Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$449.05
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.
$1,283.00
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.
$340.77 with Wellpoint vs $5,160.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|STARKIDS | $340.77 | ↓ -24% |
| TCHP | Medicaid|STARKIDS | $340.77 | ↓ -24% |
| Wellpoint | Medicaid|CHIP | $340.77 | ↓ -24% |
| TCHP | Medicaid|All Other Plans | $340.77 | ↓ -24% |
| Wellpoint | Medicaid|All Other Plans | $340.77 | ↓ -24% |
| OPTUM | Medicare|All Plans | $346.41 | ↓ -23% |
| UHC | Medicaid|STARKIDS | $347.59 | ↓ -23% |
| UNITED | Medicaid|All Other Plans | $347.59 | ↓ -23% |
| UHC | Medicaid|CHIP | $347.59 | ↓ -23% |
| BCBS | Medicaid|All Plans | $357.81 | ↓ -20% |
| CHC | Medicaid|All Other Plans | $391.89 | ↓ -13% |
| TCHPCHIP | Medicaid|HMO | $449.05 | ↑ +0% |
| TCHP | Medicaid|STAR | $456.63 | ↑ +2% |
| Wellpoint | Medicaid|STAR | $456.63 | ↑ +2% |
| OPTUM | Medicaid|STAR | $464.19 | ↑ +3% |
| UNITED | Medicaid|STAR | $466.85 | ↑ +4% |
| CHC | Medicaid|STAR | $524.79 | ↑ +17% |
| United | Commercial|Optum | $603.01 | ↑ +34% |
| BCBS-TX | Commercial|Exchange | $609.04 | ↑ +36% |
| Renaissance | Commercial|All Plans | $642.05 | ↑ +43% |
| CHC | Medicaid|HMO | $705.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $705.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $705.65 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $769.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $769.80 | ↑ +71% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $779.57 | ↑ +74% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +80% |
| PHCS | Commercial|All Plans | $833.95 | ↑ +86% |
| First Health | Commercial|All Plans | $833.95 | ↑ +86% |
| Humana | Commercial|Transplant | $833.95 | ↑ +86% |
| Coventry | Commercial|PPO | $833.95 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $833.95 | ↑ +86% |
| Aetna | Commercial|PPO | $872.44 | ↑ +94% |
| CIGNA HEALTHSPRING | Medicare|HMO | $891.73 | ↑ +99% |
| KELSEY | Medicare|All Plans | $891.73 | ↑ +99% |
| SELECTCARE | Medicare|All Plans | $891.73 | ↑ +99% |
| BCBS | Medicare|All Plans | $891.73 | ↑ +99% |
| HUMANA | Medicare|TRANSPLANT | $891.73 | ↑ +99% |
| HUMANA | Medicare|All Other Plans | $891.73 | ↑ +99% |
| Cigna | Commercial|Transplant | $898.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $898.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $898.10 | ↑ +100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $900.65 | ↑ +101% |
| UHC-SecureHorizons | Medicare|All Plans | $909.56 | ↑ +103% |
| AETNA | Medicare|All Plans | $909.56 | ↑ +103% |
| Amerivantage | Medicare|All Plans | $918.48 | ↑ +105% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +110% |
| DEVOTED | Medicare|All Plans | $954.15 | ↑ +112% |
| SCANHealth | Medicare|All Plans | $954.15 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $962.25 | ↑ +114% |
| Aetna | Commercial|HMO | $972.00 | ↑ +116% |
| Aetna | Commercial|Transplant | $975.08 | ↑ +117% |
| KINDRED | Medicare|All Plans | $980.90 | ↑ +118% |
| OPTUM | Medicaid|STARPLUS | $1,060.02 | ↑ +136% |
| UNITED | Medicaid|STARPLUS | $1,063.20 | ↑ +137% |
| UHC | Medicaid|STARPLUS | $1,063.20 | ↑ +137% |
| USA Health Network | Commercial|All Plans | $1,090.55 | ↑ +143% |
| BCBS-TX | Commercial|Blue Premier | $1,177.47 | ↑ +162% |
| KelseyCare | Commercial|Exchange | $1,203.84 | ↑ +168% |
| Employer Direct | Commercial|PPO | $1,248.42 | ↑ +178% |
| MHealth Network | Commercial|PPO | $1,283.00 | ↑ +186% |
| Superior Health Plan | Commercial|All Plans | $1,337.60 | ↑ +198% |
| Community Health Choice | Commercial|Exchange | $1,337.60 | ↑ +198% |
| Community Health Choice | Commercial|All Other Plans | $1,337.60 | ↑ +198% |
| Wellpoint | Commercial|Exchange | $1,337.60 | ↑ +198% |
| Aetna | Commercial|Exchange | $1,373.26 | ↑ +206% |
| Bright Health | Commercial|All Plans | $1,376.63 | ↑ +207% |
| BCBS-TX | Commercial|HMO | $1,396.73 | ↑ +211% |
| BCBS-TX | Commercial|PPO | $1,559.14 | ↑ +247% |
| United | Commercial|Exchange | $1,676.00 | ↑ +273% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +315% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +357% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +441% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +441% |
| United | Commercial|Charter | $2,474.00 | ↑ +451% |
| United | Commercial|PPO | $2,749.00 | ↑ +512% |
| United | Commercial|HMO | $2,749.00 | ↑ +512% |
| NX Health | Commercial|PPO | $2,898.12 | ↑ +545% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +1049% |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $449.05 | $346.41 – $1,283.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $365.66 – $1,664.70 |
| HCA HOUSTON WEST | HOUSTON | not published | $333.95 – $1,412.97 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $340.77 – $1,412.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,165.84 | $340.77 – $2,707.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,778.98 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,690.45 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,165.84 | $340.77 – $2,707.30 |