Treatment of ankle fracture 27786 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$130.20
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.
$372.00
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.
$89.76 with Wellpoint vs $5,160.00 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $89.76 | ↓ -31% |
| TCHP | Medicaid|STARKIDS | $89.76 | ↓ -31% |
| TCHP | Medicaid|All Other Plans | $89.76 | ↓ -31% |
| Wellpoint | Medicaid|STARKIDS | $89.76 | ↓ -31% |
| Wellpoint | Medicaid|CHIP | $89.76 | ↓ -31% |
| UNITED | Medicaid|All Other Plans | $91.56 | ↓ -30% |
| UHC | Medicaid|STARKIDS | $91.56 | ↓ -30% |
| UHC | Medicaid|CHIP | $91.56 | ↓ -30% |
| BCBS | Medicaid|All Plans | $94.25 | ↓ -28% |
| OPTUM | Medicare|All Plans | $100.44 | ↓ -23% |
| CHC | Medicaid|All Other Plans | $103.22 | ↓ -21% |
| Wellpoint | Medicaid|STAR | $120.28 | ↓ -8% |
| TCHP | Medicaid|STAR | $120.28 | ↓ -8% |
| UNITED | Medicaid|STAR | $122.97 | ↓ -6% |
| OPTUM | Medicaid|STAR | $134.59 | ↑ +3% |
| CHC | Medicaid|STAR | $138.23 | ↑ +6% |
| TCHPCHIP | Medicaid|HMO | $152.52 | ↑ +17% |
| TCH | Commercial|Transplant | $167.40 | ↑ +29% |
| Renaissance | Commercial|All Plans | $172.99 | ↑ +33% |
| United | Commercial|Optum | $174.84 | ↑ +34% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $181.14 | ↑ +39% |
| BCBS - TX | Commercial|Transplant | $184.70 | ↑ +42% |
| Shell | Commercial|All Plans | $186.00 | ↑ +43% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $198.39 | ↑ +52% |
| CHC | Medicaid|CHIP | $204.60 | ↑ +57% |
| CHC | Medicaid|HMO | $204.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $204.60 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $223.20 | ↑ +71% |
| CIGNA HEALTHSPRING | Medicare|HMO | $240.27 | ↑ +85% |
| AETNA | Medicare|TRANSPLANT | $240.27 | ↑ +85% |
| Humana | Medicare|All Other Plans | $240.27 | ↑ +85% |
| KELSEY | Medicare|All Plans | $240.27 | ↑ +85% |
| Humana | Medicare|TRANSPLANT | $240.27 | ↑ +85% |
| BCBS | Medicare|All Plans | $240.27 | ↑ +85% |
| Coventry | Commercial|PPO | $241.80 | ↑ +86% |
| First Health | Commercial|All Plans | $241.80 | ↑ +86% |
| Humana | Commercial|Transplant | $241.80 | ↑ +86% |
| CIGNA HEALTHSPRING | Medicare|PPO | $242.67 | ↑ +86% |
| UHC-SecureHorizons | Medicare|All Plans | $245.08 | ↑ +88% |
| AETNA | Medicare|All Other Plans | $245.08 | ↑ +88% |
| Amerivantage | Medicare|All Plans | $247.48 | ↑ +90% |
| SELECTCARE | Medicare|All Plans | $252.28 | ↑ +94% |
| SCANHealth | Medicare|All Plans | $257.09 | ↑ +97% |
| DEVOTED | Medicare|All Plans | $257.09 | ↑ +97% |
| Interlink | Commercial|Transplant | $260.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $260.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $260.40 | ↑ +100% |
| Aetna | Commercial|PPO | $260.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $279.00 | ↑ +114% |
| UHC | Medicaid|STARPLUS | $280.05 | ↑ +115% |
| UNITED | Medicaid|STARPLUS | $280.05 | ↑ +115% |
| Aetna | Commercial|Transplant | $282.72 | ↑ +117% |
| KINDRED | Medicare|All Plans | $288.32 | ↑ +121% |
| OPTUM | Medicaid|STARPLUS | $307.35 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $316.20 | ↑ +143% |
| KelseyCare | Commercial|Exchange | $324.36 | ↑ +149% |
| Employer Direct | Commercial|PPO | $336.38 | ↑ +158% |
| Bright Health | Commercial|All Plans | $344.69 | ↑ +165% |
| BCBS - TX | Commercial|Premier | $360.12 | ↑ +177% |
| Community Health Choice | Commercial|Exchange | $360.40 | ↑ +177% |
| Community Health Choice | Commercial|All Other Plans | $360.40 | ↑ +177% |
| Superior Health Plan | Commercial|All Plans | $360.40 | ↑ +177% |
| Harris Health | Commercial|ERS | $360.40 | ↑ +177% |
| Wellpoint | Commercial|Exchange | $360.40 | ↑ +177% |
| Aetna | Commercial|Exchange | $370.02 | ↑ +184% |
| MHealth Network | Commercial|PPO | $372.00 | ↑ +186% |
| BCBS - TX | Commercial|HMO | $439.91 | ↑ +238% |
| BCBS - TX | Commercial|PPO Trad | $474.41 | ↑ +264% |
| NX Health | Commercial|PPO | $780.88 | ↑ +500% |
| Aetna | Commercial|KelseyCare | $896.00 | ↑ +588% |
| Healthsmart | Commercial|AP3 | $958.00 | ↑ +636% |
| Aetna | Commercial|HMO | $1,079.00 | ↑ +729% |
| United | Commercial|Exchange | $1,452.00 | ↑ +1015% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +1186% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +1332% |
| United | Commercial|Charter | $1,955.00 | ↑ +1402% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +1478% |
| United | Commercial|HMO | $2,172.00 | ↑ +1568% |
| United | Commercial|PPO | $2,172.00 | ↑ +1568% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +1747% |
| Humana | Commercial|HMO | $4,300.00 | ↑ +3203% |
| Humana | Commercial|PPO | $4,300.00 | ↑ +3203% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +3346% |
| PHCS | Commercial|PPO | $4,487.00 | ↑ +3346% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +3863% |
Visitor-reported prices
Comments
Treatment of ankle fracture 27786 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $130.20 | $100.44 – $372.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $91.56 – $442.06 |
| HCA HOUSTON WEST | HOUSTON | not published | $83.61 – $375.21 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $85.32 – $375.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $613.13 | $85.32 – $766.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $528.00 | $71.00 – $792.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $466.22 | $71.00 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $613.13 | $85.32 – $766.42 |