Dlyd plmt xtn prosth ea addl at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$663.25
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.
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What you pay up front if you don't use insurance.
$1,895.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$151.60 with TCHP vs $9,158.00 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 →
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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 ?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 | $151.60 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $151.60 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $154.64 | ↓ -77% |
| TCHP | Medicaid|STAR | $203.15 | ↓ -69% |
| UNITED | Medicaid|STAR | $207.70 | ↓ -69% |
| BCBS-TX | Commercial|Exchange | $234.08 | ↓ -65% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $299.62 | ↓ -55% |
| BCBS-TX | Commercial|Blue Premier | $452.55 | ↓ -32% |
| UHC | Medicaid|STARPLUS | $473.00 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $473.00 | ↓ -29% |
| OPTUM | Medicare|All Plans | $511.65 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $536.81 | ↓ -19% |
| BCBS-TX | Commercial|PPO | $599.23 | ↓ -10% |
| TCHPCHIP | Medicaid|HMO | $663.25 | ↑ +0% |
| OPTUM | Medicaid|STAR | $685.62 | ↑ +3% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +22% |
| United | Commercial|Optum | $890.65 | ↑ +34% |
| Aetna | Commercial|HMO | $972.00 | ↑ +47% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,042.25 | ↑ +57% |
| CHC | Medicaid|HMO | $1,042.25 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,042.25 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,137.00 | ↑ +71% |
| Humana | Commercial|Transplant | $1,231.75 | ↑ +86% |
| First Health | Commercial|All Plans | $1,231.75 | ↑ +86% |
| Coventry | Commercial|PPO | $1,231.75 | ↑ +86% |
| Aetna | Commercial|PPO | $1,288.60 | ↑ +94% |
| Healthsmart | Commercial|PPO | $1,326.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,326.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,326.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,421.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,565.65 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,610.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,895.00 | ↑ +186% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +266% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +266% |
| United | Commercial|Exchange | $2,748.00 | ↑ +314% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +399% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +450% |
| United | Commercial|Charter | $4,058.00 | ↑ +512% |
| United | Commercial|HMO | $4,508.00 | ↑ +580% |
| United | Commercial|PPO | $4,508.00 | ↑ +580% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +1281% |
Visitor-reported prices
Comments
Dlyd plmt xtn prosth ea addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $663.25 | $208.45 – $1,895.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,861.96 – $2,861.96 |
| HCA HOUSTON WEST | HOUSTON | not published | $2,861.96 – $2,861.96 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,861.96 – $2,861.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,380.35 | $391.10 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,380.35 | $345.09 – $7,038.00 |