Repair pm/icd lead dual at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,394.70
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.
?
What you pay up front if you don't use insurance.
$6,842.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,695.00 with Aetna vs $11,846.90 with NX Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $1,695.00 | ↓ -29% |
| OPTUM | Medicare|All Plans | $1,847.34 | ↓ -23% |
| Wellpoint | Medicaid|STARKIDS | $2,003.62 | ↓ -16% |
| TCHP | Medicaid|All Other Plans | $2,003.62 | ↓ -16% |
| Wellpoint | Medicaid|CHIP | $2,003.62 | ↓ -16% |
| TCHP | Medicaid|STARKIDS | $2,003.62 | ↓ -16% |
| Wellpoint | Medicaid|All Other Plans | $2,003.62 | ↓ -16% |
| Aetna | Commercial|HMO | $2,038.00 | ↓ -15% |
| UHC | Medicaid|CHIP | $2,043.69 | ↓ -15% |
| UHC | Medicaid|STARKIDS | $2,043.69 | ↓ -15% |
| UNITED | Medicaid|All Other Plans | $2,043.69 | ↓ -15% |
| BCBS | Medicaid|All Plans | $2,103.80 | ↓ -12% |
| CHC | Medicaid|All Other Plans | $2,304.16 | ↓ -4% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +0% |
| OPTUM | Medicaid|STAR | $2,475.44 | ↑ +3% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $2,506.57 | ↑ +5% |
| BCBS - TX | Commercial|Transplant | $2,557.98 | ↑ +7% |
| Renaissance | Commercial|All Plans | $2,624.54 | ↑ +10% |
| TCHP | Medicaid|STAR | $2,684.85 | ↑ +12% |
| Wellpoint | Medicaid|STAR | $2,684.85 | ↑ +12% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +13% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +13% |
| UNITED | Medicaid|STAR | $2,744.96 | ↑ +15% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,745.29 | ↑ +15% |
| TCHPCHIP | Medicaid|HMO | $2,805.22 | ↑ +17% |
| TCH | Commercial|Transplant | $3,078.90 | ↑ +29% |
| CHC | Medicaid|STAR | $3,085.57 | ↑ +29% |
| United | Commercial|Exchange | $3,128.00 | ↑ +31% |
| United | Commercial|Optum | $3,215.74 | ↑ +34% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +38% |
| Shell | Commercial|All Plans | $3,421.00 | ↑ +43% |
| Humana | Medicare|TRANSPLANT | $3,645.20 | ↑ +52% |
| AETNA | Medicare|TRANSPLANT | $3,645.20 | ↑ +52% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,645.20 | ↑ +52% |
| Humana | Medicare|All Other Plans | $3,645.20 | ↑ +52% |
| BCBS | Medicare|All Plans | $3,645.20 | ↑ +52% |
| KELSEY | Medicare|All Plans | $3,645.20 | ↑ +52% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +52% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,681.65 | ↑ +54% |
| UHC-SecureHorizons | Medicare|All Plans | $3,718.10 | ↑ +55% |
| AETNA | Medicare|All Other Plans | $3,718.10 | ↑ +55% |
| Amerivantage | Medicare|All Plans | $3,754.56 | ↑ +57% |
| CHC | Medicaid|HMO | $3,763.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,763.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,763.10 | ↑ +57% |
| SELECTCARE | Medicare|All Plans | $3,827.46 | ↑ +60% |
| DEVOTED | Medicare|All Plans | $3,900.36 | ↑ +63% |
| SCANHealth | Medicare|All Plans | $3,900.36 | ↑ +63% |
| Independent Med System | Commercial|All Plans | $4,105.20 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $4,105.20 | ↑ +71% |
| United | Commercial|Charter | $4,211.00 | ↑ +76% |
| KINDRED | Medicare|All Plans | $4,374.24 | ↑ +83% |
| Humana | Commercial|Transplant | $4,447.30 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $4,447.30 | ↑ +86% |
| PHCS | Commercial|PPO | $4,447.30 | ↑ +86% |
| Coventry | Commercial|PPO | $4,447.30 | ↑ +86% |
| First Health | Commercial|All Plans | $4,447.30 | ↑ +86% |
| United | Commercial|HMO | $4,680.00 | ↑ +95% |
| United | Commercial|PPO | $4,680.00 | ↑ +95% |
| Cigna | Commercial|Transplant | $4,789.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $4,789.40 | ↑ +100% |
| Aetna | Commercial|PPO | $4,789.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $4,789.40 | ↑ +100% |
| KelseyCare | Commercial|Exchange | $4,921.02 | ↑ +105% |
| BCBS - TX | Commercial|Premier | $4,983.30 | ↑ +108% |
| Employer Direct | Commercial|PPO | $5,103.28 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $5,131.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $5,199.92 | ↑ +117% |
| Community Health Choice | Commercial|All Other Plans | $5,467.80 | ↑ +128% |
| Wellpoint | Commercial|Exchange | $5,467.80 | ↑ +128% |
| Harris Health | Commercial|ERS | $5,467.80 | ↑ +128% |
| Superior Health Plan | Commercial|All Plans | $5,467.80 | ↑ +128% |
| Community Health Choice | Commercial|Exchange | $5,467.80 | ↑ +128% |
| Aetna | Commercial|Exchange | $5,613.61 | ↑ +134% |
| OPTUM | Medicaid|STARPLUS | $5,652.87 | ↑ +136% |
| Bright Health | Commercial|All Plans | $5,758.53 | ↑ +140% |
| USA Health Network | Commercial|All Plans | $5,815.70 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $6,087.38 | ↑ +154% |
| UNITED | Medicaid|STARPLUS | $6,251.29 | ↑ +161% |
| UHC | Medicaid|STARPLUS | $6,251.29 | ↑ +161% |
| BCBS - TX | Commercial|PPO Trad | $6,564.82 | ↑ +174% |
| MHealth Network | Commercial|PPO | $6,842.00 | ↑ +186% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +282% |
| NX Health | Commercial|PPO | $11,846.90 | ↑ +395% |
Visitor-reported prices
Comments
Repair pm/icd lead dual at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,394.70 | $1,847.34 – $6,842.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,043.69 – $6,117.22 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,866.49 – $5,192.18 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,904.58 – $5,192.18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,853.09 | $1,904.58 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,086.07 | $1,046.88 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,495.26 | $1,904.58 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,853.09 | $1,904.58 – $9,728.21 |