Transcath closure of vsd at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$8,408.75
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.
$24,025.00
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.
$2,404.80 with KelseyCare vs $58,453.88 with NX Health — 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 |
|---|---|---|---|
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -71% |
| Aetna | Commercial|KelseyCare | $2,608.00 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $2,642.75 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $2,642.75 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $2,695.61 | ↓ -68% |
| Aetna | Commercial|HMO | $3,136.00 | ↓ -63% |
| TCHP | Medicaid|STAR | $3,541.29 | ↓ -58% |
| UNITED | Medicaid|STAR | $3,620.57 | ↓ -57% |
| United | Commercial|Exchange | $4,254.00 | ↓ -49% |
| United | Commercial|Charter | $5,728.00 | ↓ -32% |
| United | Commercial|PPO | $6,363.00 | ↓ -24% |
| United | Commercial|HMO | $6,363.00 | ↓ -24% |
| OPTUM | Medicare|All Plans | $6,486.75 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $8,245.38 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $8,245.38 | ↓ -2% |
| OPTUM | Medicaid|STAR | $8,692.25 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $9,850.25 | ↑ +17% |
| TCH | Commercial|Transplant | $10,811.25 | ↑ +29% |
| United | Commercial|Optum | $11,291.75 | ↑ +34% |
| Shell | Commercial|All Plans | $12,012.50 | ↑ +43% |
| Renaissance | Commercial|All Plans | $12,949.78 | ↑ +54% |
| CHC | Medicaid|HMO | $13,213.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $13,213.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $13,213.75 | ↑ +57% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $13,389.57 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $14,415.00 | ↑ +71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $14,664.77 | ↑ +74% |
| Coventry | Commercial|PPO | $15,616.25 | ↑ +86% |
| Humana | Commercial|Transplant | $15,616.25 | ↑ +86% |
| First Health | Commercial|All Plans | $15,616.25 | ↑ +86% |
| Aetna | Commercial|PPO | $16,817.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $16,817.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $16,817.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $16,817.50 | ↑ +100% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +101% |
| BCBS - TX | Commercial|Transplant | $17,760.59 | ↑ +111% |
| Humana | Medicare|All Other Plans | $17,985.81 | ↑ +114% |
| AETNA | Medicare|TRANSPLANT | $17,985.81 | ↑ +114% |
| BCBS | Medicare|All Plans | $17,985.81 | ↑ +114% |
| CIGNA HEALTHSPRING | Medicare|HMO | $17,985.81 | ↑ +114% |
| KELSEY | Medicare|All Plans | $17,985.81 | ↑ +114% |
| Humana | Medicare|TRANSPLANT | $17,985.81 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $18,018.75 | ↑ +114% |
| CIGNA HEALTHSPRING | Medicare|PPO | $18,165.67 | ↑ +116% |
| Aetna | Commercial|Transplant | $18,259.00 | ↑ +117% |
| AETNA | Medicare|All Other Plans | $18,345.53 | ↑ +118% |
| UHC-SecureHorizons | Medicare|All Plans | $18,345.53 | ↑ +118% |
| Amerivantage | Medicare|All Plans | $18,525.38 | ↑ +120% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +122% |
| SELECTCARE | Medicare|All Plans | $18,885.10 | ↑ +125% |
| SCANHealth | Medicare|All Plans | $19,244.82 | ↑ +129% |
| DEVOTED | Medicare|All Plans | $19,244.82 | ↑ +129% |
| OPTUM | Medicaid|STARPLUS | $19,849.46 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $20,421.25 | ↑ +143% |
| KINDRED | Medicare|All Plans | $21,582.97 | ↑ +157% |
| MHealth Network | Commercial|PPO | $24,025.00 | ↑ +186% |
| KelseyCare | Commercial|Exchange | $24,280.84 | ↑ +189% |
| Employer Direct | Commercial|PPO | $25,180.13 | ↑ +199% |
| BCBS - TX | Commercial|Premier | $26,619.75 | ↑ +217% |
| Bright Health | Commercial|All Plans | $26,857.58 | ↑ +219% |
| Wellpoint | Commercial|Exchange | $26,978.72 | ↑ +221% |
| Community Health Choice | Commercial|All Other Plans | $26,978.72 | ↑ +221% |
| Community Health Choice | Commercial|Exchange | $26,978.72 | ↑ +221% |
| Superior Health Plan | Commercial|All Plans | $26,978.72 | ↑ +221% |
| Harris Health | Commercial|ERS | $26,978.72 | ↑ +221% |
| Aetna | Commercial|Exchange | $27,698.15 | ↑ +229% |
| BCBS - TX | Commercial|HMO | $32,517.54 | ↑ +287% |
| BCBS - TX | Commercial|PPO Trad | $35,067.93 | ↑ +317% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +457% |
| NX Health | Commercial|PPO | $58,453.88 | ↑ +595% |
Visitor-reported prices
Comments
Transcath closure of vsd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $99,081.83 | $32,676.94 – $32,676.94 |
| St. Luke's Health - The Vintage Hospital | Houston | $8,408.75 | $1,922.00 – $24,025.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $27,735.55 – $27,735.55 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $27,735.55 – $27,735.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $24,215.41 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $25,060.49 | $5,158.28 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,263.84 | $4,452.77 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $24,215.41 | $6,457.44 – $43,439.01 |