X-ray surgical specimen at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$642.95
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.
$1,837.00
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.
$42.10 with Wellpoint vs $1,837.00 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|STARKIDS | $42.10 | ↓ -93% |
| Wellpoint | Medicaid|CHIP | $42.10 | ↓ -93% |
| Wellpoint | Medicaid|All Other Plans | $42.78 | ↓ -93% |
| UNITED | Medicaid|All Other Plans | $42.94 | ↓ -93% |
| UHC | Medicaid|STARKIDS | $43.64 | ↓ -93% |
| UHC | Medicaid|CHIP | $43.64 | ↓ -93% |
| BCBS | Medicaid|All Plans | $44.92 | ↓ -93% |
| CHC | Medicaid|All Other Plans | $48.41 | ↓ -92% |
| Wellpoint | Medicaid|STAR | $56.41 | ↓ -91% |
| UNITED | Medicaid|STAR | $57.68 | ↓ -91% |
| CHC | Medicaid|STAR | $64.83 | ↓ -90% |
| Cigna | Commercial|Surefit | $79.98 | ↓ -88% |
| Cigna | Commercial|HMO | $88.09 | ↓ -86% |
| Cigna | Commercial|PPO | $108.08 | ↓ -83% |
| UHC | Medicaid|STARPLUS | $131.35 | ↓ -80% |
| UNITED | Medicaid|STARPLUS | $131.35 | ↓ -80% |
| TCHP | Medicaid|STARKIDS | $202.07 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $202.07 | ↓ -69% |
| TCHP | Medicaid|STAR | $270.78 | ↓ -58% |
| Renaissance | Commercial|All Plans | $395.42 | ↓ -38% |
| OPTUM | Medicare|All Plans | $495.99 | ↓ -23% |
| KELSEY | Medicare|All Plans | $549.19 | ↓ -15% |
| Humana | Medicare|All Other Plans | $549.19 | ↓ -15% |
| Humana | Medicare|TRANSPLANT | $549.19 | ↓ -15% |
| AETNA | Medicare|TRANSPLANT | $549.19 | ↓ -15% |
| BCBS | Medicare|All Plans | $549.19 | ↓ -15% |
| CIGNA HEALTHSPRING | Medicare|HMO | $549.19 | ↓ -15% |
| CIGNA HEALTHSPRING | Medicare|PPO | $554.68 | ↓ -14% |
| UHC-SecureHorizons | Medicare|All Plans | $560.17 | ↓ -13% |
| AETNA | Medicare|All Other Plans | $560.17 | ↓ -13% |
| Amerivantage | Medicare|All Plans | $565.67 | ↓ -12% |
| SELECTCARE | Medicare|All Plans | $576.65 | ↓ -10% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $577.90 | ↓ -10% |
| United | Commercial|Exchange | $582.00 | ↓ -9% |
| SCANHealth | Medicare|All Plans | $587.63 | ↓ -9% |
| DEVOTED | Medicare|All Plans | $587.63 | ↓ -9% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $621.24 | ↓ -3% |
| KINDRED | Medicare|All Plans | $659.03 | ↑ +3% |
| OPTUM | Medicaid|STAR | $664.63 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $741.41 | ↑ +15% |
| TCHPCHIP | Medicaid|HMO | $753.17 | ↑ +17% |
| Employer Direct | Commercial|PPO | $768.87 | ↑ +20% |
| United | Commercial|Charter | $782.00 | ↑ +22% |
| Bright Health | Commercial|All Plans | $808.04 | ↑ +26% |
| Community Health Choice | Commercial|Exchange | $823.79 | ↑ +28% |
| Superior Health Plan | Commercial|All Plans | $823.79 | ↑ +28% |
| Wellpoint | Commercial|Exchange | $823.79 | ↑ +28% |
| Community Health Choice | Commercial|All Other Plans | $823.79 | ↑ +28% |
| Harris Health | Commercial|ERS | $823.79 | ↑ +28% |
| TCH | Commercial|Transplant | $826.65 | ↑ +29% |
| Aetna | Commercial|Exchange | $845.75 | ↑ +32% |
| BCBS - TX | Commercial|Transplant | $859.83 | ↑ +34% |
| United | Commercial|Optum | $863.39 | ↑ +34% |
| United | Commercial|HMO | $869.00 | ↑ +35% |
| United | Commercial|PPO | $869.00 | ↑ +35% |
| Shell | Commercial|All Plans | $918.50 | ↑ +43% |
| CHC | Medicaid|CHIP | $1,010.35 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,010.35 | ↑ +57% |
| CHC | Medicaid|HMO | $1,010.35 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,102.20 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $1,120.57 | ↑ +74% |
| Coventry | Commercial|PPO | $1,194.05 | ↑ +86% |
| First Health | Commercial|All Plans | $1,194.05 | ↑ +86% |
| Humana | Commercial|Transplant | $1,194.05 | ↑ +86% |
| Cigna | Commercial|Transplant | $1,285.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,285.90 | ↑ +100% |
| Aetna | Commercial|HMO | $1,285.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,285.90 | ↑ +100% |
| BCBS - TX | Commercial|Premier | $1,290.63 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $1,377.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,517.73 | ↑ +136% |
| BCBS - TX | Commercial|HMO | $1,521.79 | ↑ +137% |
| USA Health Network | Commercial|All Plans | $1,561.45 | ↑ +143% |
| BCBS - TX | Commercial|PPO Trad | $1,685.53 | ↑ +162% |
| NX Health | Commercial|PPO | $1,784.87 | ↑ +178% |
| MHealth Network | Commercial|PPO | $1,837.00 | ↑ +186% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $1,549.31 | $42.10 – $847.58 |
| HCA HOUSTON WEST | HOUSTON | $1,211.00 | $41.92 – $847.58 |
| St. Luke's Health - The Vintage Hospital | Houston | $642.95 | $42.10 – $1,837.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $42.10 – $847.58 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $638.62 | $131.45 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $458.88 | $42.78 – $1,366.64 |