Ultrasound retroperitoneal limited 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

$877.10

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.

$2,506.00

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.

$59.14 with Wellpoint vs $2,506.00 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
Wellpoint Medicaid|CHIP $59.14 ↓ -93%
Wellpoint Medicaid|STARKIDS $59.14 ↓ -93%
Wellpoint Medicaid|All Other Plans $59.81 ↓ -93%
UNITED Medicaid|All Other Plans $60.32 ↓ -93%
UHC Medicaid|STARKIDS $61.01 ↓ -93%
UHC Medicaid|CHIP $61.01 ↓ -93%
BCBS Medicaid|All Plans $62.80 ↓ -93%
CHC Medicaid|All Other Plans $68.01 ↓ -92%
Renaissance Commercial|All Plans $76.69 ↓ -91%
Wellpoint Medicaid|STAR $79.25 ↓ -91%
UNITED Medicaid|STAR $81.02 ↓ -91%
CHC Medicaid|STAR $91.08 ↓ -90%
Cigna Commercial|Surefit $95.79 ↓ -89%
Cigna Commercial|HMO $105.49 ↓ -88%
CIGNA HEALTHSPRING Medicare|HMO $106.51 ↓ -88%
BCBS Medicare|All Plans $106.51 ↓ -88%
Humana Medicare|All Other Plans $106.51 ↓ -88%
AETNA Medicare|TRANSPLANT $106.51 ↓ -88%
Humana Medicare|TRANSPLANT $106.51 ↓ -88%
KELSEY Medicare|All Plans $106.51 ↓ -88%
CIGNA HEALTHSPRING Medicare|PPO $107.58 ↓ -88%
AETNA Medicare|All Other Plans $108.64 ↓ -88%
UHC-SecureHorizons Medicare|All Plans $108.64 ↓ -88%
Amerivantage Medicare|All Plans $109.71 ↓ -87%
SELECTCARE Medicare|All Plans $111.84 ↓ -87%
DEVOTED Medicare|All Plans $113.97 ↓ -87%
SCANHealth Medicare|All Plans $113.97 ↓ -87%
KINDRED Medicare|All Plans $127.81 ↓ -85%
Cigna Commercial|PPO $129.44 ↓ -85%
BCBS - TX Commercial|MyBlue Health Exchange $134.50 ↓ -85%
KelseyCare Commercial|Exchange $143.79 ↓ -84%
BCBS - TX Commercial|Blue Advantage Exchange $144.58 ↓ -84%
Employer Direct Commercial|PPO $149.11 ↓ -83%
Community Health Choice Commercial|Exchange $159.76 ↓ -82%
Superior Health Plan Commercial|All Plans $159.76 ↓ -82%
Harris Health Commercial|ERS $159.76 ↓ -82%
Wellpoint Commercial|Exchange $159.76 ↓ -82%
Community Health Choice Commercial|All Other Plans $159.76 ↓ -82%
Aetna Commercial|Exchange $164.03 ↓ -81%
Bright Health Commercial|All Plans $182.06 ↓ -79%
UNITED Medicaid|STARPLUS $184.52 ↓ -79%
UHC Medicaid|STARPLUS $184.52 ↓ -79%
BCBS - TX Commercial|Transplant $249.31 ↓ -72%
TCHP Medicaid|STARKIDS $275.66 ↓ -69%
TCHP Medicaid|All Other Plans $275.66 ↓ -69%
BCBS - TX Commercial|Premier $300.37 ↓ -66%
NX Health Commercial|PPO $346.16 ↓ -61%
BCBS - TX Commercial|HMO $354.17 ↓ -60%
TCHP Medicaid|STAR $369.39 ↓ -58%
BCBS - TX Commercial|PPO Trad $392.28 ↓ -55%
United Commercial|Exchange $414.00 ↓ -53%
United Commercial|Charter $559.00 ↓ -36%
United Commercial|PPO $618.00 ↓ -30%
United Commercial|HMO $618.00 ↓ -30%
OPTUM Medicare|All Plans $676.62 ↓ -23%
OPTUM Medicaid|STAR $906.68 ↑ +3%
TCHPCHIP Medicaid|HMO $1,027.46 ↑ +17%
TCH Commercial|Transplant $1,127.70 ↑ +29%
United Commercial|Optum $1,177.82 ↑ +34%
Shell Commercial|All Plans $1,253.00 ↑ +43%
TEXASTRUECHOICE Medicaid|CHIP $1,378.30 ↑ +57%
CHC Medicaid|HMO $1,378.30 ↑ +57%
CHC Medicaid|CHIP $1,378.30 ↑ +57%
Cigna Lifesource Commercial|Transplant $1,503.60 ↑ +71%
Aetna Commercial|KelseyCare $1,528.66 ↑ +74%
Coventry Commercial|PPO $1,628.90 ↑ +86%
First Health Commercial|All Plans $1,628.90 ↑ +86%
Humana Commercial|Transplant $1,628.90 ↑ +86%
Healthsmart Commercial|PPO $1,754.20 ↑ +100%
Aetna Commercial|HMO $1,754.20 ↑ +100%
Interlink Commercial|Transplant $1,754.20 ↑ +100%
Cigna Commercial|Transplant $1,754.20 ↑ +100%
MultiPlan Commercial|All Plans $1,879.50 ↑ +114%
OPTUM Medicaid|STARPLUS $2,070.46 ↑ +136%
USA Health Network Commercial|All Plans $2,130.10 ↑ +143%
MHealth Network Commercial|PPO $2,506.00 ↑ +186%

Visitor-reported prices

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Ultrasound retroperitoneal limited at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - The Vintage Hospital Houston $877.10 $59.14 – $2,506.00
HCA HOUSTON MEDICAL CENTER Houston not published $59.14 – $197.26
HCA HOUSTON WEST HOUSTON not published $58.61 – $197.26
HCA HOUSTON TOMBALL HOUSTON not published $59.14 – $197.26
Adventhealth Rollins Brook Lampasas $1,068.52 $431.51 – $431.51
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $518.80 $59.81 – $648.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $537.62 $110.66 – $806.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $460.28 $59.81 – $575.35

All Texas hospitals for this procedure →