Tx l/r atrial fib addl at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$8,509.90
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.
$24,314.00
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.
$526.47 with BCBS - TX vs $28,954.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Blue Advantage Exchange | $526.47 | ↓ -94% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $535.39 | ↓ -94% |
| Aetna | Commercial|KelseyCare | $896.00 | ↓ -89% |
| BCBS - TX | Commercial|PPO Trad | $901.24 | ↓ -89% |
| BCBS - TX | Commercial|Premier | $959.24 | ↓ -89% |
| Aetna | Commercial|HMO | $1,079.00 | ↓ -87% |
| BCBS - TX | Commercial|HMO | $1,383.10 | ↓ -84% |
| TCHP | Medicaid|STARKIDS | $2,674.54 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $2,674.54 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $2,728.04 | ↓ -68% |
| TCHP | Medicaid|STAR | $3,583.89 | ↓ -58% |
| UNITED | Medicaid|STAR | $3,664.12 | ↓ -57% |
| Humana | Commercial|HMO | $4,300.00 | ↓ -49% |
| Humana | Commercial|PPO | $4,300.00 | ↓ -49% |
| OPTUM | Medicare|All Plans | $6,564.78 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $8,344.57 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $8,344.57 | ↓ -2% |
| OPTUM | Medicaid|STAR | $8,796.81 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $9,968.74 | ↑ +17% |
| Cigna | Commercial|Surefit | $10,461.00 | ↑ +23% |
| TCH | Commercial|Transplant | $10,941.30 | ↑ +29% |
| United | Commercial|Exchange | $11,250.00 | ↑ +32% |
| United | Commercial|Optum | $11,427.58 | ↑ +34% |
| Cigna | Commercial|HMO | $11,527.00 | ↑ +35% |
| Shell | Commercial|All Plans | $12,157.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $13,372.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $13,372.70 | ↑ +57% |
| CHC | Medicaid|HMO | $13,372.70 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $14,588.40 | ↑ +71% |
| United | Commercial|Charter | $15,148.00 | ↑ +78% |
| First Health | Commercial|All Plans | $15,804.10 | ↑ +86% |
| Humana | Commercial|Transplant | $15,804.10 | ↑ +86% |
| Coventry | Commercial|PPO | $15,804.10 | ↑ +86% |
| United | Commercial|PPO | $16,832.00 | ↑ +98% |
| United | Commercial|HMO | $16,832.00 | ↑ +98% |
| Healthsmart | Commercial|PPO | $17,019.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $17,019.80 | ↑ +100% |
| Aetna | Commercial|PPO | $17,019.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $17,019.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $18,235.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $18,478.64 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $20,088.23 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $20,666.90 | ↑ +143% |
| MHealth Network | Commercial|PPO | $24,314.00 | ↑ +186% |
| Cigna | Commercial|PPO | $28,954.00 | ↑ +240% |
Visitor-reported prices
Comments
Tx l/r atrial fib addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $58,277.11 | $1,044.01 – $1,044.01 |
| HCA HOUSTON WEST | HOUSTON | $15,825.00 | $1,044.01 – $1,044.01 |
| St. Luke's Health - The Vintage Hospital | Houston | $8,509.90 | $651.39 – $24,314.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $24,165.64 | $1,044.01 – $1,044.01 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,204.38 | $1,369.71 – $17,289.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,395.20 | $1,316.34 – $9,592.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,871.82 | $1,347.40 – $13,589.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,204.38 | $1,044.01 – $17,289.54 |