Clsd tx mandibular fx without manip 21450 at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$250.84 with TCHP vs $9,029.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $250.84 | — |
| Wellpoint | Medicaid|STARKIDS | $250.84 | — |
| Wellpoint | Medicaid|All Other Plans | $250.84 | — |
| TCHP | Medicaid|All Other Plans | $250.84 | — |
| Wellpoint | Medicaid|CHIP | $250.84 | — |
| UHC | Medicaid|CHIP | $255.86 | — |
| UNITED | Medicaid|All Other Plans | $255.86 | — |
| UHC | Medicaid|STARKIDS | $255.86 | — |
| BCBS | Medicaid|All Plans | $263.38 | — |
| CHC | Medicaid|All Other Plans | $288.47 | — |
| BCBS-TX | Commercial|Exchange | $331.29 | — |
| TCHP | Medicaid|STAR | $336.13 | — |
| Wellpoint | Medicaid|STAR | $336.13 | — |
| UNITED | Medicaid|STAR | $343.65 | — |
| Renaissance | Commercial|All Plans | $367.25 | — |
| CHC | Medicaid|STAR | $386.29 | — |
| BCBS-TX | Commercial|MyBlue Health Exchange | $424.05 | — |
| HUMANA | Medicare|TRANSPLANT | $510.07 | — |
| SELECTCARE | Medicare|All Plans | $510.07 | — |
| KELSEY | Medicare|All Plans | $510.07 | — |
| BCBS | Medicare|All Plans | $510.07 | — |
| CIGNA HEALTHSPRING | Medicare|HMO | $510.07 | — |
| HUMANA | Medicare|All Other Plans | $510.07 | — |
| CIGNA HEALTHSPRING | Medicare|PPO | $515.17 | — |
| AETNA | Medicare|All Plans | $520.27 | — |
| UHC-SecureHorizons | Medicare|All Plans | $520.27 | — |
| Amerivantage | Medicare|All Plans | $525.37 | — |
| SCANHealth | Medicare|All Plans | $545.77 | — |
| DEVOTED | Medicare|All Plans | $545.77 | — |
| KINDRED | Medicare|All Plans | $561.08 | — |
| BCBS-TX | Commercial|Blue Premier | $640.49 | — |
| KelseyCare | Commercial|Exchange | $688.59 | — |
| Employer Direct | Commercial|PPO | $714.10 | — |
| Bright Health | Commercial|All Plans | $756.33 | — |
| BCBS-TX | Commercial|HMO | $759.76 | — |
| Community Health Choice | Commercial|All Other Plans | $765.11 | — |
| Wellpoint | Commercial|Exchange | $765.11 | — |
| Superior Health Plan | Commercial|All Plans | $765.11 | — |
| Community Health Choice | Commercial|Exchange | $765.11 | — |
| UHC | Medicaid|STARPLUS | $782.62 | — |
| UNITED | Medicaid|STARPLUS | $782.62 | — |
| Aetna | Commercial|Exchange | $785.51 | — |
| BCBS-TX | Commercial|PPO | $848.10 | — |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | — |
| Aetna | Commercial|HMO | $1,488.00 | — |
| Healthsmart | Commercial|AP3-PPO | $1,609.00 | — |
| NX Health | Commercial|PPO | $1,657.73 | — |
| United | Commercial|Exchange | $1,676.00 | — |
| Independent Med System | Commercial|All Plans | $1,795.00 | — |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | — |
| United | Commercial|Charter | $2,474.00 | — |
| United | Commercial|PPO | $2,749.00 | — |
| United | Commercial|HMO | $2,749.00 | — |
| Cigna | Commercial|Surefit | $3,262.00 | — |
| Cigna | Commercial|HMO | $3,594.00 | — |
| Humana | Commercial|HMO | $4,000.00 | — |
| Humana | Commercial|PPO | $4,000.00 | — |
| PHCS | Commercial|All Plans | $5,252.00 | — |
| PHCS Savility | Commercial|PPO | $5,252.00 | — |
| Cigna | Commercial|PPO | $9,029.00 | — |
| OPTUM | Medicaid|STAR | not published by hospital | — |
| OPTUM | Medicare|All Plans | not published by hospital | — |
| Humana | Commercial|Transplant | not published by hospital | — |
| Cigna | Commercial|Transplant | not published by hospital | — |
| MHealth Network | Commercial|PPO | not published by hospital | — |
| Cigna Lifesource | Commercial|Transplant | not published by hospital | — |
| TCHPCHIP | Medicaid|HMO | not published by hospital | — |
| TEXASTRUECHOICE | Medicaid|CHIP | not published by hospital | — |
| Coventry | Commercial|PPO | not published by hospital | — |
| USA Health Network | Commercial|All Plans | not published by hospital | — |
| Aetna | Commercial|Transplant | not published by hospital | — |
| Interlink | Commercial|Transplant | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Aetna | Commercial|PPO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| CHC | Medicaid|CHIP | not published by hospital | — |
| United | Commercial|Optum | not published by hospital | — |
| CHC | Medicaid|HMO | not published by hospital | — |
| Healthsmart | Commercial|PPO | not published by hospital | — |
| OPTUM | Medicaid|STARPLUS | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx mandibular fx without manip 21450 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $269.16 – $905.53 |
| Baylor St Luke's Medical Center | Houston | not published | $1,609.00 – $1,609.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $245.82 – $768.59 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $250.84 – $768.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $777.86 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $720.25 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $777.86 | $85.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $777.86 | $250.84 – $1,363.00 |