Aco ccm; at least 20 min 99490aco at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$73.50
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.
$210.00
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.
$47.36 with BCBS-TX vs $301.11 with NX Health — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|MyBlue Health Exchange | $47.36 | ↓ -36% |
| BCBS-TX | Commercial|Exchange | $54.82 | ↓ -25% |
| OPTUM | Medicare|All Plans | $56.70 | ↓ -23% |
| Renaissance | Commercial|All Plans | $66.71 | ↓ -9% |
| BCBS-TX | Commercial|Blue Premier | $68.77 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $73.50 | ↑ +0% |
| United | Commercial|Exchange | $74.00 | ↑ +1% |
| OPTUM | Medicaid|STAR | $75.98 | ↑ +3% |
| BCBS-TX | Commercial|HMO | $90.83 | ↑ +24% |
| HUMANA | Medicare|All Other Plans | $92.65 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|HMO | $92.65 | ↑ +26% |
| SELECTCARE | Medicare|All Plans | $92.65 | ↑ +26% |
| HUMANA | Medicare|TRANSPLANT | $92.65 | ↑ +26% |
| KELSEY | Medicare|All Plans | $92.65 | ↑ +26% |
| BCBS | Medicare|All Plans | $92.65 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|PPO | $93.58 | ↑ +27% |
| UHC-SecureHorizons | Medicare|All Plans | $94.50 | ↑ +29% |
| AETNA | Medicare|All Plans | $94.50 | ↑ +29% |
| Amerivantage | Medicare|All Plans | $95.43 | ↑ +30% |
| United | Commercial|Optum | $98.70 | ↑ +34% |
| DEVOTED | Medicare|All Plans | $99.14 | ↑ +35% |
| SCANHealth | Medicare|All Plans | $99.14 | ↑ +35% |
| KINDRED | Medicare|All Plans | $101.92 | ↑ +39% |
| BCBS-TX | Commercial|PPO | $103.16 | ↑ +40% |
| United | Commercial|Charter | $109.00 | ↑ +48% |
| CHC | Medicaid|CHIP | $115.50 | ↑ +57% |
| CHC | Medicaid|HMO | $115.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $115.50 | ↑ +57% |
| United | Commercial|HMO | $122.00 | ↑ +66% |
| United | Commercial|PPO | $122.00 | ↑ +66% |
| KelseyCare | Commercial|Exchange | $125.08 | ↑ +70% |
| Bright Health | Commercial|All Plans | $125.14 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $126.00 | ↑ +71% |
| Employer Direct | Commercial|PPO | $129.71 | ↑ +76% |
| First Health | Commercial|All Plans | $136.50 | ↑ +86% |
| Humana | Commercial|Transplant | $136.50 | ↑ +86% |
| Coventry | Commercial|PPO | $136.50 | ↑ +86% |
| Wellpoint | Commercial|Exchange | $138.97 | ↑ +89% |
| Community Health Choice | Commercial|Exchange | $138.97 | ↑ +89% |
| Community Health Choice | Commercial|All Other Plans | $138.97 | ↑ +89% |
| Superior Health Plan | Commercial|All Plans | $138.97 | ↑ +89% |
| Aetna | Commercial|Exchange | $142.68 | ↑ +94% |
| Healthsmart | Commercial|PPO | $147.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $147.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $147.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $157.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $173.51 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $178.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $210.00 | ↑ +186% |
| NX Health | Commercial|PPO | $301.11 | ↑ +310% |
Visitor-reported prices
Comments
Aco ccm; at least 20 min 99490aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $73.50 | $38.28 – $210.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $75.91 – $92.04 |
| HCA HOUSTON WEST | HOUSTON | not published | $75.91 – $92.04 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $75.91 – $92.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $71.94 | $20.38 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $69.30 | $14.26 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $69.30 | $13.86 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $71.94 | $19.18 – $220.82 |