Bx soft tissue back/flank deep 21925 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.

$486.45 with Wellpoint vs $7,221.00 with Cigna — 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 $486.45
TCHP Medicaid|STARKIDS $486.45
TCHP Medicaid|All Other Plans $486.45
Wellpoint Medicaid|STARKIDS $486.45
Wellpoint Medicaid|CHIP $486.45
UHC Medicaid|CHIP $496.18
UNITED Medicaid|All Other Plans $496.18
UHC Medicaid|STARKIDS $496.18
BCBS Medicaid|All Plans $510.77
CHC Medicaid|All Other Plans $559.42
Wellpoint Medicaid|STAR $651.84
TCHP Medicaid|STAR $651.84
UNITED Medicaid|STAR $666.44
CHC Medicaid|STAR $749.13
BCBS-TX Commercial|Exchange $1,029.45
Aetna-Kelsey Care Commercial|HMO $1,076.00
Renaissance Commercial|All Plans $1,168.46
Healthsmart Commercial|AP3-PPO $1,285.00
Aetna Commercial|HMO $1,298.00
BCBS-TX Commercial|MyBlue Health Exchange $1,317.70
UHC Medicaid|STARPLUS $1,517.72
UNITED Medicaid|STARPLUS $1,517.72
KELSEY Medicare|All Plans $1,622.86
CIGNA HEALTHSPRING Medicare|HMO $1,622.86
SELECTCARE Medicare|All Plans $1,622.86
BCBS Medicare|All Plans $1,622.86
HUMANA Medicare|All Other Plans $1,622.86
HUMANA Medicare|TRANSPLANT $1,622.86
CIGNA HEALTHSPRING Medicare|PPO $1,639.09
AETNA Medicare|All Plans $1,655.32
UHC-SecureHorizons Medicare|All Plans $1,655.32
Amerivantage Medicare|All Plans $1,671.55
Independent Med System Commercial|All Plans $1,675.00
DEVOTED Medicare|All Plans $1,736.46
SCANHealth Medicare|All Plans $1,736.46
KINDRED Medicare|All Plans $1,785.15
BCBS-TX Commercial|Blue Premier $1,990.27
KelseyCare Commercial|Exchange $2,190.86
Employer Direct Commercial|PPO $2,272.00
Bright Health Commercial|All Plans $2,352.97
BCBS-TX Commercial|HMO $2,360.87
KelseyCare Commercial|All Other Plans $2,404.80
Superior Health Plan Commercial|All Plans $2,434.29
Community Health Choice Commercial|All Other Plans $2,434.29
Community Health Choice Commercial|Exchange $2,434.29
Wellpoint Commercial|Exchange $2,434.29
Aetna Commercial|Exchange $2,499.20
Cigna Commercial|Surefit $2,609.00
BCBS-TX Commercial|PPO $2,635.39
Cigna Commercial|HMO $2,875.00
United Commercial|Exchange $3,137.00
Humana Commercial|HMO $4,000.00
Humana Commercial|PPO $4,000.00
United Commercial|Charter $4,631.00
United Commercial|PPO $5,145.00
United Commercial|HMO $5,145.00
PHCS Commercial|All Plans $5,185.00
PHCS Savility Commercial|PPO $5,185.00
NX Health Commercial|PPO $5,274.30
Cigna Commercial|PPO $7,221.00
USA Health Network Commercial|All Plans not published by hospital
Cigna Commercial|Transplant not published by hospital
United Commercial|Optum not published by hospital
First Health Commercial|All Plans not published by hospital
Interlink Commercial|Transplant not published by hospital
CHC Medicaid|CHIP not published by hospital
Coventry Commercial|PPO not published by hospital
CHC Medicaid|HMO not published by hospital
Aetna Commercial|Transplant not published by hospital
Aetna Commercial|PPO not published by hospital
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
Humana Commercial|Transplant not published by hospital
MHealth Network Commercial|PPO 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

Visitor-reported prices

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Bx soft tissue back/flank deep 21925 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $521.99 – $2,813.83
Baylor St Luke's Medical Center Houston not published $1,285.00 – $1,285.00
HCA HOUSTON WEST HOUSTON not published $476.72 – $2,388.32
HCA HOUSTON TOMBALL HOUSTON not published $486.45 – $2,388.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $3,794.88 $71.00 – $5,692.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $3,382.25 $71.00 – $4,227.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $3,794.88 $85.00 – $5,692.32
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $3,794.88 $486.45 – $5,692.32

All Texas hospitals for this procedure →