Tc-99m pentetate dtpa at Baylor St Luke's Medical Center

1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$426.65

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,219.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$28.09 with BCBS - TX vs $1,219.00 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 →

Payer
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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
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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
BCBS - TX Commercial|MyBlue Health Exchange $28.09 ↓ -93%
BCBS - TX Commercial|Blue Advantage Exchange $35.27 ↓ -92%
United Commercial|Exchange $44.15 ↓ -90%
BCBS - TX Commercial|Premier $44.32 ↓ -90%
BCBS - TX Commercial|HMO $57.74 ↓ -86%
United Commercial|HMO $60.55 ↓ -86%
United Commercial|PPO $60.55 ↓ -86%
United Commercial|Charter $60.55 ↓ -86%
BCBS - TX Commercial|PPO Trad $62.42 ↓ -85%
Cigna Commercial|HMO $100.00 ↓ -77%
Cigna Commercial|Surefit $100.00 ↓ -77%
Cigna Commercial|PPO $100.00 ↓ -77%
OPTUM Medicare|All Plans $329.13 ↓ -23%
OPTUM Medicaid|STAR $441.04 ↑ +3%
TCHPCHIP Medicaid|HMO $499.79 ↑ +17%
TCH Commercial|Transplant $548.55 ↑ +29%
United Commercial|Optum $572.93 ↑ +34%
Shell Commercial|All Plans $609.50 ↑ +43%
TEXASTRUECHOICE Medicaid|CHIP $670.45 ↑ +57%
CHC Medicaid|CHIP $670.45 ↑ +57%
CHC Medicaid|HMO $670.45 ↑ +57%
Cigna Lifesource Commercial|Transplant $731.40 ↑ +71%
First Health Commercial|All Plans $792.35 ↑ +86%
Humana Commercial|Transplant $792.35 ↑ +86%
Coventry Commercial|PPO $792.35 ↑ +86%
Interlink Commercial|Transplant $853.30 ↑ +100%
Cigna Commercial|Transplant $853.30 ↑ +100%
Healthsmart Commercial|PPO $853.30 ↑ +100%
MultiPlan Commercial|All Plans $914.25 ↑ +114%
OPTUM Medicaid|STARPLUS $1,007.14 ↑ +136%
USA Health Network Commercial|All Plans $1,036.15 ↑ +143%
MHealth Network Commercial|PPO $1,219.00 ↑ +186%

Visitor-reported prices

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Tc-99m pentetate dtpa at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $1,338.99 $47.39 – $366.22
St. Luke's Health - The Vintage Hospital Houston $426.65 $34.02 – $1,219.00
HCA HOUSTON TOMBALL HOUSTON not published $47.39 – $366.22
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $893.78 $47.39 – $366.22
HCA HOUSTON CONROE CONROE $2,026.43 $47.39 – $366.22
HCA HOUSTON KINGWOOD HUMBLE $1,557.69 $47.39 – $366.22
HCA HOUSTON NORTHWEST SPRING $1,617.17 $47.39 – $366.22
St. Joseph Health Madison Hospital Madisonville $54.95 $25.23 – $282.60

All Texas hospitals for this procedure →