X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$801.15
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.
$2,289.00
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.
$122.96 with Wellpoint vs $2,289.00 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|All Other Plans | $122.96 | ↓ -85% |
| Wellpoint | Medicaid|CHIP | $124.96 | ↓ -84% |
| Wellpoint | Medicaid|STARKIDS | $124.96 | ↓ -84% |
| UHC | Medicaid|CHIP | $125.42 | ↓ -84% |
| UHC | Medicaid|STARKIDS | $125.42 | ↓ -84% |
| UNITED | Medicaid|All Other Plans | $127.46 | ↓ -84% |
| Renaissance | Commercial|All Plans | $128.38 | ↓ -84% |
| BCBS | Medicaid|All Plans | $129.11 | ↓ -84% |
| United | Commercial|Exchange | $140.00 | ↓ -83% |
| CHC | Medicaid|All Other Plans | $143.70 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $167.45 | ↓ -79% |
| UNITED | Medicaid|STAR | $171.20 | ↓ -79% |
| HUMANA | Medicare|All Other Plans | $178.31 | ↓ -78% |
| CIGNA HEALTHSPRING | Medicare|HMO | $178.31 | ↓ -78% |
| BCBS | Medicare|All Plans | $178.31 | ↓ -78% |
| KELSEY | Medicare|All Plans | $178.31 | ↓ -78% |
| SELECTCARE | Medicare|All Plans | $178.31 | ↓ -78% |
| HUMANA | Medicare|TRANSPLANT | $178.31 | ↓ -78% |
| CIGNA HEALTHSPRING | Medicare|PPO | $180.09 | ↓ -78% |
| AETNA | Medicare|All Plans | $181.88 | ↓ -77% |
| UHC-SecureHorizons | Medicare|All Plans | $181.88 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $183.12 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $183.12 | ↓ -77% |
| Amerivantage | Medicare|All Plans | $183.66 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $190.79 | ↓ -76% |
| DEVOTED | Medicare|All Plans | $190.79 | ↓ -76% |
| CHC | Medicaid|STAR | $192.44 | ↓ -76% |
| KINDRED | Medicare|All Plans | $196.14 | ↓ -76% |
| United | Commercial|Charter | $209.00 | ↓ -74% |
| United | Commercial|HMO | $230.00 | ↓ -71% |
| United | Commercial|PPO | $230.00 | ↓ -71% |
| KelseyCare | Commercial|Exchange | $240.72 | ↓ -70% |
| TCHP | Medicaid|STAR | $245.39 | ↓ -69% |
| Employer Direct | Commercial|PPO | $249.63 | ↓ -69% |
| BCBS-TX | Commercial|Exchange | $256.93 | ↓ -68% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $266.04 | ↓ -67% |
| Superior Health Plan | Commercial|All Plans | $267.46 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $267.46 | ↓ -67% |
| Community Health Choice | Commercial|Exchange | $267.46 | ↓ -67% |
| Community Health Choice | Commercial|All Other Plans | $267.46 | ↓ -67% |
| Aetna | Commercial|Exchange | $274.60 | ↓ -66% |
| Cigna | Commercial|Surefit | $278.15 | ↓ -65% |
| Bright Health | Commercial|All Plans | $298.72 | ↓ -63% |
| Cigna | Commercial|HMO | $306.34 | ↓ -62% |
| Cigna | Commercial|PPO | $375.86 | ↓ -53% |
| UNITED | Medicaid|STARPLUS | $389.88 | ↓ -51% |
| UHC | Medicaid|STARPLUS | $389.88 | ↓ -51% |
| BCBS-TX | Commercial|Blue Premier | $466.48 | ↓ -42% |
| BCBS-TX | Commercial|HMO | $546.66 | ↓ -32% |
| NX Health | Commercial|PPO | $579.51 | ↓ -28% |
| BCBS-TX | Commercial|PPO | $614.08 | ↓ -23% |
| OPTUM | Medicare|All Plans | $618.03 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $801.15 | ↑ +0% |
| OPTUM | Medicaid|STAR | $828.17 | ↑ +3% |
| United | Commercial|Optum | $1,075.83 | ↑ +34% |
| CHC | Medicaid|HMO | $1,258.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,258.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,258.95 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $1,350.51 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $1,373.40 | ↑ +71% |
| First Health | Commercial|All Plans | $1,487.85 | ↑ +86% |
| Humana | Commercial|Transplant | $1,487.85 | ↑ +86% |
| Coventry | Commercial|PPO | $1,487.85 | ↑ +86% |
| Aetna | Commercial|HMO | $1,556.52 | ↑ +94% |
| Interlink | Commercial|Transplant | $1,602.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,602.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,602.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,716.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,891.18 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,945.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $2,289.00 | ↑ +186% |
Visitor-reported prices
Comments
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $801.15 | $122.96 – $2,289.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $5,054.61 | $122.96 – $525.55 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $124.96 – $525.55 |
| HCA HOUSTON WEST | HOUSTON | not published | $120.50 – $525.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $555.04 | $122.96 – $693.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $771.95 | $158.89 – $1,157.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $622.09 | $122.96 – $777.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $555.04 | $122.96 – $693.79 |