X-ray exam of sinuses at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$89.60
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.
$256.00
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.
$28.16 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 | $28.16 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $28.16 | ↓ -69% |
| Wellpoint | Medicaid|CHIP | $32.41 | ↓ -64% |
| Wellpoint | Medicaid|STARKIDS | $32.41 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $32.41 | ↓ -64% |
| UNITED | Medicaid|All Other Plans | $33.06 | ↓ -63% |
| UHC | Medicaid|STARKIDS | $33.06 | ↓ -63% |
| UHC | Medicaid|CHIP | $33.06 | ↓ -63% |
| BCBS | Medicaid|All Plans | $34.03 | ↓ -62% |
| CHC | Medicaid|All Other Plans | $37.27 | ↓ -58% |
| TCHP | Medicaid|STAR | $37.74 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $43.43 | ↓ -52% |
| UNITED | Medicaid|STAR | $44.40 | ↓ -50% |
| CHC | Medicaid|STAR | $49.91 | ↓ -44% |
| Renaissance | Commercial|All Plans | $63.50 | ↓ -29% |
| OPTUM | Medicare|All Plans | $69.12 | ↓ -23% |
| Cigna | Commercial|Surefit | $75.75 | ↓ -15% |
| Cigna | Commercial|HMO | $83.42 | ↓ -7% |
| Humana | Medicare|All Other Plans | $88.19 | ↓ -2% |
| AETNA | Medicare|TRANSPLANT | $88.19 | ↓ -2% |
| Humana | Medicare|TRANSPLANT | $88.19 | ↓ -2% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -2% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -2% |
| CIGNA HEALTHSPRING | Medicare|HMO | $88.19 | ↓ -2% |
| CIGNA HEALTHSPRING | Medicare|PPO | $89.07 | ↓ -1% |
| AETNA | Medicare|All Other Plans | $89.95 | ↑ +0% |
| UHC-SecureHorizons | Medicare|All Plans | $89.95 | ↑ +0% |
| Amerivantage | Medicare|All Plans | $90.84 | ↑ +1% |
| SELECTCARE | Medicare|All Plans | $92.60 | ↑ +3% |
| OPTUM | Medicaid|STAR | $92.63 | ↑ +3% |
| SCANHealth | Medicare|All Plans | $94.36 | ↑ +5% |
| DEVOTED | Medicare|All Plans | $94.36 | ↑ +5% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $95.77 | ↑ +7% |
| UHC | Medicaid|STARPLUS | $101.12 | ↑ +13% |
| UNITED | Medicaid|STARPLUS | $101.12 | ↑ +13% |
| Cigna | Commercial|PPO | $102.38 | ↑ +14% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $102.95 | ↑ +15% |
| TCHPCHIP | Medicaid|HMO | $104.96 | ↑ +17% |
| KINDRED | Medicare|All Plans | $105.83 | ↑ +18% |
| BCBS - TX | Commercial|Transplant | $113.99 | ↑ +27% |
| TCH | Commercial|Transplant | $115.20 | ↑ +29% |
| KelseyCare | Commercial|Exchange | $119.06 | ↑ +33% |
| United | Commercial|Optum | $120.32 | ↑ +34% |
| Employer Direct | Commercial|PPO | $123.47 | ↑ +38% |
| Shell | Commercial|All Plans | $128.00 | ↑ +43% |
| Community Health Choice | Commercial|All Other Plans | $132.28 | ↑ +48% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↑ +48% |
| Superior Health Plan | Commercial|All Plans | $132.28 | ↑ +48% |
| Wellpoint | Commercial|Exchange | $132.28 | ↑ +48% |
| Harris Health | Commercial|ERS | $132.28 | ↑ +48% |
| Bright Health | Commercial|All Plans | $135.27 | ↑ +51% |
| Aetna | Commercial|Exchange | $135.81 | ↑ +52% |
| CHC | Medicaid|HMO | $140.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $140.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $140.80 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $153.60 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $156.16 | ↑ +74% |
| First Health | Commercial|All Plans | $166.40 | ↑ +86% |
| Humana | Commercial|Transplant | $166.40 | ↑ +86% |
| Coventry | Commercial|PPO | $166.40 | ↑ +86% |
| Cigna | Commercial|Transplant | $179.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $179.20 | ↑ +100% |
| Aetna | Commercial|HMO | $179.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $179.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $192.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $211.51 | ↑ +136% |
| BCBS - TX | Commercial|Premier | $213.89 | ↑ +139% |
| USA Health Network | Commercial|All Plans | $217.60 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $252.20 | ↑ +181% |
| BCBS - TX | Commercial|PPO Trad | $256.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $256.00 | ↑ +186% |
| NX Health | Commercial|PPO | $286.62 | ↑ +220% |
| United | Commercial|Exchange | $582.00 | ↑ +550% |
| United | Commercial|Charter | $782.00 | ↑ +773% |
| United | Commercial|PPO | $869.00 | ↑ +870% |
| United | Commercial|HMO | $869.00 | ↑ +870% |
Visitor-reported prices
Comments
X-ray exam of sinuses at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $89.60 | $20.48 – $256.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $32.41 – $143.16 |
| HCA HOUSTON WEST | HOUSTON | not published | $31.76 – $143.16 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $32.41 – $143.16 |
| Adventhealth Rollins Brook | Lampasas | $830.26 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $151.82 | $32.41 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $188.79 | $38.86 – $283.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $249.35 | $32.41 – $311.69 |