Unlisted procedure rectum at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$349.65
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.
$999.00
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.
$25.50 with UNITED vs $9,158.00 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 |
|---|---|---|---|
| UNITED | Medicaid|All Other Plans | $25.50 | ↓ -93% |
| UNITED | Medicaid|STAR | $34.25 | ↓ -90% |
| UHC | Medicaid|STARPLUS | $78.00 | ↓ -78% |
| UNITED | Medicaid|STARPLUS | $78.00 | ↓ -78% |
| Wellpoint | Medicaid|All Other Plans | $109.89 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $109.89 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $109.89 | ↓ -69% |
| CHC | Medicaid|All Other Plans | $109.89 | ↓ -69% |
| Wellpoint | Medicaid|STARKIDS | $109.89 | ↓ -69% |
| Wellpoint | Medicaid|CHIP | $109.89 | ↓ -69% |
| UHC | Medicaid|STARKIDS | $112.09 | ↓ -68% |
| UHC | Medicaid|CHIP | $112.09 | ↓ -68% |
| BCBS | Medicaid|All Plans | $115.39 | ↓ -67% |
| Wellpoint | Medicaid|STAR | $147.26 | ↓ -58% |
| CHC | Medicaid|STAR | $147.26 | ↓ -58% |
| TCHP | Medicaid|STAR | $147.26 | ↓ -58% |
| OPTUM | Medicare|All Plans | $269.73 | ↓ -23% |
| OPTUM | Medicaid|STAR | $361.44 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $409.59 | ↑ +17% |
| TCH | Commercial|Transplant | $449.55 | ↑ +29% |
| United | Commercial|Optum | $469.53 | ↑ +34% |
| Shell | Commercial|All Plans | $499.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $549.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $549.45 | ↑ +57% |
| CHC | Medicaid|HMO | $549.45 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $599.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $599.40 | ↑ +71% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $641.66 | ↑ +84% |
| PHCS Savility | Commercial|PPO | $649.35 | ↑ +86% |
| PHCS | Commercial|PPO | $649.35 | ↑ +86% |
| Coventry | Commercial|PPO | $649.35 | ↑ +86% |
| First Health | Commercial|All Plans | $649.35 | ↑ +86% |
| Humana | Commercial|Transplant | $649.35 | ↑ +86% |
| Renaissance | Commercial|All Plans | $657.50 | ↑ +88% |
| BCBS - TX | Commercial|Transplant | $676.55 | ↑ +93% |
| Healthsmart | Commercial|PPO | $699.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $699.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $699.30 | ↑ +100% |
| Aetna | Commercial|PPO | $699.30 | ↑ +100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $702.77 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $749.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $759.24 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $825.38 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $849.15 | ↑ +143% |
| CIGNA HEALTHSPRING | Medicare|HMO | $913.19 | ↑ +161% |
| KELSEY | Medicare|All Plans | $913.19 | ↑ +161% |
| Humana | Medicare|TRANSPLANT | $913.19 | ↑ +161% |
| Humana | Medicare|All Other Plans | $913.19 | ↑ +161% |
| BCBS | Medicare|All Plans | $913.19 | ↑ +161% |
| AETNA | Medicare|TRANSPLANT | $913.19 | ↑ +161% |
| CIGNA HEALTHSPRING | Medicare|PPO | $922.32 | ↑ +164% |
| AETNA | Medicare|All Other Plans | $931.45 | ↑ +166% |
| UHC-SecureHorizons | Medicare|All Plans | $931.45 | ↑ +166% |
| Amerivantage | Medicare|All Plans | $940.59 | ↑ +169% |
| SELECTCARE | Medicare|All Plans | $958.85 | ↑ +174% |
| SCANHealth | Medicare|All Plans | $977.11 | ↑ +179% |
| DEVOTED | Medicare|All Plans | $977.11 | ↑ +179% |
| MHealth Network | Commercial|PPO | $999.00 | ↑ +186% |
| KINDRED | Medicare|All Plans | $1,095.83 | ↑ +213% |
| KelseyCare | Commercial|Exchange | $1,232.81 | ↑ +253% |
| BCBS - TX | Commercial|Premier | $1,275.68 | ↑ +265% |
| Employer Direct | Commercial|PPO | $1,278.47 | ↑ +266% |
| Bright Health | Commercial|All Plans | $1,327.10 | ↑ +280% |
| Community Health Choice | Commercial|Exchange | $1,369.79 | ↑ +292% |
| Community Health Choice | Commercial|All Other Plans | $1,369.79 | ↑ +292% |
| Harris Health | Commercial|ERS | $1,369.79 | ↑ +292% |
| Superior Health Plan | Commercial|All Plans | $1,369.79 | ↑ +292% |
| Wellpoint | Commercial|Exchange | $1,369.79 | ↑ +292% |
| Aetna | Commercial|Exchange | $1,406.31 | ↑ +302% |
| United | Commercial|Exchange | $1,452.00 | ↑ +315% |
| BCBS - TX | Commercial|HMO | $1,558.32 | ↑ +346% |
| BCBS - TX | Commercial|PPO Trad | $1,680.54 | ↑ +381% |
| United | Commercial|Charter | $1,955.00 | ↑ +459% |
| United | Commercial|PPO | $2,172.00 | ↑ +521% |
| United | Commercial|HMO | $2,172.00 | ↑ +521% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +588% |
| Humana | Commercial|PPO | $2,700.00 | ↑ +672% |
| Humana | Commercial|HMO | $2,700.00 | ↑ +672% |
| NX Health | Commercial|PPO | $2,967.87 | ↑ +749% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +846% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +943% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +2519% |
Visitor-reported prices
Comments
Unlisted procedure rectum at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $349.65 | $79.92 – $999.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,565.95 – $1,565.95 |
| HCA HOUSTON WEST | HOUSTON | not published | $938.87 – $1,329.15 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,329.15 – $1,329.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,603.06 | $404.60 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $875.12 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $745.48 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,603.06 | $404.60 – $2,264.11 |