Proctosigmoidoscopy dx 45300 at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$631.05
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.
?
What you pay up front if you don't use insurance.
$1,803.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$70.64 with BCBS-TX vs $5,160.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $70.64 | ↓ -89% |
| TCHP | Medicaid|All Other Plans | $82.50 | ↓ -87% |
| TCHP | Medicaid|STARKIDS | $82.50 | ↓ -87% |
| Wellpoint | Medicaid|STARKIDS | $82.50 | ↓ -87% |
| Wellpoint | Medicaid|CHIP | $82.50 | ↓ -87% |
| Wellpoint | Medicaid|All Other Plans | $82.50 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $84.15 | ↓ -87% |
| UHC | Medicaid|CHIP | $84.15 | ↓ -87% |
| UHC | Medicaid|STARKIDS | $84.15 | ↓ -87% |
| BCBS | Medicaid|All Plans | $86.63 | ↓ -86% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $90.42 | ↓ -86% |
| CHC | Medicaid|All Other Plans | $94.88 | ↓ -85% |
| TCHP | Medicaid|STAR | $110.55 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $110.55 | ↓ -82% |
| UNITED | Medicaid|STAR | $113.03 | ↓ -82% |
| CHC | Medicaid|STAR | $127.05 | ↓ -80% |
| BCBS-TX | Commercial|Blue Premier | $136.58 | ↓ -78% |
| BCBS-TX | Commercial|HMO | $162.01 | ↓ -74% |
| BCBS-TX | Commercial|PPO | $180.84 | ↓ -71% |
| UNITED | Medicaid|STARPLUS | $257.40 | ↓ -59% |
| UHC | Medicaid|STARPLUS | $257.40 | ↓ -59% |
| OPTUM | Medicare|All Plans | $486.81 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $631.05 | ↑ +0% |
| OPTUM | Medicaid|STAR | $652.33 | ↑ +3% |
| Renaissance | Commercial|All Plans | $657.50 | ↑ +4% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +28% |
| United | Commercial|Optum | $847.41 | ↑ +34% |
| HUMANA | Medicare|TRANSPLANT | $913.19 | ↑ +45% |
| SELECTCARE | Medicare|All Plans | $913.19 | ↑ +45% |
| KELSEY | Medicare|All Plans | $913.19 | ↑ +45% |
| HUMANA | Medicare|All Other Plans | $913.19 | ↑ +45% |
| BCBS | Medicare|All Plans | $913.19 | ↑ +45% |
| CIGNA HEALTHSPRING | Medicare|HMO | $913.19 | ↑ +45% |
| CIGNA HEALTHSPRING | Medicare|PPO | $922.32 | ↑ +46% |
| AETNA | Medicare|All Plans | $931.45 | ↑ +48% |
| UHC-SecureHorizons | Medicare|All Plans | $931.45 | ↑ +48% |
| Amerivantage | Medicare|All Plans | $940.59 | ↑ +49% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +49% |
| Aetna | Commercial|HMO | $972.00 | ↑ +54% |
| DEVOTED | Medicare|All Plans | $977.11 | ↑ +55% |
| SCANHealth | Medicare|All Plans | $977.11 | ↑ +55% |
| CHC | Medicaid|HMO | $991.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $991.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $991.65 | ↑ +57% |
| KINDRED | Medicare|All Plans | $1,004.51 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $1,081.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,081.80 | ↑ +71% |
| Humana | Commercial|Transplant | $1,171.95 | ↑ +86% |
| PHCS | Commercial|All Plans | $1,171.95 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,171.95 | ↑ +86% |
| First Health | Commercial|All Plans | $1,171.95 | ↑ +86% |
| Coventry | Commercial|PPO | $1,171.95 | ↑ +86% |
| Aetna | Commercial|PPO | $1,226.04 | ↑ +94% |
| KelseyCare | Commercial|Exchange | $1,232.81 | ↑ +95% |
| Interlink | Commercial|Transplant | $1,262.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,262.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,262.10 | ↑ +100% |
| Employer Direct | Commercial|PPO | $1,278.47 | ↑ +103% |
| Bright Health | Commercial|All Plans | $1,327.10 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $1,352.25 | ↑ +114% |
| Community Health Choice | Commercial|Exchange | $1,369.79 | ↑ +117% |
| Wellpoint | Commercial|Exchange | $1,369.79 | ↑ +117% |
| Superior Health Plan | Commercial|All Plans | $1,369.79 | ↑ +117% |
| Community Health Choice | Commercial|All Other Plans | $1,369.79 | ↑ +117% |
| Aetna | Commercial|Transplant | $1,370.28 | ↑ +117% |
| Aetna | Commercial|Exchange | $1,406.31 | ↑ +123% |
| OPTUM | Medicaid|STARPLUS | $1,489.64 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,532.55 | ↑ +143% |
| United | Commercial|Exchange | $1,676.00 | ↑ +166% |
| MHealth Network | Commercial|PPO | $1,803.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +195% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +225% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +285% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +285% |
| United | Commercial|Charter | $2,474.00 | ↑ +292% |
| United | Commercial|PPO | $2,749.00 | ↑ +336% |
| United | Commercial|HMO | $2,749.00 | ↑ +336% |
| NX Health | Commercial|PPO | $2,967.87 | ↑ +370% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +718% |
Visitor-reported prices
Comments
Proctosigmoidoscopy dx 45300 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $631.05 | $486.81 – $1,803.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $88.53 – $680.05 |
| HCA HOUSTON WEST | HOUSTON | not published | $80.85 – $938.87 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $82.50 – $680.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,650.30 | $82.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,650.30 | $88.28 – $2,475.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,650.30 | $82.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,650.30 | $82.50 – $2,264.11 |