Therapy nutrition individual initial f2f w/patient each 15 minutes at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$37.45
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.
$107.00
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.
$17.55 with OPTUM vs $526.00 with United — 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 | $17.55 | ↓ -53% |
| OPTUM | Medicaid|STAR | $23.52 | ↓ -37% |
| Renaissance | Commercial|All Plans | $25.93 | ↓ -31% |
| TCHPCHIP | Medicaid|HMO | $26.65 | ↓ -29% |
| TCH | Commercial|Transplant | $29.25 | ↓ -22% |
| United | Commercial|Optum | $30.55 | ↓ -18% |
| Shell | Commercial|All Plans | $32.50 | ↓ -13% |
| CHC | Medicaid|CHIP | $35.75 | ↓ -5% |
| TEXASTRUECHOICE | Medicaid|CHIP | $35.75 | ↓ -5% |
| CHC | Medicaid|HMO | $35.75 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|HMO | $36.01 | ↓ -4% |
| Humana | Medicare|All Other Plans | $36.01 | ↓ -4% |
| Humana | Medicare|TRANSPLANT | $36.01 | ↓ -4% |
| AETNA | Medicare|TRANSPLANT | $36.01 | ↓ -4% |
| KELSEY | Medicare|All Plans | $36.01 | ↓ -4% |
| BCBS | Medicare|All Plans | $36.01 | ↓ -4% |
| CIGNA HEALTHSPRING | Medicare|PPO | $36.37 | ↓ -3% |
| UHC-SecureHorizons | Medicare|All Plans | $36.73 | ↓ -2% |
| AETNA | Medicare|All Other Plans | $36.73 | ↓ -2% |
| Amerivantage | Medicare|All Plans | $37.09 | ↓ -1% |
| SELECTCARE | Medicare|All Plans | $37.81 | ↑ +1% |
| DEVOTED | Medicare|All Plans | $38.53 | ↑ +3% |
| SCANHealth | Medicare|All Plans | $38.53 | ↑ +3% |
| Cigna Lifesource | Commercial|Transplant | $39.00 | ↑ +4% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $40.83 | ↑ +9% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $41.52 | ↑ +11% |
| Humana | Commercial|Transplant | $42.25 | ↑ +13% |
| First Health | Commercial|All Plans | $42.25 | ↑ +13% |
| Coventry | Commercial|PPO | $42.25 | ↑ +13% |
| KINDRED | Medicare|All Plans | $43.21 | ↑ +15% |
| Healthsmart | Commercial|PPO | $45.50 | ↑ +21% |
| Interlink | Commercial|Transplant | $45.50 | ↑ +21% |
| Cigna | Commercial|Transplant | $45.50 | ↑ +21% |
| KelseyCare | Commercial|Exchange | $48.61 | ↑ +30% |
| MultiPlan | Commercial|All Plans | $48.75 | ↑ +30% |
| BCBS - TX | Commercial|Transplant | $49.34 | ↑ +32% |
| Employer Direct | Commercial|PPO | $50.41 | ↑ +35% |
| OPTUM | Medicaid|STARPLUS | $53.71 | ↑ +43% |
| Superior Health Plan | Commercial|All Plans | $54.02 | ↑ +44% |
| Community Health Choice | Commercial|All Other Plans | $54.02 | ↑ +44% |
| Community Health Choice | Commercial|Exchange | $54.02 | ↑ +44% |
| Harris Health | Commercial|ERS | $54.02 | ↑ +44% |
| Wellpoint | Commercial|Exchange | $54.02 | ↑ +44% |
| USA Health Network | Commercial|All Plans | $55.25 | ↑ +48% |
| Aetna | Commercial|Exchange | $55.46 | ↑ +48% |
| Bright Health | Commercial|All Plans | $63.39 | ↑ +69% |
| Cigna | Commercial|PPO | $65.00 | ↑ +74% |
| BCBS - TX | Commercial|HMO | $65.00 | ↑ +74% |
| BCBS - TX | Commercial|PPO Trad | $65.00 | ↑ +74% |
| BCBS - TX | Commercial|Premier | $65.00 | ↑ +74% |
| MHealth Network | Commercial|PPO | $65.00 | ↑ +74% |
| Cigna | Commercial|Surefit | $65.00 | ↑ +74% |
| Cigna | Commercial|HMO | $65.00 | ↑ +74% |
| NX Health | Commercial|PPO | $117.03 | ↑ +212% |
| United | Commercial|Exchange | $352.00 | ↑ +840% |
| United | Commercial|Charter | $475.00 | ↑ +1168% |
| United | Commercial|PPO | $526.00 | ↑ +1305% |
| United | Commercial|HMO | $526.00 | ↑ +1305% |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $92.00 | $19.67 – $67.40 |
| St. Luke's Health - The Vintage Hospital | Houston | $37.45 | $17.55 – $117.03 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $19.67 – $67.40 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $19.67 – $67.40 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $67.10 | $19.01 – $106.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $70.98 | $14.61 – $106.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $50.27 | $10.05 – $104.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $67.10 | $17.89 – $95.06 |