Tc-99m disofenin at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$63.70
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.
$182.00
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.
$49.14 with OPTUM vs $182.00 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $49.14 | ↓ -23% |
| United | Commercial|Exchange | $50.96 | ↓ -20% |
| United | Commercial|Charter | $60.06 | ↓ -6% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $62.75 | ↓ -1% |
| OPTUM | Medicaid|STAR | $65.85 | ↑ +3% |
| United | Commercial|HMO | $69.16 | ↑ +9% |
| United | Commercial|PPO | $69.16 | ↑ +9% |
| TCHPCHIP | Medicaid|HMO | $74.62 | ↑ +17% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $78.78 | ↑ +24% |
| TCH | Commercial|Transplant | $81.90 | ↑ +29% |
| United | Commercial|Optum | $85.54 | ↑ +34% |
| Shell | Commercial|All Plans | $91.00 | ↑ +43% |
| BCBS - TX | Commercial|Premier | $99.00 | ↑ +55% |
| Cigna | Commercial|HMO | $100.00 | ↑ +57% |
| Cigna | Commercial|PPO | $100.00 | ↑ +57% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $100.10 | ↑ +57% |
| CHC | Medicaid|HMO | $100.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $100.10 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $109.20 | ↑ +71% |
| Coventry | Commercial|PPO | $118.30 | ↑ +86% |
| Humana | Commercial|Transplant | $118.30 | ↑ +86% |
| First Health | Commercial|All Plans | $118.30 | ↑ +86% |
| Healthsmart | Commercial|PPO | $127.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $127.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $127.40 | ↑ +100% |
| BCBS - TX | Commercial|HMO | $128.98 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $136.50 | ↑ +114% |
| BCBS - TX | Commercial|PPO Trad | $139.44 | ↑ +119% |
| OPTUM | Medicaid|STARPLUS | $150.37 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $154.70 | ↑ +143% |
| MHealth Network | Commercial|PPO | $182.00 | ↑ +186% |
Visitor-reported prices
Comments
Tc-99m disofenin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $63.70 | $47.32 – $182.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $101.95 – $818.16 |
| HCA HOUSTON WEST | HOUSTON | not published | $101.95 – $818.16 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $101.95 – $818.16 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $893.78 | $101.95 – $818.16 |
| St. Joseph Health Madison Hospital | Madisonville | $85.40 | $59.84 – $439.20 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $63.70 | $47.32 – $182.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $63.70 | $47.32 – $182.00 |