Rmvl icd gen w/rplc icd gen sgl lead sys at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$12,778.85
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.
$36,511.00
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 $73,068.29 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 | ↓ -89% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↓ -88% |
| Aetna | Commercial|HMO | $1,648.00 | ↓ -87% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -79% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -79% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -74% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -71% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -28% |
| OPTUM | Medicare|All Plans | $9,857.97 | ↓ -23% |
| United | Commercial|Exchange | $10,290.00 | ↓ -19% |
| OPTUM | Medicaid|STAR | $13,209.68 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $14,969.51 | ↑ +17% |
| Renaissance | Commercial|All Plans | $16,187.44 | ↑ +27% |
| TCH | Commercial|Transplant | $16,429.95 | ↑ +29% |
| Shell | Commercial|All Plans | $16,500.00 | ↑ +29% |
| Wellpoint | Medicaid|All Other Plans | $17,019.32 | ↑ +33% |
| TCHP | Medicaid|STARKIDS | $17,019.32 | ↑ +33% |
| TCHP | Medicaid|All Other Plans | $17,019.32 | ↑ +33% |
| Wellpoint | Medicaid|STARKIDS | $17,019.32 | ↑ +33% |
| Wellpoint | Medicaid|CHIP | $17,019.32 | ↑ +33% |
| United | Commercial|Optum | $17,160.17 | ↑ +34% |
| UHC | Medicaid|CHIP | $17,359.71 | ↑ +36% |
| UHC | Medicaid|STARKIDS | $17,359.71 | ↑ +36% |
| UNITED | Medicaid|All Other Plans | $17,359.71 | ↑ +36% |
| BCBS | Medicaid|All Plans | $17,870.29 | ↑ +40% |
| United | Commercial|Charter | $18,933.00 | ↑ +48% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $19,078.83 | ↑ +49% |
| CHC | Medicaid|All Other Plans | $19,572.22 | ↑ +53% |
| CHC | Medicaid|HMO | $20,081.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $20,081.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $20,081.05 | ↑ +57% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $20,895.86 | ↑ +64% |
| United | Commercial|HMO | $21,036.00 | ↑ +65% |
| United | Commercial|PPO | $21,036.00 | ↑ +65% |
| Independent Med System | Commercial|All Plans | $21,906.60 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $21,906.60 | ↑ +71% |
| KELSEY | Medicare|All Plans | $22,482.55 | ↑ +76% |
| Humana | Medicare|All Other Plans | $22,482.55 | ↑ +76% |
| Humana | Medicare|TRANSPLANT | $22,482.55 | ↑ +76% |
| BCBS | Medicare|All Plans | $22,482.55 | ↑ +76% |
| AETNA | Medicare|TRANSPLANT | $22,482.55 | ↑ +76% |
| CIGNA HEALTHSPRING | Medicare|HMO | $22,482.55 | ↑ +76% |
| CIGNA HEALTHSPRING | Medicare|PPO | $22,707.38 | ↑ +78% |
| Wellpoint | Medicaid|STAR | $22,805.89 | ↑ +78% |
| TCHP | Medicaid|STAR | $22,805.89 | ↑ +78% |
| AETNA | Medicare|All Other Plans | $22,932.20 | ↑ +79% |
| UHC-SecureHorizons | Medicare|All Plans | $22,932.20 | ↑ +79% |
| Amerivantage | Medicare|All Plans | $23,157.03 | ↑ +81% |
| UNITED | Medicaid|STAR | $23,316.47 | ↑ +82% |
| SELECTCARE | Medicare|All Plans | $23,606.68 | ↑ +85% |
| PHCS | Commercial|PPO | $23,732.15 | ↑ +86% |
| Coventry | Commercial|PPO | $23,732.15 | ↑ +86% |
| First Health | Commercial|All Plans | $23,732.15 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $23,732.15 | ↑ +86% |
| Humana | Commercial|Transplant | $23,732.15 | ↑ +86% |
| DEVOTED | Medicare|All Plans | $24,056.33 | ↑ +88% |
| SCANHealth | Medicare|All Plans | $24,056.33 | ↑ +88% |
| Healthsmart | Commercial|PPO | $25,557.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $25,557.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $25,557.70 | ↑ +100% |
| Aetna | Commercial|PPO | $25,557.70 | ↑ +100% |
| CHC | Medicaid|STAR | $26,209.75 | ↑ +105% |
| KINDRED | Medicare|All Plans | $26,979.06 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $27,383.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $27,748.36 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $30,165.39 | ↑ +136% |
| KelseyCare | Commercial|Exchange | $30,351.44 | ↑ +138% |
| USA Health Network | Commercial|All Plans | $31,034.35 | ↑ +143% |
| Employer Direct | Commercial|PPO | $31,475.57 | ↑ +146% |
| Community Health Choice | Commercial|All Other Plans | $33,723.82 | ↑ +164% |
| Wellpoint | Commercial|Exchange | $33,723.82 | ↑ +164% |
| Harris Health | Commercial|ERS | $33,723.82 | ↑ +164% |
| Superior Health Plan | Commercial|All Plans | $33,723.82 | ↑ +164% |
| Community Health Choice | Commercial|Exchange | $33,723.82 | ↑ +164% |
| Aetna | Commercial|Exchange | $34,623.13 | ↑ +171% |
| MHealth Network | Commercial|PPO | $36,511.00 | ↑ +186% |
| BCBS - TX | Commercial|Premier | $37,930.53 | ↑ +197% |
| Bright Health | Commercial|All Plans | $38,562.79 | ↑ +202% |
| BCBS - TX | Commercial|Transplant | $41,853.84 | ↑ +228% |
| BCBS - TX | Commercial|HMO | $46,334.30 | ↑ +263% |
| BCBS - TX | Commercial|PPO Trad | $49,968.36 | ↑ +291% |
| UHC | Medicaid|STARPLUS | $53,100.28 | ↑ +316% |
| UNITED | Medicaid|STARPLUS | $53,100.28 | ↑ +316% |
| NX Health | Commercial|PPO | $73,068.29 | ↑ +472% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $179,438.58 | $17,359.71 – $46,561.42 |
| HCA HOUSTON WEST | HOUSTON | $39,861.00 | $15,854.50 – $39,520.43 |
| St. Luke's Health - The Vintage Hospital | Houston | $12,778.85 | $9,857.97 – $36,511.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $174,641.55 | $16,178.06 – $39,520.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38,067.53 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46,872.23 | $9,647.87 – $70,308.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38,067.53 | $16,178.06 – $58,392.49 |