Tc-99m mertiatide at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$944.65
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.
$2,699.00
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 $2,699.00 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 | ↓ -89% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -89% |
| Cigna | Commercial|HMO | $100.00 | ↓ -89% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $694.51 | ↓ -26% |
| OPTUM | Medicare|All Plans | $728.73 | ↓ -23% |
| United | Commercial|Exchange | $755.72 | ↓ -20% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $872.00 | ↓ -8% |
| United | Commercial|Charter | $890.67 | ↓ -6% |
| OPTUM | Medicaid|STAR | $976.50 | ↑ +3% |
| United | Commercial|PPO | $1,025.62 | ↑ +9% |
| United | Commercial|HMO | $1,025.62 | ↑ +9% |
| BCBS - TX | Commercial|Premier | $1,095.79 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $1,106.59 | ↑ +17% |
| TCH | Commercial|Transplant | $1,214.55 | ↑ +29% |
| United | Commercial|Optum | $1,268.53 | ↑ +34% |
| Shell | Commercial|All Plans | $1,349.50 | ↑ +43% |
| BCBS - TX | Commercial|HMO | $1,427.61 | ↑ +51% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,484.45 | ↑ +57% |
| CHC | Medicaid|HMO | $1,484.45 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,484.45 | ↑ +57% |
| BCBS - TX | Commercial|PPO Trad | $1,543.36 | ↑ +63% |
| Cigna Lifesource | Commercial|Transplant | $1,619.40 | ↑ +71% |
| First Health | Commercial|All Plans | $1,754.35 | ↑ +86% |
| Humana | Commercial|Transplant | $1,754.35 | ↑ +86% |
| Coventry | Commercial|PPO | $1,754.35 | ↑ +86% |
| Healthsmart | Commercial|PPO | $1,889.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,889.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,889.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,024.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $2,229.92 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,294.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $2,699.00 | ↑ +186% |
Visitor-reported prices
Comments
Tc-99m mertiatide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $944.65 | $100.00 – $2,699.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,308.90 – $9,055.57 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,308.90 – $9,055.57 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,308.90 – $9,055.57 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $3,133.94 | $1,308.90 – $9,055.57 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,515.31 | $1,308.90 – $9,055.57 |
| HCA HOUSTON NORTHWEST | SPRING | $2,611.33 | $1,308.90 – $9,055.57 |
| St. Luke's Health - Patients Medical Center | Pasadena | $893.40 | $100.00 – $1,914.42 |