Expander tiss 133s-mv-12-t 300ml natrelle smth 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

$7,515.38

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.

$21,472.50

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.

$0.21 with BCBS-TX vs $1.00 with MHealth Network — 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 $0.21 ↓ -100%
BCBS-TX Commercial|Blue Premier $0.22 ↓ -100%
United Commercial|Exchange $0.24 ↓ -100%
Aetna-Kelsey Care Commercial|HMO $0.25 ↓ -100%
Bright Health Commercial|All Plans $0.26 ↓ -100%
BCBS-TX Commercial|MyBlue Health Exchange $0.26 ↓ -100%
BCBS-TX Commercial|HMO $0.27 ↓ -100%
OPTUM Medicare|All Plans $0.27 ↓ -100%
United Commercial|Charter $0.28 ↓ -100%
Aetna Commercial|HMO $0.29 ↓ -100%
Aetna Commercial|PPO $0.29 ↓ -100%
BCBS-TX Commercial|PPO $0.30 ↓ -100%
Cigna Commercial|Surefit $0.30 ↓ -100%
Cigna Commercial|HMO $0.30 ↓ -100%
Cigna Commercial|PPO $0.30 ↓ -100%
United Commercial|HMO $0.31 ↓ -100%
United Commercial|PPO $0.31 ↓ -100%
TCHPCHIP Medicaid|HMO $0.35 ↓ -100%
OPTUM Medicaid|STAR $0.37 ↓ -100%
Aetna Commercial|Transplant $0.37 ↓ -100%
KelseyCare Commercial|All Other Plans $0.41 ↓ -100%
Humana Commercial|PPO $0.42 ↓ -100%
Humana Commercial|HMO $0.42 ↓ -100%
United Commercial|Optum $0.47 ↓ -100%
CHC Medicaid|CHIP $0.55 ↓ -100%
CHC Medicaid|HMO $0.55 ↓ -100%
TEXASTRUECHOICE Medicaid|CHIP $0.55 ↓ -100%
Cigna Lifesource Commercial|Transplant $0.60 ↓ -100%
Interlink Commercial|Transplant $0.60 ↓ -100%
Independent Med System Commercial|All Plans $0.60 ↓ -100%
First Health Commercial|All Plans $0.65 ↓ -100%
Humana Commercial|Transplant $0.65 ↓ -100%
PHCS Savility Commercial|PPO $0.65 ↓ -100%
PHCS Commercial|All Plans $0.65 ↓ -100%
Coventry Commercial|PPO $0.65 ↓ -100%
Cigna Commercial|Transplant $0.70 ↓ -100%
Healthsmart Commercial|PPO $0.70 ↓ -100%
Healthsmart Commercial|AP3-PPO $0.72 ↓ -100%
MultiPlan Commercial|All Plans $0.75 ↓ -100%
OPTUM Medicaid|STARPLUS $0.83 ↓ -100%
USA Health Network Commercial|All Plans $0.85 ↓ -100%
MHealth Network Commercial|PPO $1.00 ↓ -100%

Visitor-reported prices

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Expander tiss 133s-mv-12-t 300ml natrelle smth at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $7,515.38 $0.21 – $1.00
Covenant Children's Hospital Lubbock $4,461.16 not published
St. Luke's Health - Patients Medical Center Pasadena $4,005.75 $0.01 – $0.01
St. Joseph Health Madison Hospital Madisonville $4,358.55 $151.36 – $1,069.20
St. Luke's Health Memorial Lufkin Lufkin $3,473.04 $65.52 – $393.12
St. Luke's Health - Springwoods Village Hospital Spring $7,515.38 $0.21 – $1.00
St. Luke's Health - Sugar Land Hospital Sugar Land $7,515.38 $0.21 – $1.00
St. Joseph Health College Station Hospital College Station $4,358.55 $237.60 – $1,009.80

All Texas hospitals for this procedure →