Sinus CT scan (with and without contrast) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$1,822.80
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.
$5,208.00
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.
$128.38 with Renaissance vs $5,208.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $128.38 | ↓ -93% |
| Wellpoint | Medicaid|All Other Plans | $175.06 | ↓ -90% |
| KELSEY | Medicare|All Plans | $178.31 | ↓ -90% |
| BCBS | Medicare|All Plans | $178.31 | ↓ -90% |
| Humana | Medicare|All Other Plans | $178.31 | ↓ -90% |
| Humana | Medicare|TRANSPLANT | $178.31 | ↓ -90% |
| CIGNA HEALTHSPRING | Medicare|HMO | $178.31 | ↓ -90% |
| AETNA | Medicare|TRANSPLANT | $178.31 | ↓ -90% |
| UHC | Medicaid|CHIP | $178.56 | ↓ -90% |
| UHC | Medicaid|STARKIDS | $178.56 | ↓ -90% |
| CIGNA HEALTHSPRING | Medicare|PPO | $180.09 | ↓ -90% |
| Wellpoint | Medicaid|STARKIDS | $180.34 | ↓ -90% |
| Wellpoint | Medicaid|CHIP | $180.34 | ↓ -90% |
| AETNA | Medicare|All Other Plans | $181.88 | ↓ -90% |
| UHC-SecureHorizons | Medicare|All Plans | $181.88 | ↓ -90% |
| Amerivantage | Medicare|All Plans | $183.66 | ↓ -90% |
| BCBS | Medicaid|All Plans | $183.81 | ↓ -90% |
| UNITED | Medicaid|All Other Plans | $183.95 | ↓ -90% |
| SELECTCARE | Medicare|All Plans | $187.23 | ↓ -90% |
| DEVOTED | Medicare|All Plans | $190.79 | ↓ -90% |
| SCANHealth | Medicare|All Plans | $190.79 | ↓ -90% |
| CHC | Medicaid|All Other Plans | $207.39 | ↓ -89% |
| KINDRED | Medicare|All Plans | $213.97 | ↓ -88% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $218.66 | ↓ -88% |
| KelseyCare | Commercial|Exchange | $240.72 | ↓ -87% |
| Wellpoint | Medicaid|STAR | $241.66 | ↓ -87% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $244.17 | ↓ -87% |
| UNITED | Medicaid|STAR | $247.07 | ↓ -86% |
| Employer Direct | Commercial|PPO | $249.63 | ↓ -86% |
| Wellpoint | Commercial|Exchange | $267.46 | ↓ -85% |
| Community Health Choice | Commercial|Exchange | $267.46 | ↓ -85% |
| Community Health Choice | Commercial|All Other Plans | $267.46 | ↓ -85% |
| Superior Health Plan | Commercial|All Plans | $267.46 | ↓ -85% |
| Harris Health | Commercial|ERS | $267.46 | ↓ -85% |
| Aetna | Commercial|Exchange | $274.60 | ↓ -85% |
| CHC | Medicaid|STAR | $277.72 | ↓ -85% |
| Bright Health | Commercial|All Plans | $298.72 | ↓ -84% |
| BCBS - TX | Commercial|Premier | $488.35 | ↓ -73% |
| Cigna | Commercial|Surefit | $507.00 | ↓ -72% |
| Cigna | Commercial|HMO | $559.00 | ↓ -69% |
| UHC | Medicaid|STARPLUS | $562.66 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $562.66 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $572.88 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $572.88 | ↓ -69% |
| NX Health | Commercial|PPO | $579.51 | ↓ -68% |
| Aetna | Commercial|Transplant | $590.00 | ↓ -68% |
| BCBS - TX | Commercial|HMO | $750.75 | ↓ -59% |
| Aetna | Commercial|PPO | $761.00 | ↓ -58% |
| TCHP | Medicaid|STAR | $767.66 | ↓ -58% |
| BCBS - TX | Commercial|Transplant | $784.21 | ↓ -57% |
| BCBS - TX | Commercial|PPO Trad | $794.48 | ↓ -56% |
| Humana | Commercial|PPO | $800.00 | ↓ -56% |
| Humana | Commercial|HMO | $800.00 | ↓ -56% |
| Healthsmart | Commercial|AP3 | $900.00 | ↓ -51% |
| KelseyCare | Commercial|All Other Plans | $1,154.70 | ↓ -37% |
| United | Commercial|Exchange | $1,264.00 | ↓ -31% |
| Cigna | Commercial|PPO | $1,405.00 | ↓ -23% |
| OPTUM | Medicare|All Plans | $1,406.16 | ↓ -23% |
| United | Commercial|Charter | $1,703.00 | ↓ -7% |
| OPTUM | Medicaid|STAR | $1,884.26 | ↑ +3% |
| United | Commercial|HMO | $1,891.00 | ↑ +4% |
| United | Commercial|PPO | $1,891.00 | ↑ +4% |
| TCHPCHIP | Medicaid|HMO | $2,135.28 | ↑ +17% |
| TCH | Commercial|Transplant | $2,343.60 | ↑ +29% |
| United | Commercial|Optum | $2,447.76 | ↑ +34% |
| Shell | Commercial|All Plans | $2,604.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $2,864.40 | ↑ +57% |
| CHC | Medicaid|HMO | $2,864.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,864.40 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $3,124.80 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $3,176.88 | ↑ +74% |
| Coventry | Commercial|PPO | $3,385.20 | ↑ +86% |
| Humana | Commercial|Transplant | $3,385.20 | ↑ +86% |
| First Health | Commercial|All Plans | $3,385.20 | ↑ +86% |
| Aetna | Commercial|HMO | $3,645.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,645.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,645.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,645.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,906.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $4,302.85 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $4,426.80 | ↑ +143% |
| MHealth Network | Commercial|PPO | $5,208.00 | ↑ +186% |
Visitor-reported prices
Comments
Sinus CT scan (with and without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $1,822.80 | $175.06 – $5,208.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $180.34 – $391.77 |
| HCA HOUSTON WEST | HOUSTON | not published | $171.56 – $364.44 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $175.06 – $391.77 |
| Adventhealth Rollins Brook | Lampasas | $3,486.14 | $849.15 – $849.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,908.20 | $167.39 – $2,385.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,908.25 | $236.02 – $2,862.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,265.86 | $167.39 – $2,832.32 |