Venous sampling s&i at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$5,580.40
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.
$15,944.00
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.
$103.91 with Wellpoint vs $17,596.99 with NX Health — 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|CHIP | $103.91 | ↓ -98% |
| Wellpoint | Medicaid|STARKIDS | $103.91 | ↓ -98% |
| Wellpoint | Medicaid|All Other Plans | $105.25 | ↓ -98% |
| UNITED | Medicaid|All Other Plans | $105.99 | ↓ -98% |
| UHC | Medicaid|CHIP | $107.36 | ↓ -98% |
| UHC | Medicaid|STARKIDS | $107.36 | ↓ -98% |
| BCBS | Medicaid|All Plans | $110.51 | ↓ -98% |
| CHC | Medicaid|All Other Plans | $119.50 | ↓ -98% |
| Wellpoint | Medicaid|STAR | $139.24 | ↓ -98% |
| UNITED | Medicaid|STAR | $142.36 | ↓ -97% |
| CHC | Medicaid|STAR | $160.02 | ↓ -97% |
| Cigna | Commercial|Surefit | $246.51 | ↓ -96% |
| Cigna | Commercial|HMO | $271.49 | ↓ -95% |
| UHC | Medicaid|STARPLUS | $324.20 | ↓ -94% |
| UNITED | Medicaid|STARPLUS | $324.20 | ↓ -94% |
| Cigna | Commercial|PPO | $333.13 | ↓ -94% |
| United | Commercial|Exchange | $582.00 | ↓ -90% |
| United | Commercial|Charter | $782.00 | ↓ -86% |
| United | Commercial|HMO | $869.00 | ↓ -84% |
| United | Commercial|PPO | $869.00 | ↓ -84% |
| TCHP | Medicaid|All Other Plans | $1,753.84 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $1,753.84 | ↓ -69% |
| TCHP | Medicaid|STAR | $2,350.15 | ↓ -58% |
| Renaissance | Commercial|All Plans | $3,898.41 | ↓ -30% |
| OPTUM | Medicare|All Plans | $4,304.88 | ↓ -23% |
| BCBS - TX | Commercial|Transplant | $4,983.67 | ↓ -11% |
| KELSEY | Medicare|All Plans | $5,414.46 | ↓ -3% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,414.46 | ↓ -3% |
| AETNA | Medicare|TRANSPLANT | $5,414.46 | ↓ -3% |
| Humana | Medicare|TRANSPLANT | $5,414.46 | ↓ -3% |
| BCBS | Medicare|All Plans | $5,414.46 | ↓ -3% |
| Humana | Medicare|All Other Plans | $5,414.46 | ↓ -3% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,468.60 | ↓ -2% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $5,515.43 | ↓ -1% |
| UHC-SecureHorizons | Medicare|All Plans | $5,522.75 | ↓ -1% |
| AETNA | Medicare|All Other Plans | $5,522.75 | ↓ -1% |
| Amerivantage | Medicare|All Plans | $5,576.89 | ↓ -0% |
| SELECTCARE | Medicare|All Plans | $5,685.18 | ↑ +2% |
| OPTUM | Medicaid|STAR | $5,768.54 | ↑ +3% |
| SCANHealth | Medicare|All Plans | $5,793.47 | ↑ +4% |
| DEVOTED | Medicare|All Plans | $5,793.47 | ↑ +4% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $5,929.09 | ↑ +6% |
| KINDRED | Medicare|All Plans | $6,497.35 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $6,537.04 | ↑ +17% |
| TCH | Commercial|Transplant | $7,174.80 | ↑ +29% |
| KelseyCare | Commercial|Exchange | $7,309.52 | ↑ +31% |
| United | Commercial|Optum | $7,493.68 | ↑ +34% |
| Employer Direct | Commercial|PPO | $7,580.24 | ↑ +36% |
| Shell | Commercial|All Plans | $7,972.00 | ↑ +43% |
| Bright Health | Commercial|All Plans | $7,974.68 | ↑ +43% |
| Harris Health | Commercial|ERS | $8,121.69 | ↑ +46% |
| Community Health Choice | Commercial|All Other Plans | $8,121.69 | ↑ +46% |
| Wellpoint | Commercial|Exchange | $8,121.69 | ↑ +46% |
| Community Health Choice | Commercial|Exchange | $8,121.69 | ↑ +46% |
| Superior Health Plan | Commercial|All Plans | $8,121.69 | ↑ +46% |
| Aetna | Commercial|Exchange | $8,338.27 | ↑ +49% |
| CHC | Medicaid|HMO | $8,769.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $8,769.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $8,769.20 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $9,566.40 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $9,725.84 | ↑ +74% |
| Coventry | Commercial|PPO | $10,363.60 | ↑ +86% |
| Humana | Commercial|Transplant | $10,363.60 | ↑ +86% |
| First Health | Commercial|All Plans | $10,363.60 | ↑ +86% |
| Cigna | Commercial|Transplant | $11,160.80 | ↑ +100% |
| Aetna | Commercial|HMO | $11,160.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $11,160.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $11,160.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $11,958.00 | ↑ +114% |
| BCBS - TX | Commercial|Premier | $12,317.79 | ↑ +121% |
| OPTUM | Medicaid|STARPLUS | $13,172.94 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $13,552.40 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $14,523.96 | ↑ +160% |
| MHealth Network | Commercial|PPO | $15,944.00 | ↑ +186% |
| BCBS - TX | Commercial|PPO Trad | $15,944.00 | ↑ +186% |
| NX Health | Commercial|PPO | $17,596.99 | ↑ +215% |
Visitor-reported prices
Comments
Venous sampling s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $6,560.02 | $103.91 – $8,089.29 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,580.40 | $103.91 – $15,944.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $103.14 – $8,089.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $103.91 – $8,089.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,762.80 | $105.25 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,762.80 | $980.34 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,200.00 | $105.25 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,762.80 | $105.25 – $13,613.39 |