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Short Term Acute Care HospitalVoluntary non-profit - Church

Chi St. Luke'S Health Baylor College Of Medicine Medical Center

CHI St. Luke's Health · Houston, TX

6720 Bertner Avenue, Houston, TX 77030

879

Beds

36

In-network payers

Photo 1: No.1utfan, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this facility

Chi St. Luke'S Health Baylor College Of Medicine Medical Center is an 879-bed voluntary non-profit - church facility in Houston, TX, affiliated with CHI St. Luke's Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 586 disclosed rate categories.

CCN
459805
NPI
1184622847
Health system
CHI St. Luke's Health
County
Harris County
Metro area
Houston-Pasadena-The Woodlands, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04411)
In Medicare since
2008
Last CMS survey
2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Per Diem

Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Chi St. Luke'S Health Baylor College Of Medicine Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-1161938(multi-state) CHI St Lukes Health Baylor College of Medicine Medical Center62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 57 more1184622847 Chi St. Luke'S Health Baylor College Of Medicine Medical Center1841690740 Chi St Luke'S Health Baylor St. Luke'S Medical Center1285678458 Chi St. Luke'S Health Baylor College Of Medicine Medical Centerand 2 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

6720 Bertner Avenue, Houston, TX 77030

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Frequently asked questions

About Chi St. Luke'S Health Baylor College Of Medicine Medical Center's rates and hospital price transparency.

What is Chi St. Luke'S Health Baylor College Of Medicine Medical Center's tax ID (EIN)?

Insurers' price transparency files list Chi St. Luke'S Health Baylor College Of Medicine Medical Center under employer identification number 74-1161938 ((multi-state) CHI St Lukes Health Baylor College of Medicine Medical Center). 62 health plans and networks list 74-1161938 for it.

Is Chi St. Luke'S Health Baylor College Of Medicine Medical Center accredited?

CMS's Provider of Services file lists no accrediting organization for Chi St. Luke'S Health Baylor College Of Medicine Medical Center; it is certified for Medicare through state survey.

How many beds does Chi St. Luke'S Health Baylor College Of Medicine Medical Center have?

Chi St. Luke'S Health Baylor College Of Medicine Medical Center has 879 beds. Facility type: Short Term Acute Care Hospital.

Where is Chi St. Luke'S Health Baylor College Of Medicine Medical Center and what is its phone number?

Chi St. Luke'S Health Baylor College Of Medicine Medical Center is located at 6720 Bertner Avenue, Houston, TX 77030.

What is Chi St. Luke'S Health Baylor College Of Medicine Medical Center's CCN (Medicare provider number)?

Chi St. Luke'S Health Baylor College Of Medicine Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 459805.

What is Chi St. Luke'S Health Baylor College Of Medicine Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Chi St. Luke'S Health Baylor College Of Medicine Medical Center is 1184622847.

What health system is Chi St. Luke'S Health Baylor College Of Medicine Medical Center part of?

Chi St. Luke'S Health Baylor College Of Medicine Medical Center is affiliated with CHI St. Luke's Health.

Which insurance plans are in network at Chi St. Luke'S Health Baylor College Of Medicine Medical Center?

Chi St. Luke'S Health Baylor College Of Medicine Medical Center lists 36 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Chi St. Luke'S Health Baylor College Of Medicine Medical Center?

586 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster