Dextran 40 infusion at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$49.56
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.
$141.60
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.
$23.88 with BCBS - TX vs $120.62 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $23.88 | ↓ -52% |
| Aetna | Commercial|KelseyCare | $26.54 | ↓ -46% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $29.98 | ↓ -40% |
| Aetna | Commercial|PPO | $31.37 | ↓ -37% |
| Aetna | Commercial|HMO | $31.37 | ↓ -37% |
| OPTUM | Medicare|All Plans | $32.57 | ↓ -34% |
| United | Commercial|Exchange | $33.78 | ↓ -32% |
| BCBS - TX | Commercial|Premier | $37.67 | ↓ -24% |
| Aetna | Commercial|Transplant | $38.60 | ↓ -22% |
| United | Commercial|Charter | $39.81 | ↓ -20% |
| Bright Health | Commercial|All Plans | $39.81 | ↓ -20% |
| Cigna | Commercial|PPO | $43.43 | ↓ -12% |
| Cigna | Commercial|HMO | $43.43 | ↓ -12% |
| Cigna | Commercial|Surefit | $43.43 | ↓ -12% |
| OPTUM | Medicaid|STAR | $43.65 | ↓ -12% |
| United | Commercial|PPO | $45.84 | ↓ -8% |
| United | Commercial|HMO | $45.84 | ↓ -8% |
| BCBS - TX | Commercial|HMO | $49.08 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $49.46 | ↓ -0% |
| BCBS - TX | Commercial|PPO Trad | $53.06 | ↑ +7% |
| TCH | Commercial|Transplant | $54.28 | ↑ +10% |
| United | Commercial|Optum | $56.70 | ↑ +14% |
| Humana | Commercial|HMO | $59.11 | ↑ +19% |
| KelseyCare | Commercial|All Other Plans | $59.11 | ↑ +19% |
| Humana | Commercial|PPO | $59.11 | ↑ +19% |
| Shell | Commercial|All Plans | $60.31 | ↑ +22% |
| CHC | Medicaid|HMO | $66.35 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $66.35 | ↑ +34% |
| CHC | Medicaid|CHIP | $66.35 | ↑ +34% |
| Cigna Lifesource | Commercial|Transplant | $72.38 | ↑ +46% |
| Independent Med System | Commercial|All Plans | $72.38 | ↑ +46% |
| First Health | Commercial|All Plans | $78.41 | ↑ +58% |
| Humana | Commercial|Transplant | $78.41 | ↑ +58% |
| Coventry | Commercial|PPO | $78.41 | ↑ +58% |
| Healthsmart | Commercial|PPO | $84.44 | ↑ +70% |
| PHCS Savility | Commercial|PPO | $84.44 | ↑ +70% |
| Interlink | Commercial|Transplant | $84.44 | ↑ +70% |
| PHCS | Commercial|PPO | $84.44 | ↑ +70% |
| Cigna | Commercial|Transplant | $84.44 | ↑ +70% |
| Healthsmart | Commercial|AP3 | $86.85 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $90.47 | ↑ +83% |
| OPTUM | Medicaid|STARPLUS | $99.66 | ↑ +101% |
| USA Health Network | Commercial|All Plans | $102.53 | ↑ +107% |
| MHealth Network | Commercial|PPO | $120.62 | ↑ +143% |
Visitor-reported prices
Comments
Dextran 40 infusion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $861.36 | $52.00 – $628.63 |
| St. Luke's Health - The Vintage Hospital | Houston | $49.56 | $26.54 – $120.62 |
| HCA HOUSTON TOMBALL | HOUSTON | $143.54 | $52.00 – $628.63 |
| HCA HOUSTON WEST | HOUSTON | not published | $52.00 – $628.63 |
| Covenant Children's Hospital | Lubbock | $75.41 | $99.22 – $178.03 |
| HCA HOUSTON KINGWOOD | HUMBLE | $317.15 | $52.00 – $628.63 |
| HCA HOUSTON NORTHWEST | SPRING | $465.11 | $52.00 – $628.63 |
| St. Luke's Health Memorial Lufkin | Lufkin | $80.28 | $45.00 – $301.16 |