Valvuloplasty aortic at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,723.35
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.
$7,781.00
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.
$855.91 with TCHP vs $46,852.00 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $855.91 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $855.91 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $873.03 | ↓ -68% |
| TCHP | Medicaid|STAR | $1,146.92 | ↓ -58% |
| UNITED | Medicaid|STAR | $1,172.60 | ↓ -57% |
| OPTUM | Medicare|All Plans | $2,100.87 | ↓ -23% |
| Aetna | Commercial|KelseyCare | $2,670.00 | ↓ -2% |
| UHC | Medicaid|STARPLUS | $2,670.44 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $2,670.44 | ↓ -2% |
| OPTUM | Medicaid|STAR | $2,815.17 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $3,190.21 | ↑ +17% |
| Aetna | Commercial|HMO | $3,212.00 | ↑ +18% |
| TCH | Commercial|Transplant | $3,501.45 | ↑ +29% |
| United | Commercial|Optum | $3,657.07 | ↑ +34% |
| Shell | Commercial|All Plans | $3,890.50 | ↑ +43% |
| Renaissance | Commercial|All Plans | $4,111.75 | ↑ +51% |
| CHC | Medicaid|CHIP | $4,279.55 | ↑ +57% |
| CHC | Medicaid|HMO | $4,279.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,279.55 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $4,668.60 | ↑ +71% |
| United | Commercial|Exchange | $4,848.00 | ↑ +78% |
| Humana | Commercial|Transplant | $5,057.65 | ↑ +86% |
| Coventry | Commercial|PPO | $5,057.65 | ↑ +86% |
| First Health | Commercial|All Plans | $5,057.65 | ↑ +86% |
| Interlink | Commercial|Transplant | $5,446.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $5,446.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,446.70 | ↑ +100% |
| Aetna | Commercial|PPO | $5,446.70 | ↑ +100% |
| BCBS | Medicare|All Plans | $5,710.76 | ↑ +110% |
| Humana | Medicare|All Other Plans | $5,710.76 | ↑ +110% |
| Humana | Medicare|TRANSPLANT | $5,710.76 | ↑ +110% |
| AETNA | Medicare|TRANSPLANT | $5,710.76 | ↑ +110% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,710.76 | ↑ +110% |
| KELSEY | Medicare|All Plans | $5,710.76 | ↑ +110% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,767.87 | ↑ +112% |
| UHC-SecureHorizons | Medicare|All Plans | $5,824.98 | ↑ +114% |
| AETNA | Medicare|All Other Plans | $5,824.98 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $5,835.75 | ↑ +114% |
| Amerivantage | Medicare|All Plans | $5,882.08 | ↑ +116% |
| Aetna | Commercial|Transplant | $5,913.56 | ↑ +117% |
| SELECTCARE | Medicare|All Plans | $5,996.30 | ↑ +120% |
| DEVOTED | Medicare|All Plans | $6,110.51 | ↑ +124% |
| SCANHealth | Medicare|All Plans | $6,110.51 | ↑ +124% |
| OPTUM | Medicaid|STARPLUS | $6,428.67 | ↑ +136% |
| United | Commercial|Charter | $6,527.00 | ↑ +140% |
| USA Health Network | Commercial|All Plans | $6,613.85 | ↑ +143% |
| KINDRED | Medicare|All Plans | $6,852.91 | ↑ +152% |
| United | Commercial|PPO | $7,252.00 | ↑ +166% |
| United | Commercial|HMO | $7,252.00 | ↑ +166% |
| KelseyCare | Commercial|Exchange | $7,709.53 | ↑ +183% |
| MHealth Network | Commercial|PPO | $7,781.00 | ↑ +186% |
| Employer Direct | Commercial|PPO | $7,995.06 | ↑ +194% |
| Bright Health | Commercial|All Plans | $8,288.48 | ↑ +204% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $8,471.19 | ↑ +211% |
| Community Health Choice | Commercial|Exchange | $8,566.14 | ↑ +215% |
| Community Health Choice | Commercial|All Other Plans | $8,566.14 | ↑ +215% |
| Harris Health | Commercial|ERS | $8,566.14 | ↑ +215% |
| Wellpoint | Commercial|Exchange | $8,566.14 | ↑ +215% |
| Superior Health Plan | Commercial|All Plans | $8,566.14 | ↑ +215% |
| Aetna | Commercial|Exchange | $8,794.57 | ↑ +223% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $10,155.52 | ↑ +273% |
| BCBS - TX | Commercial|Transplant | $10,734.00 | ↑ +294% |
| BCBS - TX | Commercial|Premier | $14,217.72 | ↑ +422% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +522% |
| Humana | Commercial|HMO | $18,000.00 | ↑ +561% |
| Humana | Commercial|PPO | $18,000.00 | ↑ +561% |
| NX Health | Commercial|PPO | $18,559.97 | ↑ +582% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +585% |
| BCBS - TX | Commercial|HMO | $19,617.48 | ↑ +620% |
| BCBS - TX | Commercial|PPO Trad | $21,896.28 | ↑ +704% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +1620% |
Visitor-reported prices
Comments
Valvuloplasty aortic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $27,697.41 | $10,948.14 – $10,948.14 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,723.35 | $622.48 – $7,781.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $9,313.35 – $9,313.35 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $10,948.14 – $10,948.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,030.65 | $4,542.02 – $20,038.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,324.96 | $2,742.72 – $19,987.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,551.60 | $1,910.32 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,030.65 | $4,274.84 – $20,038.31 |