X-ray arthrogram shoulder supervision & interpretation (both sides) 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

$745.50

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.

$2,130.00

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.

$131.99 with Wellpoint vs $2,130.00 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
Wellpoint Medicaid|All Other Plans $131.99 ↓ -82%
Wellpoint Medicaid|CHIP $132.31 ↓ -82%
Wellpoint Medicaid|STARKIDS $132.31 ↓ -82%
UHC Medicaid|CHIP $134.63 ↓ -82%
UHC Medicaid|STARKIDS $134.63 ↓ -82%
UNITED Medicaid|All Other Plans $134.96 ↓ -82%
BCBS Medicaid|All Plans $138.59 ↓ -81%
United Commercial|Exchange $140.00 ↓ -81%
CHC Medicaid|All Other Plans $152.16 ↓ -80%
TCHP Medicaid|All Other Plans $170.40 ↓ -77%
TCHP Medicaid|STARKIDS $170.40 ↓ -77%
Wellpoint Medicaid|STAR $177.30 ↓ -76%
UNITED Medicaid|STAR $181.26 ↓ -76%
CHC Medicaid|STAR $203.76 ↓ -73%
United Commercial|Charter $209.00 ↓ -72%
TCHP Medicaid|STAR $228.34 ↓ -69%
United Commercial|HMO $230.00 ↓ -69%
United Commercial|PPO $230.00 ↓ -69%
Renaissance Commercial|All Plans $257.55 ↓ -65%
Cigna Commercial|Surefit $335.04 ↓ -55%
HUMANA Medicare|All Other Plans $357.71 ↓ -52%
SELECTCARE Medicare|All Plans $357.71 ↓ -52%
KELSEY Medicare|All Plans $357.71 ↓ -52%
BCBS Medicare|All Plans $357.71 ↓ -52%
CIGNA HEALTHSPRING Medicare|HMO $357.71 ↓ -52%
HUMANA Medicare|TRANSPLANT $357.71 ↓ -52%
CIGNA HEALTHSPRING Medicare|PPO $361.29 ↓ -52%
AETNA Medicare|All Plans $364.86 ↓ -51%
UHC-SecureHorizons Medicare|All Plans $364.86 ↓ -51%
Amerivantage Medicare|All Plans $368.44 ↓ -51%
Cigna Commercial|HMO $369.00 ↓ -51%
DEVOTED Medicare|All Plans $382.75 ↓ -49%
SCANHealth Medicare|All Plans $382.75 ↓ -49%
KINDRED Medicare|All Plans $393.48 ↓ -47%
UHC Medicaid|STARPLUS $412.81 ↓ -45%
UNITED Medicaid|STARPLUS $412.81 ↓ -45%
Cigna Commercial|PPO $452.78 ↓ -39%
KelseyCare Commercial|Exchange $482.91 ↓ -35%
Employer Direct Commercial|PPO $500.79 ↓ -33%
Community Health Choice Commercial|All Other Plans $536.57 ↓ -28%
Wellpoint Commercial|Exchange $536.57 ↓ -28%
Superior Health Plan Commercial|All Plans $536.57 ↓ -28%
Community Health Choice Commercial|Exchange $536.57 ↓ -28%
BCBS-TX Commercial|Exchange $538.41 ↓ -28%
Aetna Commercial|Exchange $550.87 ↓ -26%
BCBS-TX Commercial|MyBlue Health Exchange $557.50 ↓ -25%
OPTUM Medicare|All Plans $575.10 ↓ -23%
Bright Health Commercial|All Plans $615.81 ↓ -17%
TCHPCHIP Medicaid|HMO $745.50 ↑ +0%
OPTUM Medicaid|STAR $770.64 ↑ +3%
BCBS-TX Commercial|Blue Premier $977.54 ↑ +31%
United Commercial|Optum $1,001.10 ↑ +34%
BCBS-TX Commercial|HMO $1,145.55 ↑ +54%
NX Health Commercial|PPO $1,162.56 ↑ +56%
TEXASTRUECHOICE Medicaid|CHIP $1,171.50 ↑ +57%
CHC Medicaid|HMO $1,171.50 ↑ +57%
CHC Medicaid|CHIP $1,171.50 ↑ +57%
Aetna-Kelsey Care Commercial|HMO $1,256.70 ↑ +69%
Cigna Lifesource Commercial|Transplant $1,278.00 ↑ +71%
BCBS-TX Commercial|PPO $1,286.83 ↑ +73%
Coventry Commercial|PPO $1,384.50 ↑ +86%
Humana Commercial|Transplant $1,384.50 ↑ +86%
First Health Commercial|All Plans $1,384.50 ↑ +86%
Aetna Commercial|HMO $1,448.40 ↑ +94%
Healthsmart Commercial|PPO $1,491.00 ↑ +100%
Interlink Commercial|Transplant $1,491.00 ↑ +100%
Cigna Commercial|Transplant $1,491.00 ↑ +100%
MultiPlan Commercial|All Plans $1,597.50 ↑ +114%
OPTUM Medicaid|STARPLUS $1,759.81 ↑ +136%
USA Health Network Commercial|All Plans $1,810.50 ↑ +143%
MHealth Network Commercial|PPO $2,130.00 ↑ +186%

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X-ray arthrogram shoulder supervision & interpretation (both sides) at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $745.50 $131.99 – $2,130.00
HCA HOUSTON MEDICAL CENTER Houston not published $132.31 – $672.06
HCA HOUSTON WEST HOUSTON not published $129.35 – $672.06
HCA HOUSTON TOMBALL HOUSTON not published $131.99 – $672.06
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $261.79 $131.99 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $937.91 $193.05 – $1,406.87
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $888.08 $131.99 – $1,110.10
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $261.79 $131.99 – $952.69

All Texas hospitals for this procedure →