Exchange biliary drg cath at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$3,525.90
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.
$10,074.00
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.
$1,076.00 with Aetna-Kelsey Care vs $20,636.00 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -69% |
| Wellpoint | Medicaid|CHIP | $1,151.54 | ↓ -67% |
| TCHP | Medicaid|All Other Plans | $1,151.54 | ↓ -67% |
| TCHP | Medicaid|STARKIDS | $1,151.54 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $1,151.54 | ↓ -67% |
| Wellpoint | Medicaid|STARKIDS | $1,151.54 | ↓ -67% |
| UHC | Medicaid|STARKIDS | $1,174.57 | ↓ -67% |
| UNITED | Medicaid|All Other Plans | $1,174.57 | ↓ -67% |
| UHC | Medicaid|CHIP | $1,174.57 | ↓ -67% |
| BCBS | Medicaid|All Plans | $1,209.12 | ↓ -66% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -63% |
| CHC | Medicaid|All Other Plans | $1,324.27 | ↓ -62% |
| TCHP | Medicaid|STAR | $1,543.06 | ↓ -56% |
| Wellpoint | Medicaid|STAR | $1,543.06 | ↓ -56% |
| UNITED | Medicaid|STAR | $1,577.61 | ↓ -55% |
| CHC | Medicaid|STAR | $1,773.37 | ↓ -50% |
| BCBS-TX | Commercial|Exchange | $2,332.01 | ↓ -34% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -32% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -31% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -31% |
| Renaissance | Commercial|All Plans | $2,545.04 | ↓ -28% |
| OPTUM | Medicare|All Plans | $2,719.98 | ↓ -23% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,984.97 | ↓ -15% |
| TCHPCHIP | Medicaid|HMO | $3,525.90 | ↑ +0% |
| KELSEY | Medicare|All Plans | $3,534.78 | ↑ +0% |
| HUMANA | Medicare|All Other Plans | $3,534.78 | ↑ +0% |
| HUMANA | Medicare|TRANSPLANT | $3,534.78 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,534.78 | ↑ +0% |
| SELECTCARE | Medicare|All Plans | $3,534.78 | ↑ +0% |
| BCBS | Medicare|All Plans | $3,534.78 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,570.13 | ↑ +1% |
| UNITED | Medicaid|STARPLUS | $3,592.80 | ↑ +2% |
| UHC | Medicaid|STARPLUS | $3,592.80 | ↑ +2% |
| UHC-SecureHorizons | Medicare|All Plans | $3,605.48 | ↑ +2% |
| AETNA | Medicare|All Plans | $3,605.48 | ↑ +2% |
| Amerivantage | Medicare|All Plans | $3,640.82 | ↑ +3% |
| OPTUM | Medicaid|STAR | $3,644.78 | ↑ +3% |
| United | Commercial|Exchange | $3,677.00 | ↑ +4% |
| DEVOTED | Medicare|All Plans | $3,782.21 | ↑ +7% |
| SCANHealth | Medicare|All Plans | $3,782.21 | ↑ +7% |
| KINDRED | Medicare|All Plans | $3,888.26 | ↑ +10% |
| BCBS-TX | Commercial|Blue Premier | $4,508.54 | ↑ +28% |
| United | Commercial|Optum | $4,734.78 | ↑ +34% |
| KelseyCare | Commercial|Exchange | $4,771.95 | ↑ +35% |
| Employer Direct | Commercial|PPO | $4,948.69 | ↑ +40% |
| Wellpoint | Commercial|Exchange | $5,302.17 | ↑ +50% |
| Community Health Choice | Commercial|All Other Plans | $5,302.17 | ↑ +50% |
| Community Health Choice | Commercial|Exchange | $5,302.17 | ↑ +50% |
| Superior Health Plan | Commercial|All Plans | $5,302.17 | ↑ +50% |
| Bright Health | Commercial|All Plans | $5,320.57 | ↑ +51% |
| BCBS-TX | Commercial|HMO | $5,348.06 | ↑ +52% |
| United | Commercial|Charter | $5,428.00 | ↑ +54% |
| Aetna | Commercial|Exchange | $5,443.56 | ↑ +54% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,540.70 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,540.70 | ↑ +57% |
| CHC | Medicaid|HMO | $5,540.70 | ↑ +57% |
| BCBS-TX | Commercial|PPO | $5,969.93 | ↑ +69% |
| United | Commercial|HMO | $6,032.00 | ↑ +71% |
| United | Commercial|PPO | $6,032.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $6,044.40 | ↑ +71% |
| First Health | Commercial|All Plans | $6,548.10 | ↑ +86% |
| Humana | Commercial|Transplant | $6,548.10 | ↑ +86% |
| Coventry | Commercial|PPO | $6,548.10 | ↑ +86% |
| Aetna | Commercial|PPO | $6,850.32 | ↑ +94% |
| Interlink | Commercial|Transplant | $7,051.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $7,051.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $7,051.80 | ↑ +100% |
| Cigna | Commercial|Surefit | $7,455.00 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $7,555.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $7,656.24 | ↑ +117% |
| Cigna | Commercial|HMO | $8,215.00 | ↑ +133% |
| OPTUM | Medicaid|STARPLUS | $8,323.14 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $8,562.90 | ↑ +143% |
| MHealth Network | Commercial|PPO | $10,074.00 | ↑ +186% |
| NX Health | Commercial|PPO | $11,488.03 | ↑ +226% |
| Cigna | Commercial|PPO | $20,636.00 | ↑ +485% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,525.90 | $2,719.98 – $10,074.00 |
| HCA HOUSTON WEST | HOUSTON | $14,560.00 | $1,128.51 – $5,410.25 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,235.65 – $6,374.15 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,151.54 – $5,410.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,738.58 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,631.78 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,278.56 | $1,151.54 – $8,570.48 |