Aqueous shunt eye w/graft 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

not published by hospital

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.

not published by hospital

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.

$1,732.00 with Aetna-Kelsey Care vs $16,796.23 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 →

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
Aetna-Kelsey Care Commercial|HMO $1,732.00
Wellpoint Medicaid|All Other Plans $2,064.63
Wellpoint Medicaid|STARKIDS $2,064.63
Wellpoint Medicaid|CHIP $2,064.63
TCHP Medicaid|All Other Plans $2,064.63
TCHP Medicaid|STARKIDS $2,064.63
Aetna Commercial|HMO $2,089.00
UNITED Medicaid|All Other Plans $2,105.92
UHC Medicaid|STARKIDS $2,105.92
UHC Medicaid|CHIP $2,105.92
KelseyCare Commercial|All Other Plans $2,112.30
BCBS Medicaid|All Plans $2,167.86
Healthsmart Commercial|AP3-PPO $2,177.00
CHC Medicaid|All Other Plans $2,374.32
Independent Med System Commercial|All Plans $2,486.00
Wellpoint Medicaid|STAR $2,766.60
TCHP Medicaid|STAR $2,766.60
UNITED Medicaid|STAR $2,828.54
BCBS-TX Commercial|Exchange $2,863.75
Humana Commercial|HMO $2,916.00
Humana Commercial|PPO $2,916.00
CHC Medicaid|STAR $3,179.53
BCBS-TX Commercial|MyBlue Health Exchange $3,665.60
Renaissance Commercial|All Plans $3,721.01
Cigna Commercial|Surefit $4,007.00
United Commercial|Exchange $4,078.00
Cigna Commercial|HMO $4,415.00
HUMANA Medicare|All Other Plans $5,168.07
SELECTCARE Medicare|All Plans $5,168.07
KELSEY Medicare|All Plans $5,168.07
BCBS Medicare|All Plans $5,168.07
HUMANA Medicare|TRANSPLANT $5,168.07
CIGNA HEALTHSPRING Medicare|HMO $5,168.07
CIGNA HEALTHSPRING Medicare|PPO $5,219.75
UHC-SecureHorizons Medicare|All Plans $5,271.43
AETNA Medicare|All Plans $5,271.43
Amerivantage Medicare|All Plans $5,323.11
DEVOTED Medicare|All Plans $5,529.83
SCANHealth Medicare|All Plans $5,529.83
BCBS-TX Commercial|Blue Premier $5,536.58
KINDRED Medicare|All Plans $5,684.88
United Commercial|Charter $6,021.00
UNITED Medicaid|STARPLUS $6,441.65
UHC Medicaid|STARPLUS $6,441.65
Bright Health Commercial|All Plans $6,549.03
BCBS-TX Commercial|HMO $6,567.53
United Commercial|PPO $6,690.00
United Commercial|HMO $6,690.00
KelseyCare Commercial|Exchange $6,976.89
Employer Direct Commercial|PPO $7,235.30
PHCS Commercial|All Plans $7,270.00
PHCS Savility Commercial|PPO $7,270.00
BCBS-TX Commercial|PPO $7,331.19
Community Health Choice Commercial|Exchange $7,752.10
Community Health Choice Commercial|All Other Plans $7,752.10
Superior Health Plan Commercial|All Plans $7,752.10
Wellpoint Commercial|Exchange $7,752.10
Aetna Commercial|Exchange $7,958.83
Cigna Commercial|PPO $11,090.00
NX Health Commercial|PPO $16,796.23
MultiPlan Commercial|All Plans not published by hospital
Healthsmart Commercial|PPO not published by hospital
OPTUM Medicaid|STARPLUS not published by hospital
OPTUM Medicaid|STAR not published by hospital
OPTUM Medicare|All Plans not published by hospital
MHealth Network Commercial|PPO not published by hospital
Humana Commercial|Transplant not published by hospital
TCHPCHIP Medicaid|HMO not published by hospital
TEXASTRUECHOICE Medicaid|CHIP not published by hospital
Cigna Lifesource Commercial|Transplant not published by hospital
USA Health Network Commercial|All Plans not published by hospital
Cigna Commercial|Transplant not published by hospital
United Commercial|Optum not published by hospital
CHC Medicaid|CHIP not published by hospital
CHC Medicaid|HMO not published by hospital
First Health Commercial|All Plans not published by hospital
Interlink Commercial|Transplant not published by hospital
Coventry Commercial|PPO not published by hospital
Aetna Commercial|Transplant not published by hospital
Aetna Commercial|PPO not published by hospital

Visitor-reported prices

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Aqueous shunt eye w/graft at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $2,215.43 – $7,827.58
Baylor St Luke's Medical Center Houston not published $2,177.00 – $2,177.00
HCA HOUSTON WEST HOUSTON not published $2,023.34 – $6,643.89
HCA HOUSTON TOMBALL HOUSTON not published $2,064.63 – $6,643.89
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $6,859.33 $71.00 – $10,289.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $4,646.69 $71.00 – $10,072.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $6,859.33 $85.00 – $10,289.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $6,859.33 $2,064.63 – $10,289.00

All Texas hospitals for this procedure →