Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$7,010.94
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.
$20,031.24
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.
$3.23 with Renaissance vs $20,031.24 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 | $3.23 | ↓ -100% |
| BCBS | Medicare|All Plans | $3.99 | ↓ -100% |
| Humana | Medicare|All Other Plans | $3.99 | ↓ -100% |
| AETNA | Medicare|TRANSPLANT | $3.99 | ↓ -100% |
| Humana | Medicare|TRANSPLANT | $3.99 | ↓ -100% |
| KELSEY | Medicare|All Plans | $3.99 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3.99 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $4.03 | ↓ -100% |
| UHC-SecureHorizons | Medicare|All Plans | $4.07 | ↓ -100% |
| AETNA | Medicare|All Other Plans | $4.07 | ↓ -100% |
| Amerivantage | Medicare|All Plans | $4.11 | ↓ -100% |
| SELECTCARE | Medicare|All Plans | $4.19 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $4.80 | ↓ -100% |
| DEVOTED | Medicare|All Plans | $4.80 | ↓ -100% |
| KelseyCare | Commercial|Exchange | $5.39 | ↓ -100% |
| KINDRED | Medicare|All Plans | $5.39 | ↓ -100% |
| Harris Health | Commercial|ERS | $5.99 | ↓ -100% |
| Superior Health Plan | Commercial|All Plans | $5.99 | ↓ -100% |
| Wellpoint | Commercial|Exchange | $5.99 | ↓ -100% |
| Community Health Choice | Commercial|Exchange | $5.99 | ↓ -100% |
| Community Health Choice | Commercial|All Other Plans | $5.99 | ↓ -100% |
| Employer Direct | Commercial|PPO | $6.29 | ↓ -100% |
| United | Commercial|Exchange | $6.83 | ↓ -100% |
| Aetna | Commercial|Exchange | $6.91 | ↓ -100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $8.53 | ↓ -100% |
| Bright Health | Commercial|All Plans | $8.86 | ↓ -100% |
| United | Commercial|HMO | $9.36 | ↓ -100% |
| United | Commercial|Charter | $9.36 | ↓ -100% |
| United | Commercial|PPO | $9.36 | ↓ -100% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $10.71 | ↓ -100% |
| BCBS - TX | Commercial|Premier | $13.46 | ↓ -100% |
| Cigna | Commercial|PPO | $13.72 | ↓ -100% |
| Cigna | Commercial|HMO | $14.46 | ↓ -100% |
| Cigna | Commercial|Surefit | $14.46 | ↓ -100% |
| NX Health | Commercial|PPO | $14.59 | ↓ -100% |
| BCBS - TX | Commercial|HMO | $17.54 | ↓ -100% |
| BCBS - TX | Commercial|PPO Trad | $18.96 | ↓ -100% |
| Aetna | Commercial|KelseyCare | $4,406.88 | ↓ -37% |
| Aetna | Commercial|PPO | $5,208.13 | ↓ -26% |
| Aetna | Commercial|HMO | $5,208.13 | ↓ -26% |
| OPTUM | Medicare|All Plans | $5,408.44 | ↓ -23% |
| Aetna | Commercial|Transplant | $6,410.00 | ↓ -9% |
| OPTUM | Medicaid|STAR | $7,247.31 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $8,212.81 | ↑ +17% |
| TCH | Commercial|Transplant | $9,014.06 | ↑ +29% |
| United | Commercial|Optum | $9,414.69 | ↑ +34% |
| Humana | Commercial|HMO | $9,815.31 | ↑ +40% |
| Humana | Commercial|PPO | $9,815.31 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $9,815.31 | ↑ +40% |
| Shell | Commercial|All Plans | $10,015.62 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $11,017.19 | ↑ +57% |
| CHC | Medicaid|CHIP | $11,017.19 | ↑ +57% |
| CHC | Medicaid|HMO | $11,017.19 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $12,018.75 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $12,018.75 | ↑ +71% |
| First Health | Commercial|All Plans | $13,020.31 | ↑ +86% |
| Humana | Commercial|Transplant | $13,020.31 | ↑ +86% |
| Coventry | Commercial|PPO | $13,020.31 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $14,021.87 | ↑ +100% |
| Healthsmart | Commercial|PPO | $14,021.87 | ↑ +100% |
| Interlink | Commercial|Transplant | $14,021.87 | ↑ +100% |
| Cigna | Commercial|Transplant | $14,021.87 | ↑ +100% |
| PHCS | Commercial|PPO | $14,021.87 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $14,422.50 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $15,023.43 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $16,549.82 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $17,026.56 | ↑ +143% |
| MHealth Network | Commercial|PPO | $20,031.24 | ↑ +186% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $7,010.94 | $5.57 – $20,031.24 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3.98 – $78.99 |
| HCA HOUSTON WEST | HOUSTON | not published | $3.87 – $78.99 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3.98 – $78.99 |
| Covenant Children's Hospital | Lubbock | $31,489.91 | $15.70 – $37.85 |
| St. Luke's Health Memorial Lufkin | Lufkin | $20,820.44 | $5.25 – $119,087.30 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $7,010.94 | $5.57 – $20,031.24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $7,010.94 | $5.57 – $20,031.24 |