Repair lip full thkns >one-half vert height/cmplx at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,257.55
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.
$3,593.00
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.
$442.51 with Wellpoint vs $9,029.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $442.51 | ↓ -65% |
| TCHP | Medicaid|STARKIDS | $442.51 | ↓ -65% |
| TCHP | Medicaid|All Other Plans | $442.51 | ↓ -65% |
| Wellpoint | Medicaid|STARKIDS | $442.51 | ↓ -65% |
| Wellpoint | Medicaid|CHIP | $442.51 | ↓ -65% |
| UNITED | Medicaid|All Other Plans | $451.36 | ↓ -64% |
| UHC | Medicaid|CHIP | $451.36 | ↓ -64% |
| UHC | Medicaid|STARKIDS | $451.36 | ↓ -64% |
| BCBS | Medicaid|All Plans | $464.64 | ↓ -63% |
| CHC | Medicaid|All Other Plans | $508.89 | ↓ -60% |
| Wellpoint | Medicaid|STAR | $592.96 | ↓ -53% |
| TCHP | Medicaid|STAR | $592.96 | ↓ -53% |
| UNITED | Medicaid|STAR | $606.24 | ↓ -52% |
| CHC | Medicaid|STAR | $681.47 | ↓ -46% |
| BCBS - TX | Commercial|Transplant | $870.84 | ↓ -31% |
| OPTUM | Medicare|All Plans | $970.11 | ↓ -23% |
| Renaissance | Commercial|All Plans | $1,068.25 | ↓ -15% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,133.45 | ↓ -10% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,241.39 | ↓ -1% |
| OPTUM | Medicaid|STAR | $1,299.95 | ↑ +3% |
| Aetna | Commercial|KelseyCare | $1,369.00 | ↑ +9% |
| UNITED | Medicaid|STARPLUS | $1,380.63 | ↑ +10% |
| UHC | Medicaid|STARPLUS | $1,380.63 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $1,473.13 | ↑ +17% |
| KELSEY | Medicare|All Plans | $1,483.68 | ↑ +18% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,483.68 | ↑ +18% |
| BCBS | Medicare|All Plans | $1,483.68 | ↑ +18% |
| AETNA | Medicare|TRANSPLANT | $1,483.68 | ↑ +18% |
| Humana | Medicare|TRANSPLANT | $1,483.68 | ↑ +18% |
| Humana | Medicare|All Other Plans | $1,483.68 | ↑ +18% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,498.52 | ↑ +19% |
| UHC-SecureHorizons | Medicare|All Plans | $1,513.35 | ↑ +20% |
| AETNA | Medicare|All Other Plans | $1,513.35 | ↑ +20% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↑ +21% |
| Amerivantage | Medicare|All Plans | $1,528.19 | ↑ +22% |
| SELECTCARE | Medicare|All Plans | $1,557.86 | ↑ +24% |
| DEVOTED | Medicare|All Plans | $1,587.54 | ↑ +26% |
| SCANHealth | Medicare|All Plans | $1,587.54 | ↑ +26% |
| Healthsmart | Commercial|AP3 | $1,609.00 | ↑ +28% |
| TCH | Commercial|Transplant | $1,616.85 | ↑ +29% |
| Aetna | Commercial|HMO | $1,648.00 | ↑ +31% |
| United | Commercial|Optum | $1,688.71 | ↑ +34% |
| KINDRED | Medicare|All Plans | $1,780.42 | ↑ +42% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↑ +43% |
| Shell | Commercial|All Plans | $1,796.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $1,976.15 | ↑ +57% |
| CHC | Medicaid|HMO | $1,976.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,976.15 | ↑ +57% |
| United | Commercial|Exchange | $1,984.00 | ↑ +58% |
| KelseyCare | Commercial|Exchange | $2,002.97 | ↑ +59% |
| Employer Direct | Commercial|PPO | $2,077.15 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $2,155.80 | ↑ +71% |
| Wellpoint | Commercial|Exchange | $2,225.52 | ↑ +77% |
| Superior Health Plan | Commercial|All Plans | $2,225.52 | ↑ +77% |
| Community Health Choice | Commercial|All Other Plans | $2,225.52 | ↑ +77% |
| Community Health Choice | Commercial|Exchange | $2,225.52 | ↑ +77% |
| Harris Health | Commercial|ERS | $2,225.52 | ↑ +77% |
| Humana | Commercial|HMO | $2,250.00 | ↑ +79% |
| Humana | Commercial|PPO | $2,250.00 | ↑ +79% |
| BCBS - TX | Commercial|Premier | $2,253.40 | ↑ +79% |
| Bright Health | Commercial|All Plans | $2,262.17 | ↑ +80% |
| Aetna | Commercial|Exchange | $2,284.87 | ↑ +82% |
| First Health | Commercial|All Plans | $2,335.45 | ↑ +86% |
| Coventry | Commercial|PPO | $2,335.45 | ↑ +86% |
| Humana | Commercial|Transplant | $2,335.45 | ↑ +86% |
| Cigna | Commercial|Transplant | $2,515.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,515.10 | ↑ +100% |
| Aetna | Commercial|PPO | $2,515.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,515.10 | ↑ +100% |
| United | Commercial|Charter | $2,669.00 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $2,694.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,730.68 | ↑ +117% |
| BCBS - TX | Commercial|HMO | $2,752.65 | ↑ +119% |
| United | Commercial|HMO | $2,968.00 | ↑ +136% |
| United | Commercial|PPO | $2,968.00 | ↑ +136% |
| OPTUM | Medicaid|STARPLUS | $2,968.54 | ↑ +136% |
| BCBS - TX | Commercial|PPO Trad | $2,968.55 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,054.05 | ↑ +143% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +159% |
| MHealth Network | Commercial|PPO | $3,593.00 | ↑ +186% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +186% |
| NX Health | Commercial|PPO | $4,821.96 | ↑ +283% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↑ +318% |
| PHCS | Commercial|PPO | $5,252.00 | ↑ +318% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +618% |
Visitor-reported prices
Comments
Repair lip full thkns >one-half vert height/cmplx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,257.55 | $970.11 – $3,593.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $451.36 – $2,766.15 |
| HCA HOUSTON WEST | HOUSTON | not published | $412.23 – $2,347.85 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $420.64 – $2,347.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,928.07 | $420.64 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,810.85 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,847.06 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,928.07 | $420.64 – $3,777.93 |