Ghs lac repair mouth.ant tong 2.5cm/less 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

$328.65

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.

$939.00

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.

$75.12 with Wellpoint vs $7,221.00 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 →

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
Wellpoint Medicaid|All Other Plans $75.12 ↓ -77%
TCHP Medicaid|STARKIDS $75.12 ↓ -77%
TCHP Medicaid|All Other Plans $75.12 ↓ -77%
CHC Medicaid|All Other Plans $75.12 ↓ -77%
Wellpoint Medicaid|STARKIDS $75.12 ↓ -77%
Wellpoint Medicaid|CHIP $75.12 ↓ -77%
UNITED Medicaid|All Other Plans $76.63 ↓ -77%
UHC Medicaid|STARKIDS $76.63 ↓ -77%
UHC Medicaid|CHIP $76.63 ↓ -77%
BCBS Medicaid|All Plans $78.88 ↓ -76%
BCBS-TX Commercial|Exchange $81.77 ↓ -75%
Wellpoint Medicaid|STAR $100.67 ↓ -69%
TCHP Medicaid|STAR $100.67 ↓ -69%
CHC Medicaid|STAR $100.67 ↓ -69%
UNITED Medicaid|STAR $102.92 ↓ -69%
BCBS-TX Commercial|MyBlue Health Exchange $104.67 ↓ -68%
BCBS-TX Commercial|Blue Premier $158.09 ↓ -52%
BCBS-TX Commercial|HMO $187.53 ↓ -43%
BCBS-TX Commercial|PPO $209.34 ↓ -36%
UHC Medicaid|STARPLUS $234.38 ↓ -29%
UNITED Medicaid|STARPLUS $234.38 ↓ -29%
OPTUM Medicare|All Plans $253.53 ↓ -23%
Renaissance Commercial|All Plans $287.78 ↓ -12%
TCHPCHIP Medicaid|HMO $328.65 ↑ +0%
OPTUM Medicaid|STAR $339.74 ↑ +3%
BCBS Medicare|All Plans $399.69 ↑ +22%
CIGNA HEALTHSPRING Medicare|HMO $399.69 ↑ +22%
HUMANA Medicare|All Other Plans $399.69 ↑ +22%
SELECTCARE Medicare|All Plans $399.69 ↑ +22%
HUMANA Medicare|TRANSPLANT $399.69 ↑ +22%
KELSEY Medicare|All Plans $399.69 ↑ +22%
CIGNA HEALTHSPRING Medicare|PPO $403.69 ↑ +23%
AETNA Medicare|All Plans $407.68 ↑ +24%
UHC-SecureHorizons Medicare|All Plans $407.68 ↑ +24%
Amerivantage Medicare|All Plans $411.68 ↑ +25%
SCANHealth Medicare|All Plans $427.67 ↑ +30%
DEVOTED Medicare|All Plans $427.67 ↑ +30%
KINDRED Medicare|All Plans $439.66 ↑ +34%
United Commercial|Optum $441.33 ↑ +34%
Bright Health Commercial|All Plans $453.87 ↑ +38%
CHC Medicaid|HMO $516.45 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $516.45 ↑ +57%
CHC Medicaid|CHIP $516.45 ↑ +57%
KelseyCare Commercial|Exchange $539.58 ↑ +64%
Employer Direct Commercial|PPO $559.57 ↑ +70%
Cigna Lifesource Commercial|Transplant $563.40 ↑ +71%
Superior Health Plan Commercial|All Plans $599.53 ↑ +82%
Wellpoint Commercial|Exchange $599.53 ↑ +82%
Community Health Choice Commercial|All Other Plans $599.53 ↑ +82%
Community Health Choice Commercial|Exchange $599.53 ↑ +82%
Coventry Commercial|PPO $610.35 ↑ +86%
First Health Commercial|All Plans $610.35 ↑ +86%
Humana Commercial|Transplant $610.35 ↑ +86%
Aetna Commercial|Exchange $615.52 ↑ +87%
Aetna Commercial|PPO $638.52 ↑ +94%
Healthsmart Commercial|PPO $657.30 ↑ +100%
Cigna Commercial|Transplant $657.30 ↑ +100%
Interlink Commercial|Transplant $657.30 ↑ +100%
MultiPlan Commercial|All Plans $704.25 ↑ +114%
Aetna Commercial|Transplant $713.64 ↑ +117%
OPTUM Medicaid|STARPLUS $775.81 ↑ +136%
USA Health Network Commercial|All Plans $798.15 ↑ +143%
MHealth Network Commercial|PPO $939.00 ↑ +186%
Aetna-Kelsey Care Commercial|HMO $1,076.00 ↑ +227%
Healthsmart Commercial|AP3-PPO $1,285.00 ↑ +291%
Aetna Commercial|HMO $1,298.00 ↑ +295%
NX Health Commercial|PPO $1,298.99 ↑ +295%
KelseyCare Commercial|All Other Plans $1,361.70 ↑ +314%
Independent Med System Commercial|All Plans $1,675.00 ↑ +410%
United Commercial|Exchange $1,676.00 ↑ +410%
Humana Commercial|PPO $1,782.00 ↑ +442%
Humana Commercial|HMO $1,782.00 ↑ +442%
United Commercial|Charter $2,474.00 ↑ +653%
Cigna Commercial|Surefit $2,609.00 ↑ +694%
United Commercial|PPO $2,749.00 ↑ +736%
United Commercial|HMO $2,749.00 ↑ +736%
Cigna Commercial|HMO $2,875.00 ↑ +775%
PHCS Savility Commercial|PPO $5,185.00 ↑ +1478%
PHCS Commercial|All Plans $5,185.00 ↑ +1478%
Cigna Commercial|PPO $7,221.00 ↑ +2097%

Visitor-reported prices

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Ghs lac repair mouth.ant tong 2.5cm/less at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $328.65 $103.29 – $939.00
HCA HOUSTON MEDICAL CENTER Houston not published $223.51 – $223.51
HCA HOUSTON WEST HOUSTON not published $189.71 – $451.00
HCA HOUSTON TOMBALL HOUSTON not published $189.71 – $189.71
Adventhealth Rollins Brook Lampasas $816.85 $136.29 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $586.06 $166.05 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $489.67 $71.00 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $408.99 $71.00 – $987.04

All Texas hospitals for this procedure →