Ghs layered repair 20.1 - 30.0 cm -12046 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

not published by hospital

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.

not published by hospital

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.

$216.80 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 $216.80
TCHP Medicaid|STARKIDS $216.80
TCHP Medicaid|All Other Plans $216.80
Wellpoint Medicaid|STARKIDS $216.80
Wellpoint Medicaid|CHIP $216.80
UHC Medicaid|CHIP $221.14
UHC Medicaid|STARKIDS $221.14
UNITED Medicaid|All Other Plans $221.14
BCBS Medicaid|All Plans $227.64
BCBS-TX Commercial|Exchange $239.63
CHC Medicaid|All Other Plans $249.32
Wellpoint Medicaid|STAR $290.51
TCHP Medicaid|STAR $290.51
UNITED Medicaid|STAR $297.02
BCBS-TX Commercial|MyBlue Health Exchange $306.73
CHC Medicaid|STAR $333.87
Renaissance Commercial|All Plans $441.45
BCBS-TX Commercial|Blue Premier $463.29
BCBS-TX Commercial|HMO $549.56
KELSEY Medicare|All Plans $613.12
SELECTCARE Medicare|All Plans $613.12
BCBS Medicare|All Plans $613.12
HUMANA Medicare|TRANSPLANT $613.12
CIGNA HEALTHSPRING Medicare|HMO $613.12
HUMANA Medicare|All Other Plans $613.12
BCBS-TX Commercial|PPO $613.46
CIGNA HEALTHSPRING Medicare|PPO $619.25
UHC-SecureHorizons Medicare|All Plans $625.38
AETNA Medicare|All Plans $625.38
Amerivantage Medicare|All Plans $631.51
SCANHealth Medicare|All Plans $656.04
DEVOTED Medicare|All Plans $656.04
KINDRED Medicare|All Plans $674.43
UHC Medicaid|STARPLUS $676.42
UNITED Medicaid|STARPLUS $676.42
KelseyCare Commercial|Exchange $827.71
Employer Direct Commercial|PPO $858.37
Bright Health Commercial|All Plans $875.84
Wellpoint Commercial|Exchange $919.68
Community Health Choice Commercial|All Other Plans $919.68
Community Health Choice Commercial|Exchange $919.68
Superior Health Plan Commercial|All Plans $919.68
Aetna Commercial|Exchange $944.20
Aetna-Kelsey Care Commercial|HMO $1,076.00
Healthsmart Commercial|AP3-PPO $1,285.00
Aetna Commercial|HMO $1,298.00
KelseyCare Commercial|All Other Plans $1,361.70
Independent Med System Commercial|All Plans $1,675.00
United Commercial|Exchange $1,676.00
Humana Commercial|PPO $1,782.00
Humana Commercial|HMO $1,782.00
NX Health Commercial|PPO $1,992.64
United Commercial|Charter $2,474.00
Cigna Commercial|Surefit $2,609.00
United Commercial|PPO $2,749.00
United Commercial|HMO $2,749.00
Cigna Commercial|HMO $2,875.00
PHCS Commercial|All Plans $5,185.00
PHCS Savility Commercial|PPO $5,185.00
Cigna Commercial|PPO $7,221.00
MultiPlan Commercial|All Plans not published by hospital
Healthsmart Commercial|PPO not published by hospital
OPTUM Medicaid|STARPLUS not published by hospital
OPTUM Medicaid|STAR not published by hospital
OPTUM Medicare|All Plans not published by hospital
United Commercial|Optum not published by hospital
Humana Commercial|Transplant not published by hospital
MHealth Network Commercial|PPO not published by hospital
Cigna Commercial|Transplant not published by hospital
TCHPCHIP Medicaid|HMO not published by hospital
TEXASTRUECHOICE Medicaid|CHIP not published by hospital
Cigna Lifesource Commercial|Transplant not published by hospital
USA Health Network Commercial|All Plans not published by hospital
First Health Commercial|All Plans not published by hospital
Interlink Commercial|Transplant not published by hospital
Coventry Commercial|PPO not published by hospital
Aetna Commercial|Transplant not published by hospital
CHC Medicaid|CHIP not published by hospital
Aetna Commercial|PPO not published by hospital
CHC Medicaid|HMO not published by hospital

Visitor-reported prices

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Ghs layered repair 20.1 - 30.0 cm -12046 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $232.63 – $655.00
Baylor St Luke's Medical Center Houston not published $1,285.00 – $1,285.00
HCA HOUSTON WEST HOUSTON not published $212.46 – $746.15
HCA HOUSTON TOMBALL HOUSTON not published $216.80 – $555.95
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $857.02 $216.80 – $1,596.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $674.82 $71.00 – $1,555.84
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $624.83 $71.00 – $1,555.84
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $857.02 $216.80 – $1,596.25

All Texas hospitals for this procedure →