Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$467.95
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.
$1,337.00
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.
$223.30 with Aetna-Kelsey Care vs $1,015.00 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 →
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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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $223.30 | ↓ -52% |
| United | Commercial|Exchange | $263.90 | ↓ -44% |
| Aetna | Commercial|PPO | $263.90 | ↓ -44% |
| Aetna | Commercial|HMO | $263.90 | ↓ -44% |
| OPTUM | Medicare|All Plans | $274.05 | ↓ -41% |
| Aetna | Commercial|Transplant | $324.80 | ↓ -31% |
| Bright Health | Commercial|All Plans | $334.95 | ↓ -28% |
| United | Commercial|Charter | $345.10 | ↓ -26% |
| TCHPCHIP | Medicaid|HMO | $355.25 | ↓ -24% |
| Cigna | Commercial|PPO | $365.40 | ↓ -22% |
| Cigna | Commercial|Surefit | $365.40 | ↓ -22% |
| Cigna | Commercial|HMO | $365.40 | ↓ -22% |
| OPTUM | Medicaid|STAR | $367.23 | ↓ -22% |
| United | Commercial|PPO | $385.70 | ↓ -18% |
| United | Commercial|HMO | $385.70 | ↓ -18% |
| United | Commercial|Optum | $477.05 | ↑ +2% |
| Humana | Commercial|HMO | $487.20 | ↑ +4% |
| Humana | Commercial|PPO | $487.20 | ↑ +4% |
| KelseyCare | Commercial|All Other Plans | $497.35 | ↑ +6% |
| CHC | Medicaid|CHIP | $558.25 | ↑ +19% |
| CHC | Medicaid|HMO | $558.25 | ↑ +19% |
| TEXASTRUECHOICE | Medicaid|CHIP | $558.25 | ↑ +19% |
| Cigna Lifesource | Commercial|Transplant | $609.00 | ↑ +30% |
| Independent Med System | Commercial|All Plans | $609.00 | ↑ +30% |
| Coventry | Commercial|PPO | $659.75 | ↑ +41% |
| First Health | Commercial|All Plans | $659.75 | ↑ +41% |
| Humana | Commercial|Transplant | $659.75 | ↑ +41% |
| Interlink | Commercial|Transplant | $710.50 | ↑ +52% |
| Cigna | Commercial|Transplant | $710.50 | ↑ +52% |
| PHCS | Commercial|All Plans | $710.50 | ↑ +52% |
| PHCS Savility | Commercial|PPO | $710.50 | ↑ +52% |
| Healthsmart | Commercial|PPO | $710.50 | ↑ +52% |
| Healthsmart | Commercial|AP3-PPO | $730.80 | ↑ +56% |
| MultiPlan | Commercial|All Plans | $761.25 | ↑ +63% |
| OPTUM | Medicaid|STARPLUS | $838.60 | ↑ +79% |
| USA Health Network | Commercial|All Plans | $862.75 | ↑ +84% |
| MHealth Network | Commercial|PPO | $1,015.00 | ↑ +117% |
Visitor-reported prices
Comments
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $467.95 | $223.30 – $1,015.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $209.78 – $569.11 |
| HCA HOUSTON WEST | HOUSTON | not published | $209.78 – $569.11 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $209.78 – $569.11 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,524.60 | $118.76 – $1,432.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,524.60 | $140.00 – $1,020.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,524.60 | $118.76 – $850.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,524.60 | $118.76 – $1,432.66 |