Declotting thrombolytic agent implanted vas access device 36 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

$274.40

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.

$784.00

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.

$23.55 with BCBS-TX vs $2,749.00 with United — 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
BCBS-TX Commercial|Exchange $23.55 ↓ -91%
TCHP Medicaid|STARKIDS $26.30 ↓ -90%
Wellpoint Medicaid|STARKIDS $26.30 ↓ -90%
TCHP Medicaid|All Other Plans $26.30 ↓ -90%
Wellpoint Medicaid|All Other Plans $26.30 ↓ -90%
Wellpoint Medicaid|CHIP $26.30 ↓ -90%
UHC Medicaid|STARKIDS $26.83 ↓ -90%
UNITED Medicaid|All Other Plans $26.83 ↓ -90%
UHC Medicaid|CHIP $26.83 ↓ -90%
BCBS Medicaid|All Plans $27.61 ↓ -90%
BCBS-TX Commercial|MyBlue Health Exchange $30.14 ↓ -89%
CHC Medicaid|All Other Plans $30.25 ↓ -89%
Wellpoint Medicaid|STAR $35.24 ↓ -87%
TCHP Medicaid|STAR $35.24 ↓ -87%
UNITED Medicaid|STAR $36.03 ↓ -87%
CHC Medicaid|STAR $40.50 ↓ -85%
BCBS-TX Commercial|Blue Premier $45.53 ↓ -83%
BCBS-TX Commercial|HMO $54.01 ↓ -80%
BCBS-TX Commercial|PPO $60.29 ↓ -78%
UHC Medicaid|STARPLUS $82.06 ↓ -70%
UNITED Medicaid|STARPLUS $82.06 ↓ -70%
Cigna Commercial|Surefit $140.00 ↓ -49%
Cigna Commercial|HMO $154.00 ↓ -44%
OPTUM Medicare|All Plans $211.68 ↓ -23%
Renaissance Commercial|All Plans $239.21 ↓ -13%
TCHPCHIP Medicaid|HMO $274.40 ↑ +0%
OPTUM Medicaid|STAR $283.66 ↑ +3%
HUMANA Medicare|TRANSPLANT $332.23 ↑ +21%
SELECTCARE Medicare|All Plans $332.23 ↑ +21%
KELSEY Medicare|All Plans $332.23 ↑ +21%
BCBS Medicare|All Plans $332.23 ↑ +21%
HUMANA Medicare|All Other Plans $332.23 ↑ +21%
CIGNA HEALTHSPRING Medicare|HMO $332.23 ↑ +21%
CIGNA HEALTHSPRING Medicare|PPO $335.55 ↑ +22%
UHC-SecureHorizons Medicare|All Plans $338.87 ↑ +23%
AETNA Medicare|All Plans $338.87 ↑ +23%
Amerivantage Medicare|All Plans $342.20 ↑ +25%
DEVOTED Medicare|All Plans $355.49 ↑ +30%
SCANHealth Medicare|All Plans $355.49 ↑ +30%
KINDRED Medicare|All Plans $365.45 ↑ +33%
United Commercial|Optum $368.48 ↑ +34%
Cigna Commercial|PPO $387.00 ↑ +41%
CHC Medicaid|HMO $431.20 ↑ +57%
CHC Medicaid|CHIP $431.20 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $431.20 ↑ +57%
KelseyCare Commercial|Exchange $448.51 ↑ +63%
Employer Direct Commercial|PPO $465.12 ↑ +70%
Cigna Lifesource Commercial|Transplant $470.40 ↑ +71%
Independent Med System Commercial|All Plans $470.40 ↑ +71%
Wellpoint Commercial|Exchange $498.35 ↑ +82%
Community Health Choice Commercial|All Other Plans $498.35 ↑ +82%
Community Health Choice Commercial|Exchange $498.35 ↑ +82%
Superior Health Plan Commercial|All Plans $498.35 ↑ +82%
PHCS Savility Commercial|PPO $509.60 ↑ +86%
First Health Commercial|All Plans $509.60 ↑ +86%
Coventry Commercial|PPO $509.60 ↑ +86%
Humana Commercial|Transplant $509.60 ↑ +86%
PHCS Commercial|All Plans $509.60 ↑ +86%
Aetna Commercial|Exchange $511.63 ↑ +86%
Aetna Commercial|PPO $533.12 ↑ +94%
Bright Health Commercial|All Plans $533.21 ↑ +94%
Cigna Commercial|Transplant $548.80 ↑ +100%
Interlink Commercial|Transplant $548.80 ↑ +100%
Healthsmart Commercial|PPO $548.80 ↑ +100%
MultiPlan Commercial|All Plans $588.00 ↑ +114%
Aetna Commercial|Transplant $595.84 ↑ +117%
OPTUM Medicaid|STARPLUS $647.75 ↑ +136%
USA Health Network Commercial|All Plans $666.40 ↑ +143%
MHealth Network Commercial|PPO $784.00 ↑ +186%
Aetna-Kelsey Care Commercial|HMO $807.00 ↑ +194%
KelseyCare Commercial|All Other Plans $942.30 ↑ +243%
Aetna Commercial|HMO $972.00 ↑ +254%
NX Health Commercial|PPO $1,079.75 ↑ +293%
United Commercial|Exchange $1,676.00 ↑ +511%
Humana Commercial|HMO $2,430.00 ↑ +786%
Humana Commercial|PPO $2,430.00 ↑ +786%
United Commercial|Charter $2,474.00 ↑ +802%
United Commercial|PPO $2,749.00 ↑ +902%
United Commercial|HMO $2,749.00 ↑ +902%

Visitor-reported prices

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Declotting thrombolytic agent implanted vas access device 36 at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $274.40 $211.68 – $784.00
HCA HOUSTON MEDICAL CENTER Houston not published $28.22 – $226.71
HCA HOUSTON WEST HOUSTON not published $25.77 – $333.47
HCA HOUSTON TOMBALL HOUSTON not published $26.30 – $226.71
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $635.93 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $693.86 $28.14 – $1,040.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $492.66 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $635.93 $26.30 – $838.97

All Texas hospitals for this procedure →