X-ray temporomandibular joint open/closed mouth bilateral at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$493.15
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.
$1,409.00
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.
$53.13 with Wellpoint vs $1,409.00 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 →
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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 |
|---|---|---|---|
| Wellpoint | Medicaid|STARKIDS | $53.13 | ↓ -89% |
| Wellpoint | Medicaid|All Other Plans | $53.13 | ↓ -89% |
| Wellpoint | Medicaid|CHIP | $53.13 | ↓ -89% |
| UHC | Medicaid|CHIP | $54.19 | ↓ -89% |
| UHC | Medicaid|STARKIDS | $54.19 | ↓ -89% |
| UNITED | Medicaid|All Other Plans | $54.19 | ↓ -89% |
| BCBS | Medicaid|All Plans | $55.79 | ↓ -89% |
| CHC | Medicaid|All Other Plans | $61.10 | ↓ -88% |
| Renaissance | Commercial|All Plans | $63.50 | ↓ -87% |
| Wellpoint | Medicaid|STAR | $71.19 | ↓ -86% |
| UNITED | Medicaid|STAR | $72.79 | ↓ -85% |
| CHC | Medicaid|STAR | $81.82 | ↓ -83% |
| HUMANA | Medicare|TRANSPLANT | $88.19 | ↓ -82% |
| SELECTCARE | Medicare|All Plans | $88.19 | ↓ -82% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -82% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -82% |
| CIGNA HEALTHSPRING | Medicare|HMO | $88.19 | ↓ -82% |
| HUMANA | Medicare|All Other Plans | $88.19 | ↓ -82% |
| CIGNA HEALTHSPRING | Medicare|PPO | $89.07 | ↓ -82% |
| AETNA | Medicare|All Plans | $89.95 | ↓ -82% |
| UHC-SecureHorizons | Medicare|All Plans | $89.95 | ↓ -82% |
| Amerivantage | Medicare|All Plans | $90.84 | ↓ -82% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -81% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -81% |
| KINDRED | Medicare|All Plans | $97.01 | ↓ -80% |
| BCBS-TX | Commercial|Exchange | $112.53 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $112.72 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $112.72 | ↓ -77% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $116.52 | ↓ -76% |
| KelseyCare | Commercial|Exchange | $119.06 | ↓ -76% |
| Employer Direct | Commercial|PPO | $123.47 | ↓ -75% |
| Wellpoint | Commercial|Exchange | $132.28 | ↓ -73% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↓ -73% |
| Superior Health Plan | Commercial|All Plans | $132.28 | ↓ -73% |
| Community Health Choice | Commercial|All Other Plans | $132.28 | ↓ -73% |
| Cigna | Commercial|Surefit | $132.67 | ↓ -73% |
| Bright Health | Commercial|All Plans | $135.27 | ↓ -73% |
| Aetna | Commercial|Exchange | $135.81 | ↓ -72% |
| United | Commercial|Exchange | $140.00 | ↓ -72% |
| Cigna | Commercial|HMO | $146.11 | ↓ -70% |
| TCHP | Medicaid|STAR | $151.05 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $165.77 | ↓ -66% |
| UHC | Medicaid|STARPLUS | $165.77 | ↓ -66% |
| Cigna | Commercial|PPO | $179.29 | ↓ -64% |
| BCBS-TX | Commercial|Blue Premier | $204.31 | ↓ -59% |
| United | Commercial|Charter | $209.00 | ↓ -58% |
| United | Commercial|PPO | $230.00 | ↓ -53% |
| United | Commercial|HMO | $230.00 | ↓ -53% |
| BCBS-TX | Commercial|HMO | $239.43 | ↓ -51% |
| BCBS-TX | Commercial|PPO | $268.96 | ↓ -45% |
| NX Health | Commercial|PPO | $286.62 | ↓ -42% |
| OPTUM | Medicare|All Plans | $380.43 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $493.15 | ↑ +0% |
| OPTUM | Medicaid|STAR | $509.78 | ↑ +3% |
| United | Commercial|Optum | $662.23 | ↑ +34% |
| CHC | Medicaid|HMO | $774.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $774.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $774.95 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $831.31 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $845.40 | ↑ +71% |
| Coventry | Commercial|PPO | $915.85 | ↑ +86% |
| Humana | Commercial|Transplant | $915.85 | ↑ +86% |
| First Health | Commercial|All Plans | $915.85 | ↑ +86% |
| Aetna | Commercial|HMO | $958.12 | ↑ +94% |
| Cigna | Commercial|Transplant | $986.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $986.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $986.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,056.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,164.12 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,197.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,409.00 | ↑ +186% |
Visitor-reported prices
Comments
X-ray temporomandibular joint open/closed mouth bilateral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $493.15 | $53.13 – $1,409.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $53.13 – $250.70 |
| HCA HOUSTON WEST | HOUSTON | not published | $52.07 – $250.70 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $53.13 – $250.70 |
| Adventhealth Rollins Brook | Lampasas | $706.38 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $477.80 | $53.13 – $597.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $268.76 | $55.32 – $403.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $277.69 | $53.13 – $347.12 |