X-ray exam of arm infant at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$110.60
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.
$316.00
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.
$34.76 with TCHP vs $869.00 with United — 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 | $34.76 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $34.76 | ↓ -69% |
| TCHP | Medicaid|STAR | $46.58 | ↓ -58% |
| Cigna | Commercial|Surefit | $75.75 | ↓ -32% |
| Renaissance | Commercial|All Plans | $76.69 | ↓ -31% |
| Cigna | Commercial|HMO | $83.42 | ↓ -25% |
| OPTUM | Medicare|All Plans | $85.32 | ↓ -23% |
| Cigna | Commercial|PPO | $102.38 | ↓ -7% |
| Wellpoint | Medicaid|All Other Plans | $104.75 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|HMO | $106.51 | ↓ -4% |
| Humana | Medicare|All Other Plans | $106.51 | ↓ -4% |
| AETNA | Medicare|TRANSPLANT | $106.51 | ↓ -4% |
| KELSEY | Medicare|All Plans | $106.51 | ↓ -4% |
| Humana | Medicare|TRANSPLANT | $106.51 | ↓ -4% |
| BCBS | Medicare|All Plans | $106.51 | ↓ -4% |
| UHC | Medicaid|CHIP | $106.84 | ↓ -3% |
| UHC | Medicaid|STARKIDS | $106.84 | ↓ -3% |
| Wellpoint | Medicaid|STARKIDS | $106.88 | ↓ -3% |
| Wellpoint | Medicaid|CHIP | $106.88 | ↓ -3% |
| CIGNA HEALTHSPRING | Medicare|PPO | $107.58 | ↓ -3% |
| AETNA | Medicare|All Other Plans | $108.64 | ↓ -2% |
| UHC-SecureHorizons | Medicare|All Plans | $108.64 | ↓ -2% |
| UNITED | Medicaid|All Other Plans | $109.02 | ↓ -1% |
| Amerivantage | Medicare|All Plans | $109.71 | ↓ -1% |
| BCBS | Medicaid|All Plans | $109.99 | ↓ -1% |
| SELECTCARE | Medicare|All Plans | $111.84 | ↑ +1% |
| DEVOTED | Medicare|All Plans | $113.97 | ↑ +3% |
| SCANHealth | Medicare|All Plans | $113.97 | ↑ +3% |
| BCBS - TX | Commercial|Transplant | $113.99 | ↑ +3% |
| OPTUM | Medicaid|STAR | $114.33 | ↑ +3% |
| CHC | Medicaid|All Other Plans | $122.91 | ↑ +11% |
| KINDRED | Medicare|All Plans | $127.81 | ↑ +16% |
| TCHPCHIP | Medicaid|HMO | $129.56 | ↑ +17% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $134.50 | ↑ +22% |
| TCH | Commercial|Transplant | $142.20 | ↑ +29% |
| Wellpoint | Medicaid|STAR | $143.22 | ↑ +29% |
| KelseyCare | Commercial|Exchange | $143.79 | ↑ +30% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $144.58 | ↑ +31% |
| UNITED | Medicaid|STAR | $146.43 | ↑ +32% |
| United | Commercial|Optum | $148.52 | ↑ +34% |
| Employer Direct | Commercial|PPO | $149.11 | ↑ +35% |
| Shell | Commercial|All Plans | $158.00 | ↑ +43% |
| Wellpoint | Commercial|Exchange | $159.76 | ↑ +44% |
| Harris Health | Commercial|ERS | $159.76 | ↑ +44% |
| Community Health Choice | Commercial|All Other Plans | $159.76 | ↑ +44% |
| Community Health Choice | Commercial|Exchange | $159.76 | ↑ +44% |
| Superior Health Plan | Commercial|All Plans | $159.76 | ↑ +44% |
| Aetna | Commercial|Exchange | $164.03 | ↑ +48% |
| CHC | Medicaid|STAR | $164.60 | ↑ +49% |
| CHC | Medicaid|HMO | $173.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $173.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $173.80 | ↑ +57% |
| Bright Health | Commercial|All Plans | $182.06 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $189.60 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $192.76 | ↑ +74% |
| Humana | Commercial|Transplant | $205.40 | ↑ +86% |
| First Health | Commercial|All Plans | $205.40 | ↑ +86% |
| Coventry | Commercial|PPO | $205.40 | ↑ +86% |
| Healthsmart | Commercial|PPO | $221.20 | ↑ +100% |
| Aetna | Commercial|HMO | $221.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $221.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $221.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $237.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $261.08 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $268.60 | ↑ +143% |
| BCBS - TX | Commercial|Premier | $300.37 | ↑ +172% |
| BCBS - TX | Commercial|HMO | $316.00 | ↑ +186% |
| BCBS - TX | Commercial|PPO Trad | $316.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $316.00 | ↑ +186% |
| UNITED | Medicaid|STARPLUS | $333.47 | ↑ +202% |
| UHC | Medicaid|STARPLUS | $333.47 | ↑ +202% |
| NX Health | Commercial|PPO | $346.16 | ↑ +213% |
| United | Commercial|Exchange | $582.00 | ↑ +426% |
| United | Commercial|Charter | $782.00 | ↑ +607% |
| United | Commercial|HMO | $869.00 | ↑ +686% |
| United | Commercial|PPO | $869.00 | ↑ +686% |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $110.60 | $25.28 – $316.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $87.12 – $197.26 |
| HCA HOUSTON WEST | HOUSTON | not published | $87.12 – $197.26 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $87.12 – $197.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.43 | $68.06 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $248.44 | $51.14 – $372.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $253.40 | $99.77 – $316.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.43 | $88.85 – $272.35 |