Tc-99m exametazime diag at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,135.70
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.
$6,102.00
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 $6,102.00 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 | ↓ -95% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -95% |
| Cigna | Commercial|HMO | $100.00 | ↓ -95% |
| Renaissance | Commercial|All Plans | $578.62 | ↓ -73% |
| CIGNA HEALTHSPRING | Medicare|HMO | $803.64 | ↓ -62% |
| BCBS | Medicare|All Plans | $803.64 | ↓ -62% |
| Humana | Medicare|All Other Plans | $803.64 | ↓ -62% |
| Humana | Medicare|TRANSPLANT | $803.64 | ↓ -62% |
| AETNA | Medicare|TRANSPLANT | $803.64 | ↓ -62% |
| KELSEY | Medicare|All Plans | $803.64 | ↓ -62% |
| CIGNA HEALTHSPRING | Medicare|PPO | $811.68 | ↓ -62% |
| AETNA | Medicare|All Other Plans | $819.71 | ↓ -62% |
| UHC-SecureHorizons | Medicare|All Plans | $819.71 | ↓ -62% |
| Amerivantage | Medicare|All Plans | $827.75 | ↓ -61% |
| SELECTCARE | Medicare|All Plans | $843.82 | ↓ -60% |
| DEVOTED | Medicare|All Plans | $859.89 | ↓ -60% |
| SCANHealth | Medicare|All Plans | $859.89 | ↓ -60% |
| KINDRED | Medicare|All Plans | $964.37 | ↓ -55% |
| KelseyCare | Commercial|Exchange | $1,084.91 | ↓ -49% |
| Employer Direct | Commercial|PPO | $1,125.10 | ↓ -47% |
| Superior Health Plan | Commercial|All Plans | $1,205.46 | ↓ -44% |
| Harris Health | Commercial|ERS | $1,205.46 | ↓ -44% |
| Community Health Choice | Commercial|Exchange | $1,205.46 | ↓ -44% |
| Wellpoint | Commercial|Exchange | $1,205.46 | ↓ -44% |
| Community Health Choice | Commercial|All Other Plans | $1,205.46 | ↓ -44% |
| Aetna | Commercial|Exchange | $1,237.61 | ↓ -42% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,305.13 | ↓ -39% |
| United | Commercial|Exchange | $1,404.10 | ↓ -34% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,638.66 | ↓ -23% |
| OPTUM | Medicare|All Plans | $1,647.54 | ↓ -23% |
| United | Commercial|HMO | $1,925.62 | ↓ -10% |
| United | Commercial|PPO | $1,925.62 | ↓ -10% |
| United | Commercial|Charter | $1,925.62 | ↓ -10% |
| BCBS - TX | Commercial|Premier | $2,059.20 | ↓ -4% |
| OPTUM | Medicaid|STAR | $2,207.71 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $2,501.82 | ↑ +17% |
| NX Health | Commercial|PPO | $2,611.83 | ↑ +22% |
| BCBS - TX | Commercial|HMO | $2,682.76 | ↑ +26% |
| TCH | Commercial|Transplant | $2,745.90 | ↑ +29% |
| United | Commercial|Optum | $2,867.94 | ↑ +34% |
| BCBS - TX | Commercial|PPO Trad | $2,900.28 | ↑ +36% |
| Shell | Commercial|All Plans | $3,051.00 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,356.10 | ↑ +57% |
| CHC | Medicaid|HMO | $3,356.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,356.10 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $3,661.20 | ↑ +71% |
| Humana | Commercial|Transplant | $3,966.30 | ↑ +86% |
| First Health | Commercial|All Plans | $3,966.30 | ↑ +86% |
| Coventry | Commercial|PPO | $3,966.30 | ↑ +86% |
| Interlink | Commercial|Transplant | $4,271.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $4,271.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,271.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $4,576.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $5,041.48 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $5,186.70 | ↑ +143% |
| MHealth Network | Commercial|PPO | $6,102.00 | ↑ +186% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,135.70 | $100.00 – $6,102.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,530.72 – $17,017.34 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,530.72 – $17,017.34 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,530.72 – $17,017.34 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,053.47 | $1,530.72 – $17,017.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,497.16 | $1,530.72 – $17,017.34 |
| HCA HOUSTON NORTHWEST | SPRING | $6,745.24 | $1,530.72 – $17,017.34 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,389.91 | $100.00 – $5,121.00 |