Lumizyme injection at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$2,274.33
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.
$6,498.08
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.
$142.59 with BCBS - TX vs $6,498.08 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 | $142.59 | ↓ -94% |
| Renaissance | Commercial|All Plans | $149.00 | ↓ -93% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $179.03 | ↓ -92% |
| Humana | Medicare|TRANSPLANT | $201.89 | ↓ -91% |
| KELSEY | Medicare|All Plans | $201.89 | ↓ -91% |
| AETNA | Medicare|TRANSPLANT | $201.89 | ↓ -91% |
| CIGNA HEALTHSPRING | Medicare|HMO | $201.89 | ↓ -91% |
| BCBS | Medicare|All Plans | $201.89 | ↓ -91% |
| Humana | Medicare|All Other Plans | $201.89 | ↓ -91% |
| CIGNA HEALTHSPRING | Medicare|PPO | $203.91 | ↓ -91% |
| AETNA | Medicare|All Other Plans | $205.93 | ↓ -91% |
| UHC-SecureHorizons | Medicare|All Plans | $205.93 | ↓ -91% |
| Amerivantage | Medicare|All Plans | $207.95 | ↓ -91% |
| SELECTCARE | Medicare|All Plans | $211.98 | ↓ -91% |
| SCANHealth | Medicare|All Plans | $221.44 | ↓ -90% |
| DEVOTED | Medicare|All Plans | $221.44 | ↓ -90% |
| BCBS - TX | Commercial|Premier | $224.97 | ↓ -90% |
| KINDRED | Medicare|All Plans | $248.34 | ↓ -89% |
| KelseyCare | Commercial|Exchange | $272.55 | ↓ -88% |
| Employer Direct | Commercial|PPO | $289.73 | ↓ -87% |
| BCBS - TX | Commercial|HMO | $293.10 | ↓ -87% |
| Wellpoint | Commercial|Exchange | $302.83 | ↓ -87% |
| Community Health Choice | Commercial|Exchange | $302.83 | ↓ -87% |
| Harris Health | Commercial|ERS | $302.83 | ↓ -87% |
| Superior Health Plan | Commercial|All Plans | $302.83 | ↓ -87% |
| Community Health Choice | Commercial|All Other Plans | $302.83 | ↓ -87% |
| Bright Health | Commercial|All Plans | $308.34 | ↓ -86% |
| BCBS - TX | Commercial|PPO Trad | $316.86 | ↓ -86% |
| Aetna | Commercial|Exchange | $318.70 | ↓ -86% |
| United | Commercial|Exchange | $352.87 | ↓ -84% |
| United | Commercial|PPO | $483.94 | ↓ -79% |
| United | Commercial|Charter | $483.94 | ↓ -79% |
| United | Commercial|HMO | $483.94 | ↓ -79% |
| Cigna | Commercial|PPO | $595.81 | ↓ -74% |
| Cigna | Commercial|HMO | $628.13 | ↓ -72% |
| Cigna | Commercial|Surefit | $628.13 | ↓ -72% |
| NX Health | Commercial|PPO | $672.59 | ↓ -70% |
| Aetna | Commercial|KelseyCare | $1,429.58 | ↓ -37% |
| Aetna | Commercial|HMO | $1,689.51 | ↓ -26% |
| Aetna | Commercial|PPO | $1,689.51 | ↓ -26% |
| OPTUM | Medicare|All Plans | $1,754.49 | ↓ -23% |
| Aetna | Commercial|Transplant | $2,079.39 | ↓ -9% |
| OPTUM | Medicaid|STAR | $2,351.01 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $2,664.22 | ↑ +17% |
| TCH | Commercial|Transplant | $2,924.14 | ↑ +29% |
| United | Commercial|Optum | $3,054.10 | ↑ +34% |
| Humana | Commercial|HMO | $3,184.06 | ↑ +40% |
| Humana | Commercial|PPO | $3,184.06 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $3,184.06 | ↑ +40% |
| Shell | Commercial|All Plans | $3,249.04 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,573.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,573.95 | ↑ +57% |
| CHC | Medicaid|HMO | $3,573.95 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $3,898.85 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $3,898.85 | ↑ +71% |
| First Health | Commercial|All Plans | $4,223.76 | ↑ +86% |
| Humana | Commercial|Transplant | $4,223.76 | ↑ +86% |
| Coventry | Commercial|PPO | $4,223.76 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $4,548.66 | ↑ +100% |
| Healthsmart | Commercial|PPO | $4,548.66 | ↑ +100% |
| Interlink | Commercial|Transplant | $4,548.66 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,548.66 | ↑ +100% |
| PHCS | Commercial|PPO | $4,548.66 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $4,678.62 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $4,873.56 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $5,368.72 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $5,523.37 | ↑ +143% |
| MHealth Network | Commercial|PPO | $6,498.08 | ↑ +186% |
Visitor-reported prices
Comments
Lumizyme injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $2,274.33 | $172.69 – $6,498.08 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $201.57 – $1,595.70 |
| HCA HOUSTON WEST | HOUSTON | not published | $207.39 – $1,595.70 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $201.57 – $1,595.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,735.97 | $187.25 – $1,891.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,735.97 | $190.05 – $2,269.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,735.97 | $190.05 – $1,891.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,735.97 | $187.25 – $1,891.44 |