Injection, glucarpidase at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$103,918.58
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.
$296,910.22
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.
$1,238.94 with Cigna vs $296,910.22 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 |
|---|---|---|---|
| Cigna | Commercial|PPO | $1,238.94 | ↓ -99% |
| Cigna | Commercial|Surefit | $1,306.14 | ↓ -99% |
| Cigna | Commercial|HMO | $1,306.14 | ↓ -99% |
| Aetna | Commercial|KelseyCare | $65,320.25 | ↓ -37% |
| Aetna | Commercial|PPO | $77,196.66 | ↓ -26% |
| Aetna | Commercial|HMO | $77,196.66 | ↓ -26% |
| OPTUM | Medicare|All Plans | $80,165.76 | ↓ -23% |
| United | Commercial|Exchange | $83,134.87 | ↓ -20% |
| Aetna | Commercial|Transplant | $95,011.28 | ↓ -9% |
| Bright Health | Commercial|All Plans | $97,980.38 | ↓ -6% |
| United | Commercial|Charter | $97,980.38 | ↓ -6% |
| OPTUM | Medicaid|STAR | $107,422.12 | ↑ +3% |
| United | Commercial|PPO | $112,825.89 | ↑ +9% |
| United | Commercial|HMO | $112,825.89 | ↑ +9% |
| TCHPCHIP | Medicaid|HMO | $121,733.20 | ↑ +17% |
| TCH | Commercial|Transplant | $133,609.60 | ↑ +29% |
| United | Commercial|Optum | $139,547.81 | ↑ +34% |
| Humana | Commercial|PPO | $145,486.01 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $145,486.01 | ↑ +40% |
| Humana | Commercial|HMO | $145,486.01 | ↑ +40% |
| Shell | Commercial|All Plans | $148,455.11 | ↑ +43% |
| CHC | Medicaid|HMO | $163,300.63 | ↑ +57% |
| CHC | Medicaid|CHIP | $163,300.63 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $163,300.63 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $178,146.14 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $178,146.14 | ↑ +71% |
| First Health | Commercial|All Plans | $192,991.65 | ↑ +86% |
| Coventry | Commercial|PPO | $192,991.65 | ↑ +86% |
| Humana | Commercial|Transplant | $192,991.65 | ↑ +86% |
| Interlink | Commercial|Transplant | $207,837.16 | ↑ +100% |
| PHCS | Commercial|PPO | $207,837.16 | ↑ +100% |
| Cigna | Commercial|Transplant | $207,837.16 | ↑ +100% |
| Healthsmart | Commercial|PPO | $207,837.16 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $207,837.16 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $213,775.36 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $222,682.67 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $245,307.23 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $252,373.69 | ↑ +143% |
| MHealth Network | Commercial|PPO | $296,910.22 | ↑ +186% |
Visitor-reported prices
Comments
Injection, glucarpidase at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $103,918.58 | $1,238.94 – $296,910.22 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $740.34 – $1,016.35 |
| HCA HOUSTON WEST | HOUSTON | not published | $740.34 – $1,016.35 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $740.34 – $1,016.35 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $74,113.20 | $426.64 – $92,641.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $74,113.20 | $15,254.97 – $111,169.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $74,113.20 | $426.64 – $92,641.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $74,113.20 | $426.64 – $92,641.50 |