Repair eyelid wound at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,118.55
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.
$6,053.00
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.
$734.61 with TCHP vs $7,594.40 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 | $734.61 | ↓ -65% |
| TCHP | Medicaid|All Other Plans | $734.61 | ↓ -65% |
| Wellpoint | Medicaid|All Other Plans | $734.61 | ↓ -65% |
| Wellpoint | Medicaid|CHIP | $734.61 | ↓ -65% |
| Wellpoint | Medicaid|STARKIDS | $734.61 | ↓ -65% |
| UHC | Medicaid|CHIP | $749.30 | ↓ -65% |
| UHC | Medicaid|STARKIDS | $749.30 | ↓ -65% |
| UNITED | Medicaid|All Other Plans | $749.30 | ↓ -65% |
| BCBS | Medicaid|All Plans | $771.34 | ↓ -64% |
| CHC | Medicaid|All Other Plans | $844.80 | ↓ -60% |
| TCHP | Medicaid|STAR | $984.38 | ↓ -54% |
| Wellpoint | Medicaid|STAR | $984.38 | ↓ -54% |
| UNITED | Medicaid|STAR | $1,006.42 | ↓ -52% |
| CHC | Medicaid|STAR | $1,131.30 | ↓ -47% |
| Aetna | Commercial|KelseyCare | $1,195.00 | ↓ -44% |
| Healthsmart | Commercial|AP3 | $1,285.00 | ↓ -39% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↓ -36% |
| Aetna | Commercial|HMO | $1,438.00 | ↓ -32% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,625.57 | ↓ -23% |
| OPTUM | Medicare|All Plans | $1,634.31 | ↓ -23% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↓ -21% |
| Renaissance | Commercial|All Plans | $1,682.45 | ↓ -21% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,780.38 | ↓ -16% |
| Humana | Commercial|PPO | $1,980.00 | ↓ -7% |
| Humana | Commercial|HMO | $1,980.00 | ↓ -7% |
| OPTUM | Medicaid|STAR | $2,189.98 | ↑ +3% |
| BCBS - TX | Commercial|Transplant | $2,232.76 | ↑ +5% |
| UHC | Medicaid|STARPLUS | $2,291.98 | ↑ +8% |
| UNITED | Medicaid|STARPLUS | $2,291.98 | ↑ +8% |
| CIGNA HEALTHSPRING | Medicare|HMO | $2,336.74 | ↑ +10% |
| Humana | Medicare|TRANSPLANT | $2,336.74 | ↑ +10% |
| Humana | Medicare|All Other Plans | $2,336.74 | ↑ +10% |
| BCBS | Medicare|All Plans | $2,336.74 | ↑ +10% |
| KELSEY | Medicare|All Plans | $2,336.74 | ↑ +10% |
| AETNA | Medicare|TRANSPLANT | $2,336.74 | ↑ +10% |
| CIGNA HEALTHSPRING | Medicare|PPO | $2,360.11 | ↑ +11% |
| UHC-SecureHorizons | Medicare|All Plans | $2,383.47 | ↑ +13% |
| AETNA | Medicare|All Other Plans | $2,383.47 | ↑ +13% |
| Amerivantage | Medicare|All Plans | $2,406.84 | ↑ +14% |
| SELECTCARE | Medicare|All Plans | $2,453.58 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $2,481.73 | ↑ +17% |
| DEVOTED | Medicare|All Plans | $2,500.31 | ↑ +18% |
| SCANHealth | Medicare|All Plans | $2,500.31 | ↑ +18% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +23% |
| TCH | Commercial|Transplant | $2,723.85 | ↑ +29% |
| KINDRED | Medicare|All Plans | $2,804.09 | ↑ +32% |
| United | Commercial|Optum | $2,844.91 | ↑ +34% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +36% |
| Shell | Commercial|All Plans | $3,026.50 | ↑ +43% |
| KelseyCare | Commercial|Exchange | $3,154.60 | ↑ +49% |
| BCBS - TX | Commercial|Premier | $3,231.78 | ↑ +53% |
| Employer Direct | Commercial|PPO | $3,271.44 | ↑ +54% |
| CHC | Medicaid|CHIP | $3,329.15 | ↑ +57% |
| CHC | Medicaid|HMO | $3,329.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,329.15 | ↑ +57% |
| Bright Health | Commercial|All Plans | $3,346.41 | ↑ +58% |
| Harris Health | Commercial|ERS | $3,505.11 | ↑ +65% |
| Community Health Choice | Commercial|All Other Plans | $3,505.11 | ↑ +65% |
| Community Health Choice | Commercial|Exchange | $3,505.11 | ↑ +65% |
| Superior Health Plan | Commercial|All Plans | $3,505.11 | ↑ +65% |
| Wellpoint | Commercial|Exchange | $3,505.11 | ↑ +65% |
| Aetna | Commercial|Exchange | $3,598.58 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $3,631.80 | ↑ +71% |
| United | Commercial|Exchange | $3,636.00 | ↑ +72% |
| Coventry | Commercial|PPO | $3,934.45 | ↑ +86% |
| First Health | Commercial|All Plans | $3,934.45 | ↑ +86% |
| Humana | Commercial|Transplant | $3,934.45 | ↑ +86% |
| BCBS - TX | Commercial|HMO | $3,947.81 | ↑ +86% |
| Interlink | Commercial|Transplant | $4,237.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $4,237.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,237.10 | ↑ +100% |
| Aetna | Commercial|PPO | $4,237.10 | ↑ +100% |
| BCBS - TX | Commercial|PPO Trad | $4,257.44 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $4,539.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $4,600.28 | ↑ +117% |
| United | Commercial|Charter | $4,896.00 | ↑ +131% |
| OPTUM | Medicaid|STARPLUS | $5,000.99 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $5,145.05 | ↑ +143% |
| PHCS | Commercial|PPO | $5,185.00 | ↑ +145% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +145% |
| United | Commercial|HMO | $5,439.00 | ↑ +157% |
| United | Commercial|PPO | $5,439.00 | ↑ +157% |
| MHealth Network | Commercial|PPO | $6,053.00 | ↑ +186% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +241% |
| NX Health | Commercial|PPO | $7,594.40 | ↑ +258% |
Visitor-reported prices
Comments
Repair eyelid wound at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,118.55 | $1,285.00 – $6,053.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $749.30 – $3,967.16 |
| HCA HOUSTON WEST | HOUSTON | not published | $684.33 – $3,367.25 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $698.30 – $3,367.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,323.22 | $698.30 – $5,788.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,912.95 | $71.00 – $5,869.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,904.52 | $71.00 – $5,788.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,323.22 | $698.30 – $5,788.85 |