Antithrombin iii injection at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$132.25
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.
$377.85
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.
$2.94 with Renaissance vs $375.62 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $2.94 | ↓ -98% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $3.31 | ↓ -97% |
| Humana | Medicare|All Other Plans | $3.95 | ↓ -97% |
| Humana | Medicare|TRANSPLANT | $3.95 | ↓ -97% |
| KELSEY | Medicare|All Plans | $3.95 | ↓ -97% |
| AETNA | Medicare|TRANSPLANT | $3.95 | ↓ -97% |
| BCBS | Medicare|All Plans | $3.95 | ↓ -97% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3.95 | ↓ -97% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3.99 | ↓ -97% |
| UHC-SecureHorizons | Medicare|All Plans | $4.03 | ↓ -97% |
| AETNA | Medicare|All Other Plans | $4.03 | ↓ -97% |
| Amerivantage | Medicare|All Plans | $4.07 | ↓ -97% |
| SELECTCARE | Medicare|All Plans | $4.15 | ↓ -97% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $4.16 | ↓ -97% |
| SCANHealth | Medicare|All Plans | $4.38 | ↓ -97% |
| DEVOTED | Medicare|All Plans | $4.38 | ↓ -97% |
| KINDRED | Medicare|All Plans | $4.91 | ↓ -96% |
| BCBS - TX | Commercial|Premier | $5.23 | ↓ -96% |
| KelseyCare | Commercial|Exchange | $5.33 | ↓ -96% |
| Employer Direct | Commercial|PPO | $5.73 | ↓ -96% |
| Bright Health | Commercial|All Plans | $5.73 | ↓ -96% |
| Wellpoint | Commercial|Exchange | $5.92 | ↓ -96% |
| Community Health Choice | Commercial|Exchange | $5.92 | ↓ -96% |
| Harris Health | Commercial|ERS | $5.92 | ↓ -96% |
| Superior Health Plan | Commercial|All Plans | $5.92 | ↓ -96% |
| Community Health Choice | Commercial|All Other Plans | $5.92 | ↓ -96% |
| Aetna | Commercial|Exchange | $6.30 | ↓ -95% |
| BCBS - TX | Commercial|HMO | $6.81 | ↓ -95% |
| United | Commercial|Exchange | $6.93 | ↓ -95% |
| BCBS - TX | Commercial|PPO Trad | $7.36 | ↓ -94% |
| United | Commercial|PPO | $9.50 | ↓ -93% |
| United | Commercial|Charter | $9.50 | ↓ -93% |
| United | Commercial|HMO | $9.50 | ↓ -93% |
| Cigna | Commercial|PPO | $11.36 | ↓ -91% |
| Cigna | Commercial|HMO | $11.97 | ↓ -91% |
| Cigna | Commercial|Surefit | $11.97 | ↓ -91% |
| NX Health | Commercial|PPO | $13.29 | ↓ -90% |
| Aetna | Commercial|KelseyCare | $82.64 | ↓ -38% |
| Aetna | Commercial|HMO | $97.67 | ↓ -26% |
| Aetna | Commercial|PPO | $97.67 | ↓ -26% |
| OPTUM | Medicare|All Plans | $101.42 | ↓ -23% |
| Aetna | Commercial|Transplant | $120.20 | ↓ -9% |
| OPTUM | Medicaid|STAR | $135.90 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $154.01 | ↑ +16% |
| TCH | Commercial|Transplant | $169.03 | ↑ +28% |
| United | Commercial|Optum | $176.55 | ↑ +33% |
| Humana | Commercial|HMO | $184.06 | ↑ +39% |
| Humana | Commercial|PPO | $184.06 | ↑ +39% |
| KelseyCare | Commercial|All Other Plans | $184.06 | ↑ +39% |
| Shell | Commercial|All Plans | $187.81 | ↑ +42% |
| TEXASTRUECHOICE | Medicaid|CHIP | $206.60 | ↑ +56% |
| CHC | Medicaid|CHIP | $206.60 | ↑ +56% |
| CHC | Medicaid|HMO | $206.60 | ↑ +56% |
| Cigna Lifesource | Commercial|Transplant | $225.38 | ↑ +70% |
| Independent Med System | Commercial|All Plans | $225.38 | ↑ +70% |
| First Health | Commercial|All Plans | $244.16 | ↑ +85% |
| Humana | Commercial|Transplant | $244.16 | ↑ +85% |
| Coventry | Commercial|PPO | $244.16 | ↑ +85% |
| PHCS Savility | Commercial|PPO | $262.94 | ↑ +99% |
| Healthsmart | Commercial|PPO | $262.94 | ↑ +99% |
| Interlink | Commercial|Transplant | $262.94 | ↑ +99% |
| Cigna | Commercial|Transplant | $262.94 | ↑ +99% |
| PHCS | Commercial|PPO | $262.94 | ↑ +99% |
| Healthsmart | Commercial|AP3 | $270.45 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $281.72 | ↑ +113% |
| OPTUM | Medicaid|STARPLUS | $310.34 | ↑ +135% |
| USA Health Network | Commercial|All Plans | $319.28 | ↑ +141% |
| MHealth Network | Commercial|PPO | $375.62 | ↑ +184% |
Visitor-reported prices
Comments
Antithrombin iii injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $132.25 | $4.01 – $375.62 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3.94 – $33.99 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $132.25 | $4.01 – $375.62 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $132.25 | $4.01 – $375.62 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $132.25 | $4.01 – $375.62 |
| Adventhealth Rollins Brook | Lampasas | not published | $14.17 – $14.17 |
| HCA HOUSTON CONROE | CONROE | not published | $4.05 – $33.99 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $4.05 – $33.99 |