Allograft membrn amnio 1x2cm hu ambriodry at St. Luke's Health - The Vintage Hospital

20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141

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

$6,229.13

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.

$17,797.50

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.

$517.77 with TCHP vs $5,134.50 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
TCHP Medicaid|All Other Plans $517.77 ↓ -92%
Wellpoint Medicaid|STARKIDS $517.77 ↓ -92%
TCHP Medicaid|STARKIDS $517.77 ↓ -92%
Wellpoint Medicaid|CHIP $517.77 ↓ -92%
UNITED Medicaid|All Other Plans $528.13 ↓ -92%
CHC Medicaid|All Other Plans $595.44 ↓ -90%
Wellpoint Medicaid|STAR $693.81 ↓ -89%
TCHP Medicaid|STAR $693.81 ↓ -89%
UNITED Medicaid|STAR $709.34 ↓ -89%
CHC Medicaid|STAR $797.37 ↓ -87%
BCBS-TX Commercial|Exchange $1,078.25 ↓ -83%
BCBS-TX Commercial|Blue Premier $1,129.59 ↓ -82%
United Commercial|Exchange $1,232.28 ↓ -80%
Aetna-Kelsey Care Commercial|HMO $1,283.63 ↓ -79%
Bright Health Commercial|All Plans $1,334.97 ↓ -79%
BCBS-TX Commercial|MyBlue Health Exchange $1,334.97 ↓ -79%
BCBS-TX Commercial|HMO $1,386.32 ↓ -78%
OPTUM Medicare|All Plans $1,386.32 ↓ -78%
United Commercial|Charter $1,437.66 ↓ -77%
Aetna Commercial|HMO $1,489.01 ↓ -76%
Aetna Commercial|PPO $1,489.01 ↓ -76%
Cigna Commercial|HMO $1,540.35 ↓ -75%
BCBS-TX Commercial|PPO $1,540.35 ↓ -75%
Cigna Commercial|PPO $1,540.35 ↓ -75%
Cigna Commercial|Surefit $1,540.35 ↓ -75%
United Commercial|HMO $1,591.70 ↓ -74%
United Commercial|PPO $1,591.70 ↓ -74%
UHC Medicaid|STARPLUS $1,615.44 ↓ -74%
UNITED Medicaid|STARPLUS $1,615.44 ↓ -74%
TCHPCHIP Medicaid|HMO $1,797.08 ↓ -71%
OPTUM Medicaid|STAR $1,857.67 ↓ -70%
Aetna Commercial|Transplant $1,899.77 ↓ -70%
KelseyCare Commercial|All Other Plans $2,105.15 ↓ -66%
Humana Commercial|PPO $2,156.49 ↓ -65%
Humana Commercial|HMO $2,156.49 ↓ -65%
United Commercial|Optum $2,413.22 ↓ -61%
CHC Medicaid|CHIP $2,823.98 ↓ -55%
TEXASTRUECHOICE Medicaid|CHIP $2,823.98 ↓ -55%
CHC Medicaid|HMO $2,823.98 ↓ -55%
Independent Med System Commercial|All Plans $3,080.70 ↓ -51%
Cigna Lifesource Commercial|Transplant $3,080.70 ↓ -51%
Interlink Commercial|Transplant $3,080.70 ↓ -51%
Coventry Commercial|PPO $3,337.43 ↓ -46%
Humana Commercial|Transplant $3,337.43 ↓ -46%
PHCS Savility Commercial|PPO $3,337.43 ↓ -46%
First Health Commercial|All Plans $3,337.43 ↓ -46%
PHCS Commercial|All Plans $3,337.43 ↓ -46%
Healthsmart Commercial|PPO $3,594.15 ↓ -42%
Cigna Commercial|Transplant $3,594.15 ↓ -42%
Healthsmart Commercial|AP3-PPO $3,696.84 ↓ -41%
MultiPlan Commercial|All Plans $3,850.88 ↓ -38%
OPTUM Medicaid|STARPLUS $4,242.13 ↓ -32%
USA Health Network Commercial|All Plans $4,364.33 ↓ -30%
MHealth Network Commercial|PPO $5,134.50 ↓ -18%

Visitor-reported prices

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Allograft membrn amnio 1x2cm hu ambriodry at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $4,037.03 $517.77 – $559.19
Baylor St Luke's Medical Center Houston $6,229.13 $517.77 – $5,134.50
HCA HOUSTON WEST HOUSTON not published $517.77 – $559.19
HCA HOUSTON TOMBALL HOUSTON not published $517.77 – $559.19
St. Luke's Health - Patients Medical Center Pasadena $11,572.58 $163.40 – $583.54
St. Joseph Health Madison Hospital Madisonville $1,698.03 $1,236.17 – $8,732.70
St. Luke's Health Memorial Lufkin Lufkin $8,447.99 $3,651.01 – $21,906.05
St. Luke's Health - Springwoods Village Hospital Spring $6,229.13 $517.77 – $5,134.50

All Texas hospitals for this procedure →