Ghs tx distal phalangeal fx with manipulation at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$104.30
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.
$298.00
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.
$80.46 with OPTUM vs $4,000.00 with Humana — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $80.46 | ↓ -23% |
| TCHP | Medicaid|All Other Plans | $85.32 | ↓ -18% |
| Wellpoint | Medicaid|STARKIDS | $85.32 | ↓ -18% |
| Wellpoint | Medicaid|CHIP | $85.32 | ↓ -18% |
| Wellpoint | Medicaid|All Other Plans | $85.32 | ↓ -18% |
| TCHP | Medicaid|STARKIDS | $85.32 | ↓ -18% |
| UHC | Medicaid|CHIP | $87.03 | ↓ -17% |
| UHC | Medicaid|STARKIDS | $87.03 | ↓ -17% |
| UNITED | Medicaid|All Other Plans | $87.03 | ↓ -17% |
| BCBS | Medicaid|All Plans | $89.59 | ↓ -14% |
| CHC | Medicaid|All Other Plans | $98.12 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $104.30 | ↑ +0% |
| OPTUM | Medicaid|STAR | $107.82 | ↑ +3% |
| TCHP | Medicaid|STAR | $114.33 | ↑ +10% |
| Wellpoint | Medicaid|STAR | $114.33 | ↑ +10% |
| UNITED | Medicaid|STAR | $116.89 | ↑ +12% |
| CHC | Medicaid|STAR | $131.39 | ↑ +26% |
| Cigna | Commercial|Surefit | $140.00 | ↑ +34% |
| United | Commercial|Optum | $140.06 | ↑ +34% |
| Cigna | Commercial|HMO | $154.00 | ↑ +48% |
| BCBS-TX | Commercial|Exchange | $161.73 | ↑ +55% |
| CHC | Medicaid|HMO | $163.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $163.90 | ↑ +57% |
| CHC | Medicaid|CHIP | $163.90 | ↑ +57% |
| Renaissance | Commercial|All Plans | $172.99 | ↑ +66% |
| Independent Med System | Commercial|All Plans | $178.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $178.80 | ↑ +71% |
| First Health | Commercial|All Plans | $193.70 | ↑ +86% |
| PHCS | Commercial|All Plans | $193.70 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $193.70 | ↑ +86% |
| Humana | Commercial|Transplant | $193.70 | ↑ +86% |
| Coventry | Commercial|PPO | $193.70 | ↑ +86% |
| Aetna | Commercial|PPO | $202.64 | ↑ +94% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $207.01 | ↑ +98% |
| Interlink | Commercial|Transplant | $208.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $208.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $208.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $223.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $226.48 | ↑ +117% |
| HUMANA | Medicare|All Other Plans | $240.27 | ↑ +130% |
| CIGNA HEALTHSPRING | Medicare|HMO | $240.27 | ↑ +130% |
| KELSEY | Medicare|All Plans | $240.27 | ↑ +130% |
| SELECTCARE | Medicare|All Plans | $240.27 | ↑ +130% |
| BCBS | Medicare|All Plans | $240.27 | ↑ +130% |
| HUMANA | Medicare|TRANSPLANT | $240.27 | ↑ +130% |
| CIGNA HEALTHSPRING | Medicare|PPO | $242.67 | ↑ +133% |
| UHC-SecureHorizons | Medicare|All Plans | $245.08 | ↑ +135% |
| AETNA | Medicare|All Plans | $245.08 | ↑ +135% |
| OPTUM | Medicaid|STARPLUS | $246.21 | ↑ +136% |
| Amerivantage | Medicare|All Plans | $247.48 | ↑ +137% |
| USA Health Network | Commercial|All Plans | $253.30 | ↑ +143% |
| DEVOTED | Medicare|All Plans | $257.09 | ↑ +146% |
| SCANHealth | Medicare|All Plans | $257.09 | ↑ +146% |
| KINDRED | Medicare|All Plans | $264.30 | ↑ +153% |
| UHC | Medicaid|STARPLUS | $266.20 | ↑ +155% |
| UNITED | Medicaid|STARPLUS | $266.20 | ↑ +155% |
| MHealth Network | Commercial|PPO | $298.00 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $312.68 | ↑ +200% |
| KelseyCare | Commercial|Exchange | $324.36 | ↑ +211% |
| Employer Direct | Commercial|PPO | $336.38 | ↑ +223% |
| Bright Health | Commercial|All Plans | $344.69 | ↑ +230% |
| Community Health Choice | Commercial|All Other Plans | $360.40 | ↑ +246% |
| Community Health Choice | Commercial|Exchange | $360.40 | ↑ +246% |
| Wellpoint | Commercial|Exchange | $360.40 | ↑ +246% |
| Superior Health Plan | Commercial|All Plans | $360.40 | ↑ +246% |
| Aetna | Commercial|Exchange | $370.02 | ↑ +255% |
| BCBS-TX | Commercial|HMO | $370.90 | ↑ +256% |
| Cigna | Commercial|PPO | $387.00 | ↑ +271% |
| BCBS-TX | Commercial|PPO | $414.03 | ↑ +297% |
| NX Health | Commercial|PPO | $780.88 | ↑ +649% |
| United | Commercial|Exchange | $1,676.00 | ↑ +1507% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +2206% |
| United | Commercial|Charter | $2,474.00 | ↑ +2272% |
| United | Commercial|HMO | $2,749.00 | ↑ +2536% |
| United | Commercial|PPO | $2,749.00 | ↑ +2536% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +3735% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +3735% |
Visitor-reported prices
Comments
Ghs tx distal phalangeal fx with manipulation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $104.30 | $80.46 – $298.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $91.56 – $442.06 |
| HCA HOUSTON WEST | HOUSTON | not published | $83.61 – $375.21 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $85.32 – $375.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $705.76 | $85.32 – $882.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $575.05 | $71.00 – $862.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $548.92 | $71.00 – $686.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $705.76 | $85.32 – $882.20 |