Revasc intra lithotrip-ather 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

$11,265.45

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.

$32,187.00

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.

$1,732.00 with Aetna-Kelsey Care vs $58,453.88 with NX Health — 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
Aetna-Kelsey Care Commercial|HMO $1,732.00 ↓ -85%
Aetna Commercial|HMO $2,089.00 ↓ -81%
TCHP Medicaid|STARKIDS $2,574.96 ↓ -77%
TCHP Medicaid|All Other Plans $2,574.96 ↓ -77%
UNITED Medicaid|All Other Plans $2,626.46 ↓ -77%
Cigna Commercial|Surefit $3,309.00 ↓ -71%
TCHP Medicaid|STAR $3,450.45 ↓ -69%
UNITED Medicaid|STAR $3,527.70 ↓ -69%
Cigna Commercial|HMO $3,646.00 ↓ -68%
United Commercial|Exchange $4,969.00 ↓ -56%
United Commercial|Charter $7,337.00 ↓ -35%
BCBS-TX Commercial|Exchange $7,431.36 ↓ -34%
UHC Medicaid|STARPLUS $8,033.88 ↓ -29%
UNITED Medicaid|STARPLUS $8,033.88 ↓ -29%
United Commercial|PPO $8,150.00 ↓ -28%
United Commercial|HMO $8,150.00 ↓ -28%
OPTUM Medicare|All Plans $8,690.49 ↓ -23%
Cigna Commercial|PPO $9,158.00 ↓ -19%
BCBS-TX Commercial|MyBlue Health Exchange $9,512.14 ↓ -16%
TCHPCHIP Medicaid|HMO $11,265.45 ↑ +0%
OPTUM Medicaid|STAR $11,645.26 ↑ +3%
Renaissance Commercial|All Plans $12,949.78 ↑ +15%
BCBS-TX Commercial|Blue Premier $14,367.30 ↑ +28%
United Commercial|Optum $15,127.89 ↑ +34%
BCBS-TX Commercial|HMO $17,042.59 ↑ +51%
TEXASTRUECHOICE Medicaid|CHIP $17,702.85 ↑ +57%
CHC Medicaid|HMO $17,702.85 ↑ +57%
CHC Medicaid|CHIP $17,702.85 ↑ +57%
SELECTCARE Medicare|All Plans $17,985.81 ↑ +60%
KELSEY Medicare|All Plans $17,985.81 ↑ +60%
HUMANA Medicare|All Other Plans $17,985.81 ↑ +60%
BCBS Medicare|All Plans $17,985.81 ↑ +60%
CIGNA HEALTHSPRING Medicare|HMO $17,985.81 ↑ +60%
HUMANA Medicare|TRANSPLANT $17,985.81 ↑ +60%
CIGNA HEALTHSPRING Medicare|PPO $18,165.67 ↑ +61%
UHC-SecureHorizons Medicare|All Plans $18,345.53 ↑ +63%
AETNA Medicare|All Plans $18,345.53 ↑ +63%
Amerivantage Medicare|All Plans $18,525.38 ↑ +64%
BCBS-TX Commercial|PPO $19,024.28 ↑ +69%
DEVOTED Medicare|All Plans $19,244.82 ↑ +71%
SCANHealth Medicare|All Plans $19,244.82 ↑ +71%
Cigna Lifesource Commercial|Transplant $19,312.20 ↑ +71%
KINDRED Medicare|All Plans $19,784.39 ↑ +76%
Coventry Commercial|PPO $20,921.55 ↑ +86%
Humana Commercial|Transplant $20,921.55 ↑ +86%
First Health Commercial|All Plans $20,921.55 ↑ +86%
Aetna Commercial|PPO $21,887.16 ↑ +94%
Cigna Commercial|Transplant $22,530.90 ↑ +100%
Healthsmart Commercial|PPO $22,530.90 ↑ +100%
Interlink Commercial|Transplant $22,530.90 ↑ +100%
MultiPlan Commercial|All Plans $24,140.25 ↑ +114%
KelseyCare Commercial|Exchange $24,280.84 ↑ +116%
Employer Direct Commercial|PPO $25,180.13 ↑ +124%
OPTUM Medicaid|STARPLUS $26,592.90 ↑ +136%
Bright Health Commercial|All Plans $26,857.58 ↑ +138%
Superior Health Plan Commercial|All Plans $26,978.72 ↑ +139%
Community Health Choice Commercial|Exchange $26,978.72 ↑ +139%
Community Health Choice Commercial|All Other Plans $26,978.72 ↑ +139%
Wellpoint Commercial|Exchange $26,978.72 ↑ +139%
USA Health Network Commercial|All Plans $27,358.95 ↑ +143%
Aetna Commercial|Exchange $27,698.15 ↑ +146%
MHealth Network Commercial|PPO $32,187.00 ↑ +186%
NX Health Commercial|PPO $58,453.88 ↑ +419%

Visitor-reported prices

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Revasc intra lithotrip-ather at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $100,062.00 $20,312.38 – $20,312.38
Baylor St Luke's Medical Center Houston $11,265.45 $3,540.57 – $32,187.00
HCA HOUSTON TOMBALL HOUSTON $69,458.29 $17,240.76 – $17,240.76
HCA HOUSTON WEST HOUSTON not published $17,240.76 – $17,240.76
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28,802.66 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,250.53 $3,850.11 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28,802.66 $7,038.00 – $43,439.01

All Texas hospitals for this procedure →