Makena, 10 mg at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$119.03
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.
?
What you pay up front if you don't use insurance.
$340.07
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.84 with KELSEY vs $340.07 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| KELSEY | Medicare|All Plans | $13.84 | ↓ -88% |
| AETNA | Medicare|TRANSPLANT | $13.84 | ↓ -88% |
| CIGNA HEALTHSPRING | Medicare|HMO | $13.84 | ↓ -88% |
| Humana | Medicare|All Other Plans | $13.84 | ↓ -88% |
| BCBS | Medicare|All Plans | $13.84 | ↓ -88% |
| Humana | Medicare|TRANSPLANT | $13.84 | ↓ -88% |
| CIGNA HEALTHSPRING | Medicare|PPO | $13.98 | ↓ -88% |
| UHC-SecureHorizons | Medicare|All Plans | $14.12 | ↓ -88% |
| AETNA | Medicare|All Other Plans | $14.12 | ↓ -88% |
| Amerivantage | Medicare|All Plans | $14.26 | ↓ -88% |
| SELECTCARE | Medicare|All Plans | $14.53 | ↓ -88% |
| KelseyCare | Commercial|Exchange | $18.68 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $20.76 | ↓ -83% |
| Harris Health | Commercial|ERS | $20.76 | ↓ -83% |
| Community Health Choice | Commercial|Exchange | $20.76 | ↓ -83% |
| Community Health Choice | Commercial|All Other Plans | $20.76 | ↓ -83% |
| Superior Health Plan | Commercial|All Plans | $20.76 | ↓ -83% |
| United | Commercial|Exchange | $24.19 | ↓ -80% |
| Bright Health | Commercial|All Plans | $25.66 | ↓ -78% |
| United | Commercial|PPO | $33.17 | ↓ -72% |
| United | Commercial|Charter | $33.17 | ↓ -72% |
| United | Commercial|HMO | $33.17 | ↓ -72% |
| Aetna | Commercial|KelseyCare | $74.82 | ↓ -37% |
| Aetna | Commercial|HMO | $88.42 | ↓ -26% |
| Aetna | Commercial|PPO | $88.42 | ↓ -26% |
| OPTUM | Medicare|All Plans | $91.82 | ↓ -23% |
| Aetna | Commercial|Transplant | $108.83 | ↓ -9% |
| Cigna | Commercial|HMO | $122.43 | ↑ +3% |
| Cigna | Commercial|PPO | $122.43 | ↑ +3% |
| Cigna | Commercial|Surefit | $122.43 | ↑ +3% |
| OPTUM | Medicaid|STAR | $123.04 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $139.43 | ↑ +17% |
| TCH | Commercial|Transplant | $153.04 | ↑ +29% |
| United | Commercial|Optum | $159.84 | ↑ +34% |
| Humana | Commercial|PPO | $166.64 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $166.64 | ↑ +40% |
| Humana | Commercial|HMO | $166.64 | ↑ +40% |
| Shell | Commercial|All Plans | $170.04 | ↑ +43% |
| CHC | Medicaid|CHIP | $187.04 | ↑ +57% |
| CHC | Medicaid|HMO | $187.04 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $187.04 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $204.05 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $204.05 | ↑ +71% |
| Coventry | Commercial|PPO | $221.05 | ↑ +86% |
| First Health | Commercial|All Plans | $221.05 | ↑ +86% |
| Humana | Commercial|Transplant | $221.05 | ↑ +86% |
| Healthsmart | Commercial|PPO | $238.05 | ↑ +100% |
| Cigna | Commercial|Transplant | $238.05 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $238.05 | ↑ +100% |
| Interlink | Commercial|Transplant | $238.05 | ↑ +100% |
| PHCS | Commercial|PPO | $238.05 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $244.86 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $255.06 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $280.97 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $289.06 | ↑ +143% |
| MHealth Network | Commercial|PPO | $340.07 | ↑ +186% |
Visitor-reported prices
Comments
Makena, 10 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $119.03 | $19.73 – $340.07 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $357.36 – $357.36 |
| HCA HOUSTON WEST | HOUSTON | not published | $357.36 – $357.36 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $357.36 – $357.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,445.40 | $18.68 – $2,047.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,445.40 | $18.96 – $2,168.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,445.40 | $18.96 – $1,806.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,445.40 | $18.68 – $2,047.65 |