Observation direct referral from physician office for admission at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$545.65
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.
$1,559.00
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.
$90.00 with Humana vs $10,335.00 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 |
|---|---|---|---|
| Humana | Commercial|PPO | $90.00 | ↓ -84% |
| Humana | Commercial|HMO | $90.00 | ↓ -84% |
| KelseyCare | Commercial|All Other Plans | $90.90 | ↓ -83% |
| Wellpoint | Medicaid|CHIP | $124.72 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $124.72 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $124.72 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $124.72 | ↓ -77% |
| Wellpoint | Medicaid|STARKIDS | $124.72 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $124.72 | ↓ -77% |
| UHC | Medicaid|CHIP | $127.22 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $127.22 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $127.22 | ↓ -77% |
| BCBS | Medicaid|All Plans | $130.96 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $167.13 | ↓ -69% |
| TCHP | Medicaid|STAR | $167.13 | ↓ -69% |
| CHC | Medicaid|STAR | $167.13 | ↓ -69% |
| UNITED | Medicaid|STAR | $170.87 | ↓ -69% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $185.74 | ↓ -66% |
| BCBS-TX | Commercial|Exchange | $215.00 | ↓ -61% |
| BCBS-TX | Commercial|Blue Premier | $269.71 | ↓ -51% |
| BCBS-TX | Commercial|HMO | $356.22 | ↓ -35% |
| UHC | Medicaid|STARPLUS | $389.13 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $389.13 | ↓ -29% |
| BCBS-TX | Commercial|PPO | $404.56 | ↓ -26% |
| OPTUM | Medicare|All Plans | $420.93 | ↓ -23% |
| Renaissance | Commercial|All Plans | $442.14 | ↓ -19% |
| TCHPCHIP | Medicaid|HMO | $545.65 | ↑ +0% |
| OPTUM | Medicaid|STAR | $564.05 | ↑ +3% |
| CIGNA HEALTHSPRING | Medicare|HMO | $614.09 | ↑ +13% |
| BCBS | Medicare|All Plans | $614.09 | ↑ +13% |
| HUMANA | Medicare|All Other Plans | $614.09 | ↑ +13% |
| HUMANA | Medicare|TRANSPLANT | $614.09 | ↑ +13% |
| KELSEY | Medicare|All Plans | $614.09 | ↑ +13% |
| SELECTCARE | Medicare|All Plans | $614.09 | ↑ +13% |
| CIGNA HEALTHSPRING | Medicare|PPO | $620.23 | ↑ +14% |
| UHC-SecureHorizons | Medicare|All Plans | $626.37 | ↑ +15% |
| AETNA | Medicare|All Plans | $626.37 | ↑ +15% |
| Amerivantage | Medicare|All Plans | $632.51 | ↑ +16% |
| DEVOTED | Medicare|All Plans | $657.08 | ↑ +20% |
| SCANHealth | Medicare|All Plans | $657.08 | ↑ +20% |
| KINDRED | Medicare|All Plans | $675.50 | ↑ +24% |
| United | Commercial|Optum | $732.73 | ↑ +34% |
| KelseyCare | Commercial|Exchange | $829.02 | ↑ +52% |
| CHC | Medicaid|CHIP | $857.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $857.45 | ↑ +57% |
| CHC | Medicaid|HMO | $857.45 | ↑ +57% |
| Employer Direct | Commercial|PPO | $859.73 | ↑ +58% |
| Bright Health | Commercial|All Plans | $873.20 | ↑ +60% |
| Aetna-Kelsey Care | Commercial|HMO | $919.81 | ↑ +69% |
| Wellpoint | Commercial|Exchange | $921.13 | ↑ +69% |
| Community Health Choice | Commercial|All Other Plans | $921.13 | ↑ +69% |
| Community Health Choice | Commercial|Exchange | $921.13 | ↑ +69% |
| Superior Health Plan | Commercial|All Plans | $921.13 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $935.40 | ↑ +71% |
| Aetna | Commercial|Exchange | $945.70 | ↑ +73% |
| PHCS | Commercial|All Plans | $1,013.35 | ↑ +86% |
| Humana | Commercial|Transplant | $1,013.35 | ↑ +86% |
| First Health | Commercial|All Plans | $1,013.35 | ↑ +86% |
| Coventry | Commercial|PPO | $1,013.35 | ↑ +86% |
| Aetna | Commercial|PPO | $1,060.12 | ↑ +94% |
| Aetna | Commercial|HMO | $1,060.12 | ↑ +94% |
| Interlink | Commercial|Transplant | $1,091.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,091.30 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $1,091.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,091.30 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $1,122.48 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,169.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,184.84 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,288.05 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,325.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,559.00 | ↑ +186% |
| NX Health | Commercial|PPO | $1,995.79 | ↑ +266% |
| United | Commercial|Exchange | $2,396.00 | ↑ +339% |
| United | Commercial|Charter | $3,538.00 | ↑ +548% |
| Cigna | Commercial|Surefit | $3,734.00 | ↑ +584% |
| United | Commercial|HMO | $3,931.00 | ↑ +620% |
| United | Commercial|PPO | $3,931.00 | ↑ +620% |
| Cigna | Commercial|HMO | $4,115.00 | ↑ +654% |
| Cigna | Commercial|PPO | $10,335.00 | ↑ +1794% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $545.65 | $90.90 – $1,559.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $297.69 – $297.69 |
| HCA HOUSTON WEST | HOUSTON | not published | $297.69 – $297.69 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $297.69 – $297.69 |
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $554.33 | $157.06 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $527.99 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $602.45 | $71.00 – $1,591.17 |