Stent iliac/open/perc/ea ad/ipsila 37223 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$4,956.35
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.
$14,161.00
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.
$100.00 with Cigna vs $14,161.00 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 |
|---|---|---|---|
| Cigna | Commercial|PPO | $100.00 | ↓ -98% |
| Cigna | Commercial|HMO | $100.00 | ↓ -98% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -98% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -82% |
| Aetna | Commercial|HMO | $1,079.00 | ↓ -78% |
| TCHP | Medicaid|STARKIDS | $1,557.71 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $1,557.71 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $1,588.87 | ↓ -68% |
| TCHP | Medicaid|STAR | $2,087.34 | ↓ -58% |
| UNITED | Medicaid|STAR | $2,134.07 | ↓ -57% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -51% |
| Humana | Commercial|HMO | $2,700.00 | ↓ -46% |
| Humana | Commercial|PPO | $2,700.00 | ↓ -46% |
| OPTUM | Medicare|All Plans | $3,823.47 | ↓ -23% |
| United | Commercial|Exchange | $4,848.00 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $4,860.06 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $4,860.06 | ↓ -2% |
| OPTUM | Medicaid|STAR | $5,123.45 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $5,806.01 | ↑ +17% |
| TCH | Commercial|Transplant | $6,372.45 | ↑ +29% |
| United | Commercial|Charter | $6,527.00 | ↑ +32% |
| BCBS - TX | Commercial|Transplant | $6,615.32 | ↑ +33% |
| United | Commercial|Optum | $6,655.67 | ↑ +34% |
| Shell | Commercial|All Plans | $7,080.50 | ↑ +43% |
| United | Commercial|PPO | $7,252.00 | ↑ +46% |
| United | Commercial|HMO | $7,252.00 | ↑ +46% |
| CHC | Medicaid|HMO | $7,788.55 | ↑ +57% |
| CHC | Medicaid|CHIP | $7,788.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $7,788.55 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $8,496.60 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $8,496.60 | ↑ +71% |
| First Health | Commercial|All Plans | $9,204.65 | ↑ +86% |
| Coventry | Commercial|PPO | $9,204.65 | ↑ +86% |
| PHCS | Commercial|PPO | $9,204.65 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $9,204.65 | ↑ +86% |
| Humana | Commercial|Transplant | $9,204.65 | ↑ +86% |
| Healthsmart | Commercial|PPO | $9,912.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $9,912.70 | ↑ +100% |
| Aetna | Commercial|PPO | $9,912.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $9,912.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $10,620.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $10,762.36 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $11,699.82 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $12,036.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $14,161.00 | ↑ +186% |
Visitor-reported prices
Comments
Stent iliac/open/perc/ea ad/ipsila 37223 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $4,956.35 | $100.00 – $14,161.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,391.32 | $4,077.54 – $20,387.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,075.78 | $71.00 – $16,613.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,956.10 | $71.00 – $14,945.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,391.32 | $3,837.68 – $20,387.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,075.78 | $85.00 – $16,613.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,075.78 | $5,722.49 – $16,613.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,956.10 | $71.00 – $17,934.16 |