | Commercial|PPO | $387.00 | ↓ -41% |
| OPTUM | Medicare|All Plans | $501.93 | ↓ -23% |
| UHC | Medicaid|STARPLUS | $638.01 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $638.01 | ↓ -2% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $660.17 | ↑ +1% |
| OPTUM | Medicaid|STAR | $672.59 | ↑ +3% |
| Renaissance | Commercial|All Plans | $676.14 | ↑ +4% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $723.05 | ↑ +11% |
| TCHPCHIP | Medicaid|HMO | $762.19 | ↑ +17% |
| TCH | Commercial|Transplant | $836.55 | ↑ +29% |
| United | Commercial|Optum | $873.73 | ↑ +34% |
| Shell | Commercial|All Plans | $929.50 | ↑ +43% |
| KELSEY | Medicare|All Plans | $939.08 | ↑ +44% |
| Humana | Medicare|TRANSPLANT | $939.08 | ↑ +44% |
| AETNA | Medicare|TRANSPLANT | $939.08 | ↑ +44% |
| BCBS | Medicare|All Plans | $939.08 | ↑ +44% |
| CIGNA HEALTHSPRING | Medicare|HMO | $939.08 | ↑ +44% |
| Humana | Medicare|All Other Plans | $939.08 | ↑ +44% |
| CIGNA HEALTHSPRING | Medicare|PPO | $948.47 | ↑ +46% |
| UHC-SecureHorizons | Medicare|All Plans | $957.86 | ↑ +47% |
| AETNA | Medicare|All Other Plans | $957.86 | ↑ +47% |
| Amerivantage | Medicare|All Plans | $967.25 | ↑ +49% |
| SELECTCARE | Medicare|All Plans | $986.03 | ↑ +52% |
| SCANHealth | Medicare|All Plans | $1,004.82 | ↑ +54% |
| DEVOTED | Medicare|All Plans | $1,004.82 | ↑ +54% |
| CHC | Medicaid|CHIP | $1,022.45 | ↑ +57% |
| CHC | Medicaid|HMO | $1,022.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,022.45 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $1,115.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $1,115.40 | ↑ +71% |
| KINDRED | Medicare|All Plans | $1,126.90 | ↑ +73% |
| First Health | Commercial|All Plans | $1,208.35 | ↑ +86% |
| Humana | Commercial|Transplant | $1,208.35 | ↑ +86% |
| Coventry | Commercial|PPO | $1,208.35 | ↑ +86% |
| PHCS | Commercial|PPO | $1,208.35 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,208.35 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $1,267.76 | ↑ +95% |
| Interlink | Commercial|Transplant | $1,301.30 | ↑ +100% |
| Aetna | Commercial|PPO | $1,301.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,301.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,301.30 | ↑ +100% |
| BCBS - TX | Commercial|Premier | $1,312.49 | ↑ +102% |
| Employer Direct | Commercial|PPO | $1,314.71 | ↑ +102% |
| Bright Health | Commercial|All Plans | $1,353.15 | ↑ +108% |
| MultiPlan | Commercial|All Plans | $1,394.25 | ↑ +114% |
| Wellpoint | Commercial|Exchange | $1,408.62 | ↑ +116% |
| Harris Health | Commercial|ERS | $1,408.62 | ↑ +116% |
| Community Health Choice | Commercial|All Other Plans | $1,408.62 | ↑ +116% |
| Community Health Choice | Commercial|Exchange | $1,408.62 | ↑ +116% |
| Superior Health Plan | Commercial|All Plans | $1,408.62 | ↑ +116% |
| Aetna | Commercial|Transplant | $1,412.84 | ↑ +117% |
| Aetna | Commercial|Exchange | $1,446.18 | ↑ +122% |
| OPTUM | Medicaid|STARPLUS | $1,535.91 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,580.15 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $1,603.28 | ↑ +146% |
| BCBS - TX | Commercial|PPO Trad | $1,729.02 | ↑ +166% |
| MHealth Network | Commercial|PPO | $1,859.00 | ↑ +186% |
| United | Commercial|Exchange | $1,984.00 | ↑ +205% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +270% |
| United | Commercial|Charter | $2,669.00 | ↑ +310% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +315% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +315% |
| United | Commercial|HMO | $2,968.00 | ↑ +356% |
| United | Commercial|PPO | $2,968.00 | ↑ +356% |
| NX Health | Commercial|PPO | $3,052.01 | ↑ +369% |
Visitor-reported prices
Comments
Removal embedded foreign body vestibule mouth smpl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $650.65 | $148.72 – $1,859.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,611.14 – $1,611.14 |
| HCA HOUSTON WEST | HOUSTON | not published | $915.67 – $1,367.50 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,367.50 – $1,367.50 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $692.00 | $196.07 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,041.25 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $843.12 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $692.00 | $184.53 – $2,245.59 |