X-ray arthrogram shoulder supervision & interpretation (both sides) at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$745.50
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.
$2,130.00
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.
$131.99 with Wellpoint vs $2,130.00 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 →
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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|All Other Plans | $131.99 | ↓ -82% |
| Wellpoint | Medicaid|STARKIDS | $132.31 | ↓ -82% |
| Wellpoint | Medicaid|CHIP | $132.31 | ↓ -82% |
| UHC | Medicaid|CHIP | $134.63 | ↓ -82% |
| UHC | Medicaid|STARKIDS | $134.63 | ↓ -82% |
| UNITED | Medicaid|All Other Plans | $134.96 | ↓ -82% |
| BCBS | Medicaid|All Plans | $138.59 | ↓ -81% |
| CHC | Medicaid|All Other Plans | $152.16 | ↓ -80% |
| Wellpoint | Medicaid|STAR | $177.30 | ↓ -76% |
| UNITED | Medicaid|STAR | $181.26 | ↓ -76% |
| CHC | Medicaid|STAR | $203.76 | ↓ -73% |
| TCHP | Medicaid|STARKIDS | $234.30 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $234.30 | ↓ -69% |
| Renaissance | Commercial|All Plans | $257.55 | ↓ -65% |
| TCHP | Medicaid|STAR | $313.97 | ↓ -58% |
| Cigna | Commercial|Surefit | $335.04 | ↓ -55% |
| CIGNA HEALTHSPRING | Medicare|HMO | $357.71 | ↓ -52% |
| AETNA | Medicare|TRANSPLANT | $357.71 | ↓ -52% |
| KELSEY | Medicare|All Plans | $357.71 | ↓ -52% |
| Humana | Medicare|TRANSPLANT | $357.71 | ↓ -52% |
| BCBS | Medicare|All Plans | $357.71 | ↓ -52% |
| Humana | Medicare|All Other Plans | $357.71 | ↓ -52% |
| CIGNA HEALTHSPRING | Medicare|PPO | $361.29 | ↓ -52% |
| AETNA | Medicare|All Other Plans | $364.86 | ↓ -51% |
| UHC-SecureHorizons | Medicare|All Plans | $364.86 | ↓ -51% |
| Amerivantage | Medicare|All Plans | $368.44 | ↓ -51% |
| Cigna | Commercial|HMO | $369.00 | ↓ -51% |
| SELECTCARE | Medicare|All Plans | $375.60 | ↓ -50% |
| DEVOTED | Medicare|All Plans | $382.75 | ↓ -49% |
| SCANHealth | Medicare|All Plans | $382.75 | ↓ -49% |
| UHC | Medicaid|STARPLUS | $412.81 | ↓ -45% |
| UNITED | Medicaid|STARPLUS | $412.81 | ↓ -45% |
| KINDRED | Medicare|All Plans | $429.25 | ↓ -42% |
| Cigna | Commercial|PPO | $452.78 | ↓ -39% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $458.22 | ↓ -39% |
| KelseyCare | Commercial|Exchange | $482.91 | ↓ -35% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $492.59 | ↓ -34% |
| Employer Direct | Commercial|PPO | $500.79 | ↓ -33% |
| Community Health Choice | Commercial|Exchange | $536.57 | ↓ -28% |
| Superior Health Plan | Commercial|All Plans | $536.57 | ↓ -28% |
| Wellpoint | Commercial|Exchange | $536.57 | ↓ -28% |
| Community Health Choice | Commercial|All Other Plans | $536.57 | ↓ -28% |
| Harris Health | Commercial|ERS | $536.57 | ↓ -28% |
| Aetna | Commercial|Exchange | $550.87 | ↓ -26% |
| OPTUM | Medicare|All Plans | $575.10 | ↓ -23% |
| United | Commercial|Exchange | $582.00 | ↓ -22% |
| Bright Health | Commercial|All Plans | $615.81 | ↓ -17% |
| BCBS - TX | Commercial|Transplant | $676.74 | ↓ -9% |
| OPTUM | Medicaid|STAR | $770.64 | ↑ +3% |
| United | Commercial|Charter | $782.00 | ↑ +5% |
| United | Commercial|PPO | $869.00 | ↑ +17% |
| United | Commercial|HMO | $869.00 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $873.30 | ↑ +17% |
| TCH | Commercial|Transplant | $958.50 | ↑ +29% |
| United | Commercial|Optum | $1,001.10 | ↑ +34% |
| BCBS - TX | Commercial|Premier | $1,023.36 | ↑ +37% |
| Shell | Commercial|All Plans | $1,065.00 | ↑ +43% |
| NX Health | Commercial|PPO | $1,162.56 | ↑ +56% |
| CHC | Medicaid|HMO | $1,171.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,171.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,171.50 | ↑ +57% |
| BCBS - TX | Commercial|HMO | $1,206.65 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $1,278.00 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $1,299.30 | ↑ +74% |
| BCBS - TX | Commercial|PPO Trad | $1,336.48 | ↑ +79% |
| First Health | Commercial|All Plans | $1,384.50 | ↑ +86% |
| Humana | Commercial|Transplant | $1,384.50 | ↑ +86% |
| Coventry | Commercial|PPO | $1,384.50 | ↑ +86% |
| Healthsmart | Commercial|PPO | $1,491.00 | ↑ +100% |
| Aetna | Commercial|HMO | $1,491.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,491.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,491.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,597.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,759.81 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,810.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $2,130.00 | ↑ +186% |
Visitor-reported prices
Comments
X-ray arthrogram shoulder supervision & interpretation (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $745.50 | $131.99 – $2,130.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $132.31 – $672.06 |
| HCA HOUSTON WEST | HOUSTON | not published | $129.35 – $672.06 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $131.99 – $672.06 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $261.79 | $131.99 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $937.91 | $193.05 – $1,406.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $888.08 | $131.99 – $1,110.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $261.79 | $131.99 – $952.69 |