Revision open av fistula without thromb at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$5,427.10
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.
$15,506.00
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.
$1,695.00 with Aetna 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $1,695.00 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $1,848.60 | ↓ -66% |
| Healthsmart | Commercial|AP3 | $1,929.00 | ↓ -64% |
| Aetna | Commercial|HMO | $2,038.00 | ↓ -62% |
| Wellpoint | Medicaid|All Other Plans | $2,039.99 | ↓ -62% |
| TCHP | Medicaid|STARKIDS | $2,039.99 | ↓ -62% |
| TCHP | Medicaid|All Other Plans | $2,039.99 | ↓ -62% |
| Wellpoint | Medicaid|STARKIDS | $2,039.99 | ↓ -62% |
| Wellpoint | Medicaid|CHIP | $2,039.99 | ↓ -62% |
| UHC | Medicaid|STARKIDS | $2,080.79 | ↓ -62% |
| UHC | Medicaid|CHIP | $2,080.79 | ↓ -62% |
| UNITED | Medicaid|All Other Plans | $2,080.79 | ↓ -62% |
| BCBS | Medicaid|All Plans | $2,141.99 | ↓ -61% |
| Independent Med System | Commercial|All Plans | $2,202.00 | ↓ -59% |
| CHC | Medicaid|All Other Plans | $2,345.99 | ↓ -57% |
| Wellpoint | Medicaid|STAR | $2,733.59 | ↓ -50% |
| TCHP | Medicaid|STAR | $2,733.59 | ↓ -50% |
| Humana | Commercial|PPO | $2,790.00 | ↓ -49% |
| Humana | Commercial|HMO | $2,790.00 | ↓ -49% |
| UNITED | Medicaid|STAR | $2,794.79 | ↓ -49% |
| CHC | Medicaid|STAR | $3,141.58 | ↓ -42% |
| Cigna | Commercial|Surefit | $3,635.00 | ↓ -33% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $3,860.80 | ↓ -29% |
| Renaissance | Commercial|All Plans | $3,898.41 | ↓ -28% |
| Cigna | Commercial|HMO | $4,005.00 | ↓ -26% |
| OPTUM | Medicare|All Plans | $4,186.62 | ↓ -23% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,228.49 | ↓ -22% |
| BCBS - TX | Commercial|Transplant | $4,660.16 | ↓ -14% |
| United | Commercial|Exchange | $4,848.00 | ↓ -11% |
| KELSEY | Medicare|All Plans | $5,414.46 | ↓ -0% |
| BCBS | Medicare|All Plans | $5,414.46 | ↓ -0% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,414.46 | ↓ -0% |
| AETNA | Medicare|TRANSPLANT | $5,414.46 | ↓ -0% |
| Humana | Medicare|All Other Plans | $5,414.46 | ↓ -0% |
| Humana | Medicare|TRANSPLANT | $5,414.46 | ↓ -0% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,468.60 | ↑ +1% |
| AETNA | Medicare|All Other Plans | $5,522.75 | ↑ +2% |
| UHC-SecureHorizons | Medicare|All Plans | $5,522.75 | ↑ +2% |
| Amerivantage | Medicare|All Plans | $5,576.89 | ↑ +3% |
| OPTUM | Medicaid|STAR | $5,610.08 | ↑ +3% |
| SELECTCARE | Medicare|All Plans | $5,685.18 | ↑ +5% |
| DEVOTED | Medicare|All Plans | $5,793.47 | ↑ +7% |
| SCANHealth | Medicare|All Plans | $5,793.47 | ↑ +7% |
| TCHPCHIP | Medicaid|HMO | $6,357.46 | ↑ +17% |
| UNITED | Medicaid|STARPLUS | $6,364.77 | ↑ +17% |
| UHC | Medicaid|STARPLUS | $6,364.77 | ↑ +17% |
| KINDRED | Medicare|All Plans | $6,497.35 | ↑ +20% |
| United | Commercial|Charter | $6,527.00 | ↑ +20% |
| TCH | Commercial|Transplant | $6,977.70 | ↑ +29% |
| PHCS | Commercial|PPO | $7,089.00 | ↑ +31% |
| PHCS Savility | Commercial|PPO | $7,089.00 | ↑ +31% |
| United | Commercial|PPO | $7,252.00 | ↑ +34% |
| United | Commercial|HMO | $7,252.00 | ↑ +34% |
| United | Commercial|Optum | $7,287.82 | ↑ +34% |
| KelseyCare | Commercial|Exchange | $7,309.52 | ↑ +35% |
| Employer Direct | Commercial|PPO | $7,580.24 | ↑ +40% |
| BCBS - TX | Commercial|Premier | $7,675.64 | ↑ +41% |
| Shell | Commercial|All Plans | $7,753.00 | ↑ +43% |
| Bright Health | Commercial|All Plans | $7,974.68 | ↑ +47% |
| Wellpoint | Commercial|Exchange | $8,121.69 | ↑ +50% |
| Community Health Choice | Commercial|Exchange | $8,121.69 | ↑ +50% |
| Harris Health | Commercial|ERS | $8,121.69 | ↑ +50% |
| Superior Health Plan | Commercial|All Plans | $8,121.69 | ↑ +50% |
| Community Health Choice | Commercial|All Other Plans | $8,121.69 | ↑ +50% |
| Aetna | Commercial|Exchange | $8,338.27 | ↑ +54% |
| CHC | Medicaid|HMO | $8,528.30 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $8,528.30 | ↑ +57% |
| CHC | Medicaid|CHIP | $8,528.30 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $9,303.60 | ↑ +71% |
| BCBS - TX | Commercial|HMO | $9,376.23 | ↑ +73% |
| Cigna | Commercial|PPO | $10,059.00 | ↑ +85% |
| Coventry | Commercial|PPO | $10,078.90 | ↑ +86% |
| Humana | Commercial|Transplant | $10,078.90 | ↑ +86% |
| First Health | Commercial|All Plans | $10,078.90 | ↑ +86% |
| BCBS - TX | Commercial|PPO Trad | $10,111.62 | ↑ +86% |
| Cigna | Commercial|Transplant | $10,854.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $10,854.20 | ↑ +100% |
| Aetna | Commercial|PPO | $10,854.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $10,854.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $11,629.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $11,784.56 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $12,811.06 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $13,180.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $15,506.00 | ↑ +186% |
| NX Health | Commercial|PPO | $17,596.99 | ↑ +224% |
Visitor-reported prices
Comments
Revision open av fistula without thromb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $5,427.10 | $1,929.00 – $15,506.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,080.79 – $9,422.19 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,900.37 – $7,997.37 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,939.15 – $7,997.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,714.76 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,740.70 | $71.00 – $14,611.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,037.35 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,714.76 | $1,939.15 – $13,613.39 |