Removal of artery clot 34101 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,966.60
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.
$8,476.00
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.
$932.36 with TCHP vs $17,596.99 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $932.36 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $932.36 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $951.01 | ↓ -68% |
| TCHP | Medicaid|STAR | $1,249.37 | ↓ -58% |
| UNITED | Medicaid|STAR | $1,277.34 | ↓ -57% |
| Aetna | Commercial|KelseyCare | $1,369.00 | ↓ -54% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↓ -49% |
| Aetna | Commercial|HMO | $1,648.00 | ↓ -44% |
| OPTUM | Medicare|All Plans | $2,288.52 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $2,908.97 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $2,908.97 | ↓ -2% |
| OPTUM | Medicaid|STAR | $3,066.62 | ↑ +3% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $3,475.16 | ↑ +17% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +21% |
| TCH | Commercial|Transplant | $3,814.20 | ↑ +29% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $3,860.80 | ↑ +30% |
| Renaissance | Commercial|All Plans | $3,898.41 | ↑ +31% |
| United | Commercial|Optum | $3,983.72 | ↑ +34% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,228.49 | ↑ +43% |
| Shell | Commercial|All Plans | $4,238.00 | ↑ +43% |
| BCBS - TX | Commercial|Transplant | $4,660.16 | ↑ +57% |
| CHC | Medicaid|CHIP | $4,661.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,661.80 | ↑ +57% |
| CHC | Medicaid|HMO | $4,661.80 | ↑ +57% |
| United | Commercial|Exchange | $4,848.00 | ↑ +63% |
| Cigna Lifesource | Commercial|Transplant | $5,085.60 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $5,085.60 | ↑ +71% |
| AETNA | Medicare|TRANSPLANT | $5,414.46 | ↑ +83% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,414.46 | ↑ +83% |
| BCBS | Medicare|All Plans | $5,414.46 | ↑ +83% |
| KELSEY | Medicare|All Plans | $5,414.46 | ↑ +83% |
| Humana | Medicare|TRANSPLANT | $5,414.46 | ↑ +83% |
| Humana | Medicare|All Other Plans | $5,414.46 | ↑ +83% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,468.60 | ↑ +84% |
| Coventry | Commercial|PPO | $5,509.40 | ↑ +86% |
| PHCS | Commercial|PPO | $5,509.40 | ↑ +86% |
| First Health | Commercial|All Plans | $5,509.40 | ↑ +86% |
| Humana | Commercial|Transplant | $5,509.40 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $5,509.40 | ↑ +86% |
| AETNA | Medicare|All Other Plans | $5,522.75 | ↑ +86% |
| UHC-SecureHorizons | Medicare|All Plans | $5,522.75 | ↑ +86% |
| Amerivantage | Medicare|All Plans | $5,576.89 | ↑ +88% |
| SELECTCARE | Medicare|All Plans | $5,685.18 | ↑ +92% |
| DEVOTED | Medicare|All Plans | $5,793.47 | ↑ +95% |
| SCANHealth | Medicare|All Plans | $5,793.47 | ↑ +95% |
| Cigna | Commercial|Transplant | $5,933.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,933.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $5,933.20 | ↑ +100% |
| Aetna | Commercial|PPO | $5,933.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $6,357.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $6,441.76 | ↑ +117% |
| KINDRED | Medicare|All Plans | $6,497.35 | ↑ +119% |
| United | Commercial|Charter | $6,527.00 | ↑ +120% |
| OPTUM | Medicaid|STARPLUS | $7,002.88 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $7,204.60 | ↑ +143% |
| United | Commercial|HMO | $7,252.00 | ↑ +144% |
| United | Commercial|PPO | $7,252.00 | ↑ +144% |
| KelseyCare | Commercial|Exchange | $7,309.52 | ↑ +146% |
| Employer Direct | Commercial|PPO | $7,580.24 | ↑ +156% |
| BCBS - TX | Commercial|Premier | $7,675.64 | ↑ +159% |
| Bright Health | Commercial|All Plans | $7,974.68 | ↑ +169% |
| Community Health Choice | Commercial|Exchange | $8,121.69 | ↑ +174% |
| Harris Health | Commercial|ERS | $8,121.69 | ↑ +174% |
| Superior Health Plan | Commercial|All Plans | $8,121.69 | ↑ +174% |
| Wellpoint | Commercial|Exchange | $8,121.69 | ↑ +174% |
| Community Health Choice | Commercial|All Other Plans | $8,121.69 | ↑ +174% |
| Aetna | Commercial|Exchange | $8,338.27 | ↑ +181% |
| MHealth Network | Commercial|PPO | $8,476.00 | ↑ +186% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +204% |
| BCBS - TX | Commercial|HMO | $9,376.23 | ↑ +216% |
| BCBS - TX | Commercial|PPO Trad | $10,111.62 | ↑ +241% |
| NX Health | Commercial|PPO | $17,596.99 | ↑ +493% |
Visitor-reported prices
Comments
Removal of artery clot 34101 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,966.60 | $678.08 – $8,476.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $9,422.19 – $9,422.19 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,617.79 – $7,997.37 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $7,997.37 – $7,997.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,723.23 | $1,904.91 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,723.23 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,590.12 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,723.23 | $1,792.86 – $13,613.39 |