Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$27.97
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.
$79.90
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.
$17.58 with Aetna vs $79.90 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 |
|---|---|---|---|
| Aetna | Commercial|KelseyCare | $17.58 | ↓ -37% |
| Aetna | Commercial|HMO | $20.78 | ↓ -26% |
| Aetna | Commercial|PPO | $20.78 | ↓ -26% |
| OPTUM | Medicare|All Plans | $21.58 | ↓ -23% |
| United | Commercial|Exchange | $22.38 | ↓ -20% |
| Aetna | Commercial|Transplant | $25.57 | ↓ -9% |
| Bright Health | Commercial|All Plans | $26.37 | ↓ -6% |
| United | Commercial|Charter | $26.37 | ↓ -6% |
| Cigna | Commercial|PPO | $28.77 | ↑ +3% |
| Cigna | Commercial|Surefit | $28.77 | ↑ +3% |
| Cigna | Commercial|HMO | $28.77 | ↑ +3% |
| OPTUM | Medicaid|STAR | $28.91 | ↑ +3% |
| United | Commercial|HMO | $30.37 | ↑ +9% |
| United | Commercial|PPO | $30.37 | ↑ +9% |
| TCHPCHIP | Medicaid|HMO | $32.76 | ↑ +17% |
| TCH | Commercial|Transplant | $35.96 | ↑ +29% |
| United | Commercial|Optum | $37.56 | ↑ +34% |
| Humana | Commercial|PPO | $39.16 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $39.16 | ↑ +40% |
| Humana | Commercial|HMO | $39.16 | ↑ +40% |
| Shell | Commercial|All Plans | $39.95 | ↑ +43% |
| CHC | Medicaid|HMO | $43.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $43.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $43.95 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $47.94 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $47.94 | ↑ +71% |
| First Health | Commercial|All Plans | $51.94 | ↑ +86% |
| Coventry | Commercial|PPO | $51.94 | ↑ +86% |
| Humana | Commercial|Transplant | $51.94 | ↑ +86% |
| Interlink | Commercial|Transplant | $55.93 | ↑ +100% |
| PHCS | Commercial|PPO | $55.93 | ↑ +100% |
| Cigna | Commercial|Transplant | $55.93 | ↑ +100% |
| Healthsmart | Commercial|PPO | $55.93 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $55.93 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $57.53 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $59.93 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $66.02 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $67.92 | ↑ +143% |
| MHealth Network | Commercial|PPO | $79.90 | ↑ +186% |
Visitor-reported prices
Comments
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $32.39 | $0.01 – $0.02 |
| HCA HOUSTON WEST | HOUSTON | $464.00 | $0.01 – $0.02 |
| St. Luke's Health - The Vintage Hospital | Houston | $27.97 | $17.58 – $79.90 |
| HCA HOUSTON TOMBALL | HOUSTON | $32.09 | $0.01 – $0.02 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $28.80 | $0.00 – $35.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28.80 | $0.00 – $37.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28.80 | $0.00 – $31.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $28.80 | $0.00 – $35.70 |