X-ray temporomandibular joint open/closed mouth bilateral at Baylor St Luke's Medical Center

1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$493.15

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,409.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$53.13 with Wellpoint vs $1,409.00 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 →

Payer
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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
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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 $53.13 ↓ -89%
Wellpoint Medicaid|CHIP $53.13 ↓ -89%
Wellpoint Medicaid|STARKIDS $53.13 ↓ -89%
UHC Medicaid|CHIP $54.19 ↓ -89%
UHC Medicaid|STARKIDS $54.19 ↓ -89%
UNITED Medicaid|All Other Plans $54.19 ↓ -89%
BCBS Medicaid|All Plans $55.79 ↓ -89%
CHC Medicaid|All Other Plans $61.10 ↓ -88%
Renaissance Commercial|All Plans $63.50 ↓ -87%
Wellpoint Medicaid|STAR $71.19 ↓ -86%
UNITED Medicaid|STAR $72.79 ↓ -85%
CHC Medicaid|STAR $81.82 ↓ -83%
Humana Medicare|All Other Plans $88.19 ↓ -82%
KELSEY Medicare|All Plans $88.19 ↓ -82%
Humana Medicare|TRANSPLANT $88.19 ↓ -82%
BCBS Medicare|All Plans $88.19 ↓ -82%
CIGNA HEALTHSPRING Medicare|HMO $88.19 ↓ -82%
AETNA Medicare|TRANSPLANT $88.19 ↓ -82%
CIGNA HEALTHSPRING Medicare|PPO $89.07 ↓ -82%
AETNA Medicare|All Other Plans $89.95 ↓ -82%
UHC-SecureHorizons Medicare|All Plans $89.95 ↓ -82%
Amerivantage Medicare|All Plans $90.84 ↓ -82%
SELECTCARE Medicare|All Plans $92.60 ↓ -81%
DEVOTED Medicare|All Plans $94.36 ↓ -81%
SCANHealth Medicare|All Plans $94.36 ↓ -81%
BCBS - TX Commercial|MyBlue Health Exchange $95.77 ↓ -81%
BCBS - TX Commercial|Blue Advantage Exchange $102.95 ↓ -79%
KINDRED Medicare|All Plans $105.83 ↓ -79%
BCBS - TX Commercial|Transplant $113.99 ↓ -77%
KelseyCare Commercial|Exchange $119.06 ↓ -76%
Employer Direct Commercial|PPO $123.47 ↓ -75%
Harris Health Commercial|ERS $132.28 ↓ -73%
Community Health Choice Commercial|Exchange $132.28 ↓ -73%
Superior Health Plan Commercial|All Plans $132.28 ↓ -73%
Community Health Choice Commercial|All Other Plans $132.28 ↓ -73%
Wellpoint Commercial|Exchange $132.28 ↓ -73%
Cigna Commercial|Surefit $132.67 ↓ -73%
Bright Health Commercial|All Plans $135.27 ↓ -73%
Aetna Commercial|Exchange $135.81 ↓ -72%
Cigna Commercial|HMO $146.11 ↓ -70%
TCHP Medicaid|All Other Plans $154.99 ↓ -69%
TCHP Medicaid|STARKIDS $154.99 ↓ -69%
UNITED Medicaid|STARPLUS $165.77 ↓ -66%
UHC Medicaid|STARPLUS $165.77 ↓ -66%
Cigna Commercial|PPO $179.29 ↓ -64%
TCHP Medicaid|STAR $207.69 ↓ -58%
BCBS - TX Commercial|Premier $213.89 ↓ -57%
BCBS - TX Commercial|HMO $252.20 ↓ -49%
BCBS - TX Commercial|PPO Trad $279.34 ↓ -43%
NX Health Commercial|PPO $286.62 ↓ -42%
OPTUM Medicare|All Plans $380.43 ↓ -23%
OPTUM Medicaid|STAR $509.78 ↑ +3%
TCHPCHIP Medicaid|HMO $577.69 ↑ +17%
United Commercial|Exchange $582.00 ↑ +18%
TCH Commercial|Transplant $634.05 ↑ +29%
United Commercial|Optum $662.23 ↑ +34%
Shell Commercial|All Plans $704.50 ↑ +43%
CHC Medicaid|CHIP $774.95 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $774.95 ↑ +57%
CHC Medicaid|HMO $774.95 ↑ +57%
United Commercial|Charter $782.00 ↑ +59%
Cigna Lifesource Commercial|Transplant $845.40 ↑ +71%
Aetna Commercial|KelseyCare $859.49 ↑ +74%
United Commercial|PPO $869.00 ↑ +76%
United Commercial|HMO $869.00 ↑ +76%
First Health Commercial|All Plans $915.85 ↑ +86%
Coventry Commercial|PPO $915.85 ↑ +86%
Humana Commercial|Transplant $915.85 ↑ +86%
Cigna Commercial|Transplant $986.30 ↑ +100%
Aetna Commercial|HMO $986.30 ↑ +100%
Healthsmart Commercial|PPO $986.30 ↑ +100%
Interlink Commercial|Transplant $986.30 ↑ +100%
MultiPlan Commercial|All Plans $1,056.75 ↑ +114%
OPTUM Medicaid|STARPLUS $1,164.12 ↑ +136%
USA Health Network Commercial|All Plans $1,197.65 ↑ +143%
MHealth Network Commercial|PPO $1,409.00 ↑ +186%

Visitor-reported prices

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X-ray temporomandibular joint open/closed mouth bilateral at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - The Vintage Hospital Houston $493.15 $53.13 – $1,409.00
HCA HOUSTON MEDICAL CENTER Houston not published $53.13 – $250.70
HCA HOUSTON WEST HOUSTON not published $52.07 – $250.70
HCA HOUSTON TOMBALL HOUSTON not published $53.13 – $250.70
Adventhealth Rollins Brook Lampasas $706.38 $307.27 – $307.27
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $477.80 $53.13 – $597.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $268.76 $55.32 – $403.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $277.69 $53.13 – $347.12

All Texas hospitals for this procedure →