Skin Biopsy at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$285.95
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.
$817.00
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.
$67.57 with Wellpoint vs $2,172.00 with United — 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|STARKIDS | $67.57 | ↓ -76% |
| Wellpoint | Medicaid|All Other Plans | $67.57 | ↓ -76% |
| TCHP | Medicaid|STARKIDS | $67.57 | ↓ -76% |
| Wellpoint | Medicaid|CHIP | $67.57 | ↓ -76% |
| TCHP | Medicaid|All Other Plans | $67.57 | ↓ -76% |
| UHC | Medicaid|CHIP | $68.92 | ↓ -76% |
| UNITED | Medicaid|All Other Plans | $68.92 | ↓ -76% |
| UHC | Medicaid|STARKIDS | $68.92 | ↓ -76% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $69.73 | ↓ -76% |
| BCBS | Medicaid|All Plans | $70.95 | ↓ -75% |
| CHC | Medicaid|All Other Plans | $77.71 | ↓ -73% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $81.85 | ↓ -71% |
| TCHP | Medicaid|STAR | $90.54 | ↓ -68% |
| Wellpoint | Medicaid|STAR | $90.54 | ↓ -68% |
| UNITED | Medicaid|STAR | $92.57 | ↓ -68% |
| Humana | Commercial|HMO | $100.00 | ↓ -65% |
| Humana | Commercial|PPO | $100.00 | ↓ -65% |
| CHC | Medicaid|STAR | $104.06 | ↓ -64% |
| BCBS - TX | Commercial|Premier | $126.57 | ↓ -56% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -51% |
| Renaissance | Commercial|All Plans | $143.29 | ↓ -50% |
| Cigna | Commercial|HMO | $154.00 | ↓ -46% |
| BCBS - TX | Commercial|HMO | $162.95 | ↓ -43% |
| BCBS - TX | Commercial|PPO Trad | $173.56 | ↓ -39% |
| KELSEY | Medicare|All Plans | $199.02 | ↓ -30% |
| Humana | Medicare|All Other Plans | $199.02 | ↓ -30% |
| CIGNA HEALTHSPRING | Medicare|HMO | $199.02 | ↓ -30% |
| Humana | Medicare|TRANSPLANT | $199.02 | ↓ -30% |
| BCBS | Medicare|All Plans | $199.02 | ↓ -30% |
| AETNA | Medicare|TRANSPLANT | $199.02 | ↓ -30% |
| CIGNA HEALTHSPRING | Medicare|PPO | $201.01 | ↓ -30% |
| UHC-SecureHorizons | Medicare|All Plans | $203.00 | ↓ -29% |
| AETNA | Medicare|All Other Plans | $203.00 | ↓ -29% |
| Amerivantage | Medicare|All Plans | $204.99 | ↓ -28% |
| SELECTCARE | Medicare|All Plans | $208.97 | ↓ -27% |
| UHC | Medicaid|STARPLUS | $210.82 | ↓ -26% |
| UNITED | Medicaid|STARPLUS | $210.82 | ↓ -26% |
| DEVOTED | Medicare|All Plans | $212.95 | ↓ -26% |
| SCANHealth | Medicare|All Plans | $212.95 | ↓ -26% |
| OPTUM | Medicare|All Plans | $220.59 | ↓ -23% |
| KINDRED | Medicare|All Plans | $238.82 | ↓ -16% |
| KelseyCare | Commercial|Exchange | $268.68 | ↓ -6% |
| Employer Direct | Commercial|PPO | $278.63 | ↓ -3% |
| OPTUM | Medicaid|STAR | $295.60 | ↑ +3% |
| Wellpoint | Commercial|Exchange | $298.53 | ↑ +4% |
| Community Health Choice | Commercial|Exchange | $298.53 | ↑ +4% |
| Harris Health | Commercial|ERS | $298.53 | ↑ +4% |
| Superior Health Plan | Commercial|All Plans | $298.53 | ↑ +4% |
| Community Health Choice | Commercial|All Other Plans | $298.53 | ↑ +4% |
| Bright Health | Commercial|All Plans | $300.30 | ↑ +5% |
| Aetna | Commercial|Exchange | $306.49 | ↑ +7% |
| TCHPCHIP | Medicaid|HMO | $334.97 | ↑ +17% |
| TCH | Commercial|Transplant | $367.65 | ↑ +29% |
| United | Commercial|Optum | $383.99 | ↑ +34% |
| Cigna | Commercial|PPO | $387.00 | ↑ +35% |
| Shell | Commercial|All Plans | $408.50 | ↑ +43% |
| CHC | Medicaid|HMO | $449.35 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $449.35 | ↑ +57% |
| CHC | Medicaid|CHIP | $449.35 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $490.20 | ↑ +71% |
| Coventry | Commercial|PPO | $531.05 | ↑ +86% |
| PHCS | Commercial|PPO | $531.05 | ↑ +86% |
| First Health | Commercial|All Plans | $531.05 | ↑ +86% |
| Humana | Commercial|Transplant | $531.05 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $571.90 | ↑ +100% |
| Aetna | Commercial|PPO | $571.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $571.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $571.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $571.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $612.75 | ↑ +114% |
| NX Health | Commercial|PPO | $646.82 | ↑ +126% |
| OPTUM | Medicaid|STARPLUS | $675.01 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $694.45 | ↑ +143% |
| MHealth Network | Commercial|PPO | $817.00 | ↑ +186% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +213% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +277% |
| United | Commercial|Exchange | $1,452.00 | ↑ +408% |
| United | Commercial|Charter | $1,955.00 | ↑ +584% |
| United | Commercial|HMO | $2,172.00 | ↑ +660% |
| United | Commercial|PPO | $2,172.00 | ↑ +660% |
Visitor-reported prices
Comments
Skin Biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $285.95 | $90.00 – $817.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $68.92 – $547.20 |
| HCA HOUSTON WEST | HOUSTON | not published | $62.95 – $547.20 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $64.23 – $547.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $269.02 | $64.23 – $878.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $360.34 | $68.73 – $540.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $360.34 | $64.23 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $269.02 | $64.23 – $878.00 |