Non-ophthalmic fva 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

$1,490.65

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.

$4,259.00

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.

$100.00 with Cigna vs $4,259.00 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 →

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
Cigna Commercial|Surefit $100.00 ↓ -93%
Cigna Commercial|PPO $100.00 ↓ -93%
Cigna Commercial|HMO $100.00 ↓ -93%
United Commercial|Exchange $140.00 ↓ -91%
United Commercial|Charter $209.00 ↓ -86%
United Commercial|PPO $230.00 ↓ -85%
United Commercial|HMO $230.00 ↓ -85%
Renaissance Commercial|All Plans $257.55 ↓ -83%
BCBS Medicare|All Plans $357.71 ↓ -76%
KELSEY Medicare|All Plans $357.71 ↓ -76%
HUMANA Medicare|TRANSPLANT $357.71 ↓ -76%
HUMANA Medicare|All Other Plans $357.71 ↓ -76%
SELECTCARE Medicare|All Plans $357.71 ↓ -76%
CIGNA HEALTHSPRING Medicare|HMO $357.71 ↓ -76%
CIGNA HEALTHSPRING Medicare|PPO $361.29 ↓ -76%
AETNA Medicare|All Plans $364.86 ↓ -76%
UHC-SecureHorizons Medicare|All Plans $364.86 ↓ -76%
Amerivantage Medicare|All Plans $368.44 ↓ -75%
SCANHealth Medicare|All Plans $382.75 ↓ -74%
DEVOTED Medicare|All Plans $382.75 ↓ -74%
KINDRED Medicare|All Plans $393.48 ↓ -74%
KelseyCare Commercial|Exchange $482.91 ↓ -68%
Employer Direct Commercial|PPO $500.79 ↓ -66%
Superior Health Plan Commercial|All Plans $536.57 ↓ -64%
Wellpoint Commercial|Exchange $536.57 ↓ -64%
Community Health Choice Commercial|Exchange $536.57 ↓ -64%
Community Health Choice Commercial|All Other Plans $536.57 ↓ -64%
BCBS-TX Commercial|Exchange $538.41 ↓ -64%
Aetna Commercial|Exchange $550.87 ↓ -63%
BCBS-TX Commercial|MyBlue Health Exchange $557.50 ↓ -63%
Bright Health Commercial|All Plans $615.81 ↓ -59%
BCBS-TX Commercial|Blue Premier $977.54 ↓ -34%
BCBS-TX Commercial|HMO $1,145.55 ↓ -23%
OPTUM Medicare|All Plans $1,149.93 ↓ -23%
NX Health Commercial|PPO $1,162.56 ↓ -22%
BCBS-TX Commercial|PPO $1,286.83 ↓ -14%
TCHPCHIP Medicaid|HMO $1,490.65 ↑ +0%
OPTUM Medicaid|STAR $1,540.91 ↑ +3%
United Commercial|Optum $2,001.73 ↑ +34%
TEXASTRUECHOICE Medicaid|CHIP $2,342.45 ↑ +57%
CHC Medicaid|CHIP $2,342.45 ↑ +57%
CHC Medicaid|HMO $2,342.45 ↑ +57%
Cigna Lifesource Commercial|Transplant $2,555.40 ↑ +71%
First Health Commercial|All Plans $2,768.35 ↑ +86%
Humana Commercial|Transplant $2,768.35 ↑ +86%
Coventry Commercial|PPO $2,768.35 ↑ +86%
Healthsmart Commercial|PPO $2,981.30 ↑ +100%
Cigna Commercial|Transplant $2,981.30 ↑ +100%
Interlink Commercial|Transplant $2,981.30 ↑ +100%
MultiPlan Commercial|All Plans $3,194.25 ↑ +114%
OPTUM Medicaid|STARPLUS $3,518.79 ↑ +136%
USA Health Network Commercial|All Plans $3,620.15 ↑ +143%
MHealth Network Commercial|PPO $4,259.00 ↑ +186%

Visitor-reported prices

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Non-ophthalmic fva at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $1,490.65 $100.00 – $4,259.00
HCA HOUSTON MEDICAL CENTER Houston not published $672.06 – $699.43
HCA HOUSTON WEST HOUSTON not published $672.06 – $699.43
HCA HOUSTON TOMBALL HOUSTON not published $672.06 – $699.43
St. Luke's Health - Springwoods Village Hospital Spring $1,490.65 $100.00 – $4,259.00
St. Luke's Health - Sugar Land Hospital Sugar Land $1,490.65 $100.00 – $4,259.00
St. Luke's Health - Lakeside Hospital The Woodlands $1,490.65 $100.00 – $4,259.00
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin $406.53 $339.81 – $381.85

All Texas hospitals for this procedure →