Administration vaccine pneumococcal at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$51.80
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.
$148.00
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.
$33.27 with Renaissance vs $150.18 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 →
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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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $33.27 | ↓ -36% |
| OPTUM | Medicare|All Plans | $39.96 | ↓ -23% |
| BCBS - TX | Commercial|Transplant | $44.80 | ↓ -14% |
| Humana | Medicare|TRANSPLANT | $46.21 | ↓ -11% |
| CIGNA HEALTHSPRING | Medicare|HMO | $46.21 | ↓ -11% |
| BCBS | Medicare|All Plans | $46.21 | ↓ -11% |
| KELSEY | Medicare|All Plans | $46.21 | ↓ -11% |
| AETNA | Medicare|TRANSPLANT | $46.21 | ↓ -11% |
| Humana | Medicare|All Other Plans | $46.21 | ↓ -11% |
| CIGNA HEALTHSPRING | Medicare|PPO | $46.67 | ↓ -10% |
| UHC-SecureHorizons | Medicare|All Plans | $47.13 | ↓ -9% |
| AETNA | Medicare|All Other Plans | $47.13 | ↓ -9% |
| Amerivantage | Medicare|All Plans | $47.60 | ↓ -8% |
| United | Commercial|Exchange | $48.00 | ↓ -7% |
| SELECTCARE | Medicare|All Plans | $48.52 | ↓ -6% |
| DEVOTED | Medicare|All Plans | $49.44 | ↓ -5% |
| SCANHealth | Medicare|All Plans | $49.44 | ↓ -5% |
| OPTUM | Medicaid|STAR | $53.55 | ↑ +3% |
| KINDRED | Medicare|All Plans | $55.45 | ↑ +7% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $56.56 | ↑ +9% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $57.52 | ↑ +11% |
| TCHPCHIP | Medicaid|HMO | $60.68 | ↑ +17% |
| KelseyCare | Commercial|Exchange | $62.38 | ↑ +20% |
| Employer Direct | Commercial|PPO | $64.69 | ↑ +25% |
| United | Commercial|Charter | $66.00 | ↑ +27% |
| TCH | Commercial|Transplant | $66.60 | ↑ +29% |
| Bright Health | Commercial|All Plans | $66.92 | ↑ +29% |
| Wellpoint | Commercial|Exchange | $69.31 | ↑ +34% |
| Superior Health Plan | Commercial|All Plans | $69.31 | ↑ +34% |
| Community Health Choice | Commercial|All Other Plans | $69.31 | ↑ +34% |
| Community Health Choice | Commercial|Exchange | $69.31 | ↑ +34% |
| Harris Health | Commercial|ERS | $69.31 | ↑ +34% |
| United | Commercial|Optum | $69.56 | ↑ +34% |
| United | Commercial|PPO | $70.00 | ↑ +35% |
| United | Commercial|HMO | $70.00 | ↑ +35% |
| Aetna | Commercial|Exchange | $71.16 | ↑ +37% |
| Shell | Commercial|All Plans | $74.00 | ↑ +43% |
| CHC | Medicaid|HMO | $81.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $81.40 | ↑ +57% |
| CHC | Medicaid|CHIP | $81.40 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $88.80 | ↑ +71% |
| Humana | Commercial|Transplant | $96.20 | ↑ +86% |
| First Health | Commercial|All Plans | $96.20 | ↑ +86% |
| Coventry | Commercial|PPO | $96.20 | ↑ +86% |
| BCBS - TX | Commercial|PPO Trad | $96.82 | ↑ +87% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +93% |
| Cigna | Commercial|HMO | $100.00 | ↑ +93% |
| Cigna | Commercial|PPO | $100.00 | ↑ +93% |
| BCBS - TX | Commercial|Premier | $103.05 | ↑ +99% |
| Interlink | Commercial|Transplant | $103.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $103.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $103.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $111.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $122.28 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $125.80 | ↑ +143% |
| BCBS - TX | Commercial|HMO | $148.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $148.00 | ↑ +186% |
| NX Health | Commercial|PPO | $150.18 | ↑ +190% |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $107.00 | $112.16 – $193.92 |
| St. Luke's Health - The Vintage Hospital | Houston | $51.80 | $37.00 – $148.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $112.16 – $193.92 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $112.16 – $193.92 |
| St. Luke's Health - Patients Medical Center | Pasadena | $45.15 | $37.00 – $96.75 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.50 | $82.62 – $145.80 |
| HCA HOUSTON PEARLAND | Pearland | $85.13 | $112.16 – $193.92 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $51.80 | $37.00 – $148.00 |