Sm-153 lexidron ther at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$11,563.30
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.
$33,038.00
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.
$3,111.77 with Renaissance vs $33,038.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $3,111.77 | ↓ -73% |
| Humana | Medicare|All Other Plans | $4,321.90 | ↓ -63% |
| Humana | Medicare|TRANSPLANT | $4,321.90 | ↓ -63% |
| BCBS | Medicare|All Plans | $4,321.90 | ↓ -63% |
| AETNA | Medicare|TRANSPLANT | $4,321.90 | ↓ -63% |
| CIGNA HEALTHSPRING | Medicare|HMO | $4,321.90 | ↓ -63% |
| KELSEY | Medicare|All Plans | $4,321.90 | ↓ -63% |
| CIGNA HEALTHSPRING | Medicare|PPO | $4,365.12 | ↓ -62% |
| AETNA | Medicare|All Other Plans | $4,408.34 | ↓ -62% |
| UHC-SecureHorizons | Medicare|All Plans | $4,408.34 | ↓ -62% |
| Amerivantage | Medicare|All Plans | $4,451.56 | ↓ -62% |
| SELECTCARE | Medicare|All Plans | $4,537.99 | ↓ -61% |
| SCANHealth | Medicare|All Plans | $4,624.43 | ↓ -60% |
| DEVOTED | Medicare|All Plans | $4,624.43 | ↓ -60% |
| KINDRED | Medicare|All Plans | $5,186.28 | ↓ -55% |
| KelseyCare | Commercial|Exchange | $5,834.56 | ↓ -50% |
| Employer Direct | Commercial|PPO | $6,050.66 | ↓ -48% |
| Superior Health Plan | Commercial|All Plans | $6,482.85 | ↓ -44% |
| Community Health Choice | Commercial|All Other Plans | $6,482.85 | ↓ -44% |
| Harris Health | Commercial|ERS | $6,482.85 | ↓ -44% |
| Wellpoint | Commercial|Exchange | $6,482.85 | ↓ -44% |
| Community Health Choice | Commercial|Exchange | $6,482.85 | ↓ -44% |
| Aetna | Commercial|Exchange | $6,655.73 | ↓ -42% |
| United | Commercial|Exchange | $7,551.09 | ↓ -35% |
| OPTUM | Medicare|All Plans | $8,920.26 | ↓ -23% |
| United | Commercial|HMO | $10,355.78 | ↓ -10% |
| United | Commercial|PPO | $10,355.78 | ↓ -10% |
| United | Commercial|Charter | $10,355.78 | ↓ -10% |
| OPTUM | Medicaid|STAR | $11,953.15 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $13,545.58 | ↑ +17% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $13,641.09 | ↑ +18% |
| NX Health | Commercial|PPO | $14,046.17 | ↑ +21% |
| TCH | Commercial|Transplant | $14,867.10 | ↑ +29% |
| United | Commercial|Optum | $15,527.86 | ↑ +34% |
| Shell | Commercial|All Plans | $16,519.00 | ↑ +43% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $17,127.15 | ↑ +48% |
| CHC | Medicaid|CHIP | $18,170.90 | ↑ +57% |
| CHC | Medicaid|HMO | $18,170.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $18,170.90 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $19,822.80 | ↑ +71% |
| Humana | Commercial|Transplant | $21,474.70 | ↑ +86% |
| First Health | Commercial|All Plans | $21,474.70 | ↑ +86% |
| Coventry | Commercial|PPO | $21,474.70 | ↑ +86% |
| BCBS - TX | Commercial|Premier | $21,522.61 | ↑ +86% |
| Cigna | Commercial|Transplant | $23,126.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $23,126.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $23,126.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $24,778.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $27,296.00 | ↑ +136% |
| BCBS - TX | Commercial|HMO | $28,040.02 | ↑ +142% |
| USA Health Network | Commercial|All Plans | $28,082.30 | ↑ +143% |
| Bright Health | Commercial|All Plans | $28,261.74 | ↑ +144% |
| BCBS - TX | Commercial|PPO Trad | $30,313.54 | ↑ +162% |
| Cigna | Commercial|PPO | $33,038.00 | ↑ +186% |
| Cigna | Commercial|HMO | $33,038.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $33,038.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $33,038.00 | ↑ +186% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $25,584.87 | $5,213.67 – $146,997.15 |
| St. Luke's Health - The Vintage Hospital | Houston | $11,563.30 | $6,161.69 – $33,038.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,213.67 – $146,997.15 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5,213.67 – $146,997.15 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $30,877.91 | $5,213.67 – $146,997.15 |
| St. Joseph Health Madison Hospital | Madisonville | $5,363.75 | $3,904.81 – $27,585.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,543.50 | $3,883.42 – $10,290.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $11,563.30 | $6,161.69 – $33,038.00 |