Rmvl icd gen w/rplc icd gen mlt lead sys at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$19,072.55
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.
$54,493.00
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.
$1,369.00 with Aetna vs $104,368.94 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 | $1,369.00 | ↓ -93% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↓ -92% |
| Aetna | Commercial|HMO | $1,648.00 | ↓ -91% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -86% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -86% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -83% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -81% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -52% |
| United | Commercial|Exchange | $10,290.00 | ↓ -46% |
| OPTUM | Medicare|All Plans | $14,713.11 | ↓ -23% |
| Shell | Commercial|All Plans | $16,500.00 | ↓ -13% |
| United | Commercial|Charter | $18,933.00 | ↓ -1% |
| OPTUM | Medicaid|STAR | $19,715.57 | ↑ +3% |
| United | Commercial|PPO | $21,036.00 | ↑ +10% |
| United | Commercial|HMO | $21,036.00 | ↑ +10% |
| TCHPCHIP | Medicaid|HMO | $22,342.13 | ↑ +17% |
| TCHP | Medicaid|STARKIDS | $22,898.31 | ↑ +20% |
| Wellpoint | Medicaid|All Other Plans | $22,898.31 | ↑ +20% |
| Wellpoint | Medicaid|STARKIDS | $22,898.31 | ↑ +20% |
| TCHP | Medicaid|All Other Plans | $22,898.31 | ↑ +20% |
| Wellpoint | Medicaid|CHIP | $22,898.31 | ↑ +20% |
| Renaissance | Commercial|All Plans | $23,121.73 | ↑ +21% |
| UHC | Medicaid|CHIP | $23,356.28 | ↑ +22% |
| UHC | Medicaid|STARKIDS | $23,356.28 | ↑ +22% |
| UNITED | Medicaid|All Other Plans | $23,356.28 | ↑ +22% |
| BCBS | Medicaid|All Plans | $24,043.23 | ↑ +26% |
| TCH | Commercial|Transplant | $24,521.85 | ↑ +29% |
| United | Commercial|Optum | $25,611.71 | ↑ +34% |
| CHC | Medicaid|All Other Plans | $26,333.06 | ↑ +38% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $27,117.42 | ↑ +42% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $29,700.03 | ↑ +56% |
| TEXASTRUECHOICE | Medicaid|CHIP | $29,971.15 | ↑ +57% |
| CHC | Medicaid|CHIP | $29,971.15 | ↑ +57% |
| CHC | Medicaid|HMO | $29,971.15 | ↑ +57% |
| Wellpoint | Medicaid|STAR | $30,683.74 | ↑ +61% |
| TCHP | Medicaid|STAR | $30,683.74 | ↑ +61% |
| UNITED | Medicaid|STAR | $31,370.68 | ↑ +64% |
| CIGNA HEALTHSPRING | Medicare|HMO | $32,113.52 | ↑ +68% |
| Humana | Medicare|All Other Plans | $32,113.52 | ↑ +68% |
| AETNA | Medicare|TRANSPLANT | $32,113.52 | ↑ +68% |
| Humana | Medicare|TRANSPLANT | $32,113.52 | ↑ +68% |
| BCBS | Medicare|All Plans | $32,113.52 | ↑ +68% |
| KELSEY | Medicare|All Plans | $32,113.52 | ↑ +68% |
| CIGNA HEALTHSPRING | Medicare|PPO | $32,434.66 | ↑ +70% |
| Independent Med System | Commercial|All Plans | $32,695.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $32,695.80 | ↑ +71% |
| AETNA | Medicare|All Other Plans | $32,755.79 | ↑ +72% |
| UHC-SecureHorizons | Medicare|All Plans | $32,755.79 | ↑ +72% |
| Amerivantage | Medicare|All Plans | $33,076.93 | ↑ +73% |
| SELECTCARE | Medicare|All Plans | $33,719.20 | ↑ +77% |
| SCANHealth | Medicare|All Plans | $34,361.47 | ↑ +80% |
| DEVOTED | Medicare|All Plans | $34,361.47 | ↑ +80% |
| CHC | Medicaid|STAR | $35,263.40 | ↑ +85% |
| Humana | Commercial|Transplant | $35,420.45 | ↑ +86% |
| First Health | Commercial|All Plans | $35,420.45 | ↑ +86% |
| Coventry | Commercial|PPO | $35,420.45 | ↑ +86% |
| PHCS | Commercial|PPO | $35,420.45 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $35,420.45 | ↑ +86% |
| Healthsmart | Commercial|PPO | $38,145.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $38,145.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $38,145.10 | ↑ +100% |
| Aetna | Commercial|PPO | $38,145.10 | ↑ +100% |
| KINDRED | Medicare|All Plans | $38,536.22 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $40,869.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $41,414.68 | ↑ +117% |
| BCBS - TX | Commercial|Transplant | $41,853.84 | ↑ +119% |
| KelseyCare | Commercial|Exchange | $43,353.25 | ↑ +127% |
| Employer Direct | Commercial|PPO | $44,958.93 | ↑ +136% |
| OPTUM | Medicaid|STARPLUS | $45,022.12 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $46,319.05 | ↑ +143% |
| Superior Health Plan | Commercial|All Plans | $48,170.28 | ↑ +153% |
| Community Health Choice | Commercial|Exchange | $48,170.28 | ↑ +153% |
| Harris Health | Commercial|ERS | $48,170.28 | ↑ +153% |
| Community Health Choice | Commercial|All Other Plans | $48,170.28 | ↑ +153% |
| Wellpoint | Commercial|Exchange | $48,170.28 | ↑ +153% |
| Aetna | Commercial|Exchange | $49,454.82 | ↑ +159% |
| BCBS - TX | Commercial|Premier | $53,912.01 | ↑ +183% |
| MHealth Network | Commercial|PPO | $54,493.00 | ↑ +186% |
| Bright Health | Commercial|All Plans | $54,930.81 | ↑ +188% |
| BCBS - TX | Commercial|HMO | $65,856.59 | ↑ +245% |
| BCBS - TX | Commercial|PPO Trad | $71,021.81 | ↑ +272% |
| UNITED | Medicaid|STARPLUS | $71,442.73 | ↑ +275% |
| UHC | Medicaid|STARPLUS | $71,442.73 | ↑ +275% |
| NX Health | Commercial|PPO | $104,368.94 | ↑ +447% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $174,418.45 | $23,356.28 – $66,179.41 |
| HCA HOUSTON WEST | HOUSTON | $50,681.00 | $21,331.12 – $56,171.79 |
| St. Luke's Health - The Vintage Hospital | Houston | $19,072.55 | $14,713.11 – $54,493.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $170,281.46 | $21,766.45 – $56,171.79 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $44,390.75 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $43,215.38 | $8,895.17 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $44,390.75 | $19,034.00 – $81,499.55 |