Nusinersen (pf) 12 mg/5 ml intrathecal solution at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$358,185.45
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.
$1,023,387.00
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.
$899.25 with Renaissance vs $1,023,387.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $899.25 | ↓ -100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $938.25 | ↓ -100% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $1,178.03 | ↓ -100% |
| Humana | Medicare|TRANSPLANT | $1,250.62 | ↓ -100% |
| KELSEY | Medicare|All Plans | $1,250.62 | ↓ -100% |
| AETNA | Medicare|TRANSPLANT | $1,250.62 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,250.62 | ↓ -100% |
| BCBS | Medicare|All Plans | $1,250.62 | ↓ -100% |
| Humana | Medicare|All Other Plans | $1,250.62 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,263.13 | ↓ -100% |
| AETNA | Medicare|All Other Plans | $1,275.63 | ↓ -100% |
| UHC-SecureHorizons | Medicare|All Plans | $1,275.63 | ↓ -100% |
| Amerivantage | Medicare|All Plans | $1,288.14 | ↓ -100% |
| SELECTCARE | Medicare|All Plans | $1,313.15 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $1,336.39 | ↓ -100% |
| DEVOTED | Medicare|All Plans | $1,336.39 | ↓ -100% |
| BCBS - TX | Commercial|Premier | $1,480.35 | ↓ -100% |
| KINDRED | Medicare|All Plans | $1,498.75 | ↓ -100% |
| KelseyCare | Commercial|Exchange | $1,688.34 | ↓ -100% |
| Employer Direct | Commercial|PPO | $1,748.54 | ↓ -100% |
| Bright Health | Commercial|All Plans | $1,837.31 | ↓ -99% |
| Wellpoint | Commercial|Exchange | $1,875.93 | ↓ -99% |
| Community Health Choice | Commercial|Exchange | $1,875.93 | ↓ -99% |
| Harris Health | Commercial|ERS | $1,875.93 | ↓ -99% |
| Superior Health Plan | Commercial|All Plans | $1,875.93 | ↓ -99% |
| Community Health Choice | Commercial|All Other Plans | $1,875.93 | ↓ -99% |
| Aetna | Commercial|Exchange | $1,923.40 | ↓ -99% |
| BCBS - TX | Commercial|HMO | $1,928.63 | ↓ -99% |
| BCBS - TX | Commercial|PPO Trad | $2,085.00 | ↓ -99% |
| United | Commercial|Exchange | $2,182.23 | ↓ -99% |
| United | Commercial|PPO | $2,992.78 | ↓ -99% |
| United | Commercial|Charter | $2,992.78 | ↓ -99% |
| United | Commercial|HMO | $2,992.78 | ↓ -99% |
| Cigna | Commercial|PPO | $3,561.59 | ↓ -99% |
| Cigna | Commercial|HMO | $3,754.77 | ↓ -99% |
| Cigna | Commercial|Surefit | $3,754.77 | ↓ -99% |
| NX Health | Commercial|PPO | $4,059.12 | ↓ -99% |
| Aetna | Commercial|KelseyCare | $225,145.14 | ↓ -37% |
| Aetna | Commercial|HMO | $266,080.62 | ↓ -26% |
| Aetna | Commercial|PPO | $266,080.62 | ↓ -26% |
| OPTUM | Medicare|All Plans | $276,314.49 | ↓ -23% |
| Aetna | Commercial|Transplant | $327,483.84 | ↓ -9% |
| OPTUM | Medicaid|STAR | $370,261.42 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $419,588.67 | ↑ +17% |
| TCH | Commercial|Transplant | $460,524.15 | ↑ +29% |
| United | Commercial|Optum | $480,991.89 | ↑ +34% |
| Humana | Commercial|HMO | $501,459.63 | ↑ +40% |
| Humana | Commercial|PPO | $501,459.63 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $501,459.63 | ↑ +40% |
| Shell | Commercial|All Plans | $511,693.50 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $562,862.85 | ↑ +57% |
| CHC | Medicaid|CHIP | $562,862.85 | ↑ +57% |
| CHC | Medicaid|HMO | $562,862.85 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $614,032.20 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $614,032.20 | ↑ +71% |
| First Health | Commercial|All Plans | $665,201.55 | ↑ +86% |
| Humana | Commercial|Transplant | $665,201.55 | ↑ +86% |
| Coventry | Commercial|PPO | $665,201.55 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $716,370.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $716,370.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $716,370.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $716,370.90 | ↑ +100% |
| PHCS | Commercial|PPO | $716,370.90 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $736,838.64 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $767,540.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $845,522.34 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $869,878.95 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,023,387.00 | ↑ +186% |
Visitor-reported prices
Comments
Nusinersen (pf) 12 mg/5 ml intrathecal solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $358,185.45 | $1,136.33 – $1,023,387.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,043.30 – $12,175.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $2,043.30 – $12,175.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,043.30 – $12,175.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $358,185.45 | $1,136.33 – $1,023,387.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $358,185.45 | $1,136.33 – $1,023,387.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $358,185.45 | $1,136.33 – $1,023,387.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $4,013.63 – $4,013.63 |