Rmvl perq right heart vad at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,355.85
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.
$6,731.00
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.
$114.94 with BCBS - TX vs $9,158.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Premier | $114.94 | ↓ -95% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $157.83 | ↓ -93% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $185.27 | ↓ -92% |
| BCBS - TX | Commercial|HMO | $368.83 | ↓ -84% |
| BCBS - TX | Commercial|PPO Trad | $392.85 | ↓ -83% |
| TCHP | Medicaid|STARKIDS | $740.41 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $740.41 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $755.22 | ↓ -68% |
| TCHP | Medicaid|STAR | $992.15 | ↓ -58% |
| UNITED | Medicaid|STAR | $1,014.37 | ↓ -57% |
| OPTUM | Medicare|All Plans | $1,817.37 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $2,310.08 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $2,310.08 | ↓ -2% |
| OPTUM | Medicaid|STAR | $2,435.28 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $2,759.71 | ↑ +17% |
| TCH | Commercial|Transplant | $3,028.95 | ↑ +29% |
| United | Commercial|Exchange | $3,128.00 | ↑ +33% |
| United | Commercial|Optum | $3,163.57 | ↑ +34% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +40% |
| Shell | Commercial|All Plans | $3,365.50 | ↑ +43% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +55% |
| CHC | Medicaid|HMO | $3,702.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,702.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,702.05 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $4,038.60 | ↑ +71% |
| United | Commercial|Charter | $4,211.00 | ↑ +79% |
| Humana | Commercial|Transplant | $4,375.15 | ↑ +86% |
| Coventry | Commercial|PPO | $4,375.15 | ↑ +86% |
| First Health | Commercial|All Plans | $4,375.15 | ↑ +86% |
| United | Commercial|HMO | $4,680.00 | ↑ +99% |
| United | Commercial|PPO | $4,680.00 | ↑ +99% |
| Healthsmart | Commercial|PPO | $4,711.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $4,711.70 | ↑ +100% |
| Aetna | Commercial|PPO | $4,711.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,711.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $5,048.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $5,561.16 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $5,721.35 | ↑ +143% |
| MHealth Network | Commercial|PPO | $6,731.00 | ↑ +186% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +289% |
Visitor-reported prices
Comments
Rmvl perq right heart vad at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $11,603.42 | $1,573.11 – $1,573.11 |
| HCA HOUSTON WEST | HOUSTON | $12,587.00 | $1,573.11 – $1,573.11 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,355.85 | $538.48 – $6,731.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,573.11 – $1,573.11 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,633.06 | $289.92 – $6,563.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $547.93 | $112.78 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $476.46 | $95.29 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,633.06 | $212.72 – $7,038.00 |