Chemotherapy injection 96542 at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$183.40
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.
$524.00
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.
$50.61 with BCBS - TX vs $1,548.00 with United — 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 |
|---|---|---|---|
| BCBS - TX | Commercial|Blue Advantage Exchange | $50.61 | ↓ -72% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $51.47 | ↓ -72% |
| BCBS - TX | Commercial|PPO Trad | $86.64 | ↓ -53% |
| BCBS - TX | Commercial|Premier | $92.21 | ↓ -50% |
| BCBS - TX | Commercial|HMO | $132.96 | ↓ -28% |
| OPTUM | Medicare|All Plans | $141.48 | ↓ -23% |
| Cigna | Commercial|Surefit | $167.68 | ↓ -9% |
| Cigna | Commercial|HMO | $183.40 | ↑ +0% |
| OPTUM | Medicaid|STAR | $189.59 | ↑ +3% |
| Cigna | Commercial|PPO | $214.84 | ↑ +17% |
| TCHPCHIP | Medicaid|HMO | $214.84 | ↑ +17% |
| BCBS - TX | Commercial|Transplant | $231.52 | ↑ +26% |
| TCH | Commercial|Transplant | $235.80 | ↑ +29% |
| Renaissance | Commercial|All Plans | $239.21 | ↑ +30% |
| United | Commercial|Optum | $246.28 | ↑ +34% |
| Shell | Commercial|All Plans | $262.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $288.20 | ↑ +57% |
| CHC | Medicaid|HMO | $288.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $288.20 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $314.40 | ↑ +71% |
| Aetna | Commercial|KelseyCare | $319.64 | ↑ +74% |
| Humana | Medicare|TRANSPLANT | $332.23 | ↑ +81% |
| BCBS | Medicare|All Plans | $332.23 | ↑ +81% |
| Humana | Medicare|All Other Plans | $332.23 | ↑ +81% |
| AETNA | Medicare|TRANSPLANT | $332.23 | ↑ +81% |
| KELSEY | Medicare|All Plans | $332.23 | ↑ +81% |
| CIGNA HEALTHSPRING | Medicare|HMO | $332.23 | ↑ +81% |
| CIGNA HEALTHSPRING | Medicare|PPO | $335.55 | ↑ +83% |
| UHC-SecureHorizons | Medicare|All Plans | $338.87 | ↑ +85% |
| AETNA | Medicare|All Other Plans | $338.87 | ↑ +85% |
| First Health | Commercial|All Plans | $340.60 | ↑ +86% |
| Humana | Commercial|Transplant | $340.60 | ↑ +86% |
| Coventry | Commercial|PPO | $340.60 | ↑ +86% |
| Bright Health | Commercial|All Plans | $342.11 | ↑ +87% |
| Amerivantage | Medicare|All Plans | $342.20 | ↑ +87% |
| SELECTCARE | Medicare|All Plans | $348.84 | ↑ +90% |
| DEVOTED | Medicare|All Plans | $355.49 | ↑ +94% |
| SCANHealth | Medicare|All Plans | $355.49 | ↑ +94% |
| Interlink | Commercial|Transplant | $366.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $366.80 | ↑ +100% |
| Aetna | Commercial|HMO | $366.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $366.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $393.00 | ↑ +114% |
| KINDRED | Medicare|All Plans | $398.68 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $432.93 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $445.40 | ↑ +143% |
| KelseyCare | Commercial|Exchange | $448.51 | ↑ +145% |
| Employer Direct | Commercial|PPO | $465.12 | ↑ +154% |
| Superior Health Plan | Commercial|All Plans | $498.35 | ↑ +172% |
| Community Health Choice | Commercial|Exchange | $498.35 | ↑ +172% |
| Wellpoint | Commercial|Exchange | $498.35 | ↑ +172% |
| Harris Health | Commercial|ERS | $498.35 | ↑ +172% |
| Community Health Choice | Commercial|All Other Plans | $498.35 | ↑ +172% |
| Aetna | Commercial|Exchange | $511.63 | ↑ +179% |
| MHealth Network | Commercial|PPO | $524.00 | ↑ +186% |
| United | Commercial|Exchange | $1,035.00 | ↑ +464% |
| NX Health | Commercial|PPO | $1,079.75 | ↑ +489% |
| United | Commercial|Charter | $1,392.00 | ↑ +659% |
| United | Commercial|HMO | $1,548.00 | ↑ +744% |
| United | Commercial|PPO | $1,548.00 | ↑ +744% |
Visitor-reported prices
Comments
Chemotherapy injection 96542 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $183.40 | $62.62 – $524.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $100.36 – $1,259.38 |
| HCA HOUSTON WEST | HOUSTON | not published | $100.36 – $1,259.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $100.36 – $1,259.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $482.78 | $131.67 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $281.62 | $57.97 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $295.46 | $59.09 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $482.78 | $100.36 – $838.97 |