Remove renal tube w/fluoro at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$290.50
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.
$830.00
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.
$224.10 with OPTUM vs $5,160.00 with Cigna — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $224.10 | ↓ -23% |
| Wellpoint | Medicaid|All Other Plans | $250.53 | ↓ -14% |
| Wellpoint | Medicaid|CHIP | $250.53 | ↓ -14% |
| TCHP | Medicaid|All Other Plans | $250.53 | ↓ -14% |
| Wellpoint | Medicaid|STARKIDS | $250.53 | ↓ -14% |
| TCHP | Medicaid|STARKIDS | $250.53 | ↓ -14% |
| UHC | Medicaid|STARKIDS | $255.54 | ↓ -12% |
| UNITED | Medicaid|All Other Plans | $255.54 | ↓ -12% |
| UHC | Medicaid|CHIP | $255.54 | ↓ -12% |
| BCBS | Medicaid|All Plans | $263.06 | ↓ -9% |
| CHC | Medicaid|All Other Plans | $288.11 | ↓ -1% |
| OPTUM | Medicaid|STAR | $300.30 | ↑ +3% |
| Wellpoint | Medicaid|STAR | $335.71 | ↑ +16% |
| TCHP | Medicaid|STAR | $335.71 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $340.30 | ↑ +17% |
| UNITED | Medicaid|STAR | $343.23 | ↑ +18% |
| TCH | Commercial|Transplant | $373.50 | ↑ +29% |
| CHC | Medicaid|STAR | $385.82 | ↑ +33% |
| United | Commercial|Optum | $390.10 | ↑ +34% |
| Shell | Commercial|All Plans | $415.00 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $456.50 | ↑ +57% |
| CHC | Medicaid|HMO | $456.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $456.50 | ↑ +57% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $467.49 | ↑ +61% |
| Renaissance | Commercial|All Plans | $481.36 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $498.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $498.00 | ↑ +71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $512.01 | ↑ +76% |
| PHCS | Commercial|PPO | $539.50 | ↑ +86% |
| Coventry | Commercial|PPO | $539.50 | ↑ +86% |
| First Health | Commercial|All Plans | $539.50 | ↑ +86% |
| Humana | Commercial|Transplant | $539.50 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $539.50 | ↑ +86% |
| Aetna | Commercial|PPO | $581.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $581.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $581.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $581.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $622.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $630.80 | ↑ +117% |
| KELSEY | Medicare|All Plans | $668.55 | ↑ +130% |
| AETNA | Medicare|TRANSPLANT | $668.55 | ↑ +130% |
| CIGNA HEALTHSPRING | Medicare|HMO | $668.55 | ↑ +130% |
| Humana | Medicare|TRANSPLANT | $668.55 | ↑ +130% |
| BCBS | Medicare|All Plans | $668.55 | ↑ +130% |
| Humana | Medicare|All Other Plans | $668.55 | ↑ +130% |
| CIGNA HEALTHSPRING | Medicare|PPO | $675.24 | ↑ +132% |
| UHC-SecureHorizons | Medicare|All Plans | $681.92 | ↑ +135% |
| AETNA | Medicare|All Other Plans | $681.92 | ↑ +135% |
| OPTUM | Medicaid|STARPLUS | $685.75 | ↑ +136% |
| Amerivantage | Medicare|All Plans | $688.61 | ↑ +137% |
| SELECTCARE | Medicare|All Plans | $701.98 | ↑ +142% |
| USA Health Network | Commercial|All Plans | $705.50 | ↑ +143% |
| DEVOTED | Medicare|All Plans | $715.35 | ↑ +146% |
| SCANHealth | Medicare|All Plans | $715.35 | ↑ +146% |
| UNITED | Medicaid|STARPLUS | $781.65 | ↑ +169% |
| UHC | Medicaid|STARPLUS | $781.65 | ↑ +169% |
| KINDRED | Medicare|All Plans | $802.26 | ↑ +176% |
| MHealth Network | Commercial|PPO | $830.00 | ↑ +186% |
| BCBS - TX | Commercial|Transplant | $833.54 | ↑ +187% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +208% |
| KelseyCare | Commercial|Exchange | $902.54 | ↑ +211% |
| BCBS - TX | Commercial|Premier | $929.41 | ↑ +220% |
| Employer Direct | Commercial|PPO | $935.97 | ↑ +222% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +224% |
| Bright Health | Commercial|All Plans | $962.08 | ↑ +231% |
| Harris Health | Commercial|ERS | $1,002.83 | ↑ +245% |
| Community Health Choice | Commercial|Exchange | $1,002.83 | ↑ +245% |
| Wellpoint | Commercial|Exchange | $1,002.83 | ↑ +245% |
| Superior Health Plan | Commercial|All Plans | $1,002.83 | ↑ +245% |
| Community Health Choice | Commercial|All Other Plans | $1,002.83 | ↑ +245% |
| Aetna | Commercial|Exchange | $1,029.57 | ↑ +254% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +271% |
| BCBS - TX | Commercial|HMO | $1,135.32 | ↑ +291% |
| BCBS - TX | Commercial|PPO Trad | $1,224.37 | ↑ +321% |
| United | Commercial|Exchange | $1,452.00 | ↑ +400% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +542% |
| United | Commercial|Charter | $1,955.00 | ↑ +573% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +607% |
| United | Commercial|PPO | $2,172.00 | ↑ +648% |
| United | Commercial|HMO | $2,172.00 | ↑ +648% |
| NX Health | Commercial|PPO | $2,172.79 | ↑ +648% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +829% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +829% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +1676% |
Visitor-reported prices
Comments
Remove renal tube w/fluoro at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $782.71 | $255.54 – $1,140.89 |
| HCA HOUSTON WEST | HOUSTON | $5,372.00 | $233.39 – $968.36 |
| St. Luke's Health - The Vintage Hospital | Houston | $290.50 | $224.10 – $830.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $238.15 – $968.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,686.36 | $238.15 – $2,107.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,172.80 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,141.31 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,686.36 | $238.15 – $2,107.95 |