Shoulder X-ray at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$558.60
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.
$1,596.00
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.
$34.75 with Wellpoint vs $1,596.00 with MHealth Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|CHIP | $34.75 | ↓ -94% |
| Wellpoint | Medicaid|STARKIDS | $34.75 | ↓ -94% |
| Wellpoint | Medicaid|All Other Plans | $35.09 | ↓ -94% |
| UNITED | Medicaid|All Other Plans | $35.45 | ↓ -94% |
| UHC | Medicaid|CHIP | $35.79 | ↓ -94% |
| UHC | Medicaid|STARKIDS | $35.79 | ↓ -94% |
| BCBS | Medicaid|All Plans | $36.84 | ↓ -93% |
| CHC | Medicaid|All Other Plans | $39.96 | ↓ -93% |
| Wellpoint | Medicaid|STAR | $46.56 | ↓ -92% |
| UNITED | Medicaid|STAR | $47.61 | ↓ -91% |
| CHC | Medicaid|STAR | $53.52 | ↓ -90% |
| Renaissance | Commercial|All Plans | $63.50 | ↓ -89% |
| Cigna | Commercial|Surefit | $79.98 | ↓ -86% |
| Cigna | Commercial|HMO | $88.09 | ↓ -84% |
| Humana | Medicare|All Other Plans | $88.19 | ↓ -84% |
| Humana | Medicare|TRANSPLANT | $88.19 | ↓ -84% |
| AETNA | Medicare|TRANSPLANT | $88.19 | ↓ -84% |
| CIGNA HEALTHSPRING | Medicare|HMO | $88.19 | ↓ -84% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -84% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -84% |
| CIGNA HEALTHSPRING | Medicare|PPO | $89.07 | ↓ -84% |
| AETNA | Medicare|All Other Plans | $89.95 | ↓ -84% |
| UHC-SecureHorizons | Medicare|All Plans | $89.95 | ↓ -84% |
| Amerivantage | Medicare|All Plans | $90.84 | ↓ -84% |
| SELECTCARE | Medicare|All Plans | $92.60 | ↓ -83% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -83% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -83% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $95.77 | ↓ -83% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $102.95 | ↓ -82% |
| KINDRED | Medicare|All Plans | $105.83 | ↓ -81% |
| Cigna | Commercial|PPO | $108.08 | ↓ -81% |
| UHC | Medicaid|STARPLUS | $108.42 | ↓ -81% |
| UNITED | Medicaid|STARPLUS | $108.42 | ↓ -81% |
| BCBS - TX | Commercial|Transplant | $113.99 | ↓ -80% |
| KelseyCare | Commercial|Exchange | $119.06 | ↓ -79% |
| Employer Direct | Commercial|PPO | $123.47 | ↓ -78% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↓ -76% |
| Superior Health Plan | Commercial|All Plans | $132.28 | ↓ -76% |
| Wellpoint | Commercial|Exchange | $132.28 | ↓ -76% |
| Harris Health | Commercial|ERS | $132.28 | ↓ -76% |
| Community Health Choice | Commercial|All Other Plans | $132.28 | ↓ -76% |
| Bright Health | Commercial|All Plans | $135.27 | ↓ -76% |
| Aetna | Commercial|Exchange | $135.81 | ↓ -76% |
| TCHP | Medicaid|All Other Plans | $175.56 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $175.56 | ↓ -69% |
| BCBS - TX | Commercial|Premier | $213.89 | ↓ -62% |
| TCHP | Medicaid|STAR | $235.26 | ↓ -58% |
| BCBS - TX | Commercial|HMO | $252.20 | ↓ -55% |
| BCBS - TX | Commercial|PPO Trad | $279.34 | ↓ -50% |
| NX Health | Commercial|PPO | $286.62 | ↓ -49% |
| OPTUM | Medicare|All Plans | $430.92 | ↓ -23% |
| OPTUM | Medicaid|STAR | $577.44 | ↑ +3% |
| United | Commercial|Exchange | $582.00 | ↑ +4% |
| TCHPCHIP | Medicaid|HMO | $654.36 | ↑ +17% |
| TCH | Commercial|Transplant | $718.20 | ↑ +29% |
| United | Commercial|Optum | $750.12 | ↑ +34% |
| United | Commercial|Charter | $782.00 | ↑ +40% |
| Shell | Commercial|All Plans | $798.00 | ↑ +43% |
| United | Commercial|PPO | $869.00 | ↑ +56% |
| United | Commercial|HMO | $869.00 | ↑ +56% |
| TEXASTRUECHOICE | Medicaid|CHIP | $877.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $877.80 | ↑ +57% |
| CHC | Medicaid|HMO | $877.80 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $957.60 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $973.56 | ↑ +74% |
| Humana | Commercial|Transplant | $1,037.40 | ↑ +86% |
| Coventry | Commercial|PPO | $1,037.40 | ↑ +86% |
| First Health | Commercial|All Plans | $1,037.40 | ↑ +86% |
| Aetna | Commercial|HMO | $1,117.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,117.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,117.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,117.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,197.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,318.62 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,356.60 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,596.00 | ↑ +186% |
Visitor-reported prices
Comments
Shoulder X-ray at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $558.60 | $34.75 – $1,596.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $34.75 – $151.09 |
| HCA HOUSTON WEST | HOUSTON | not published | $34.39 – $151.09 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $34.75 – $151.09 |
| Adventhealth Rollins Brook | Lampasas | $692.77 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $306.88 | $35.09 – $383.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $344.38 | $70.88 – $516.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $399.22 | $35.09 – $499.02 |