Pembrolizumab 25 mg/ml intravenous solution at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$14,703.02
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.
$42,008.62
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.
$42.24 with Renaissance vs $42,008.62 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 | $42.24 | ↓ -100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $43.20 | ↓ -100% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $54.24 | ↓ -100% |
| Humana | Medicare|TRANSPLANT | $59.45 | ↓ -100% |
| KELSEY | Medicare|All Plans | $59.45 | ↓ -100% |
| AETNA | Medicare|TRANSPLANT | $59.45 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|HMO | $59.45 | ↓ -100% |
| BCBS | Medicare|All Plans | $59.45 | ↓ -100% |
| Humana | Medicare|All Other Plans | $59.45 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $60.04 | ↓ -100% |
| AETNA | Medicare|All Other Plans | $60.64 | ↓ -100% |
| UHC-SecureHorizons | Medicare|All Plans | $60.64 | ↓ -100% |
| Amerivantage | Medicare|All Plans | $61.23 | ↓ -100% |
| SELECTCARE | Medicare|All Plans | $62.42 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $62.77 | ↓ -100% |
| DEVOTED | Medicare|All Plans | $62.77 | ↓ -100% |
| BCBS - TX | Commercial|Premier | $68.16 | ↓ -100% |
| KINDRED | Medicare|All Plans | $70.39 | ↓ -100% |
| KelseyCare | Commercial|Exchange | $80.26 | ↓ -99% |
| Employer Direct | Commercial|PPO | $82.12 | ↓ -99% |
| BCBS - TX | Commercial|HMO | $88.80 | ↓ -99% |
| Wellpoint | Commercial|Exchange | $89.17 | ↓ -99% |
| Community Health Choice | Commercial|Exchange | $89.17 | ↓ -99% |
| Harris Health | Commercial|ERS | $89.17 | ↓ -99% |
| Superior Health Plan | Commercial|All Plans | $89.17 | ↓ -99% |
| Community Health Choice | Commercial|All Other Plans | $89.17 | ↓ -99% |
| Bright Health | Commercial|All Plans | $89.31 | ↓ -99% |
| Aetna | Commercial|Exchange | $90.34 | ↓ -99% |
| BCBS - TX | Commercial|PPO Trad | $96.00 | ↓ -99% |
| United | Commercial|Exchange | $100.80 | ↓ -99% |
| United | Commercial|PPO | $138.24 | ↓ -99% |
| United | Commercial|Charter | $138.24 | ↓ -99% |
| United | Commercial|HMO | $138.24 | ↓ -99% |
| Cigna | Commercial|PPO | $171.75 | ↓ -99% |
| Cigna | Commercial|HMO | $181.06 | ↓ -99% |
| Cigna | Commercial|Surefit | $181.06 | ↓ -99% |
| NX Health | Commercial|PPO | $190.65 | ↓ -99% |
| Aetna | Commercial|KelseyCare | $9,241.90 | ↓ -37% |
| Aetna | Commercial|HMO | $10,922.25 | ↓ -26% |
| Aetna | Commercial|PPO | $10,922.25 | ↓ -26% |
| OPTUM | Medicare|All Plans | $11,342.33 | ↓ -23% |
| Aetna | Commercial|Transplant | $13,442.76 | ↓ -9% |
| OPTUM | Medicaid|STAR | $15,198.72 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $17,223.54 | ↑ +17% |
| TCH | Commercial|Transplant | $18,903.88 | ↑ +29% |
| United | Commercial|Optum | $19,744.06 | ↑ +34% |
| Humana | Commercial|HMO | $20,584.23 | ↑ +40% |
| Humana | Commercial|PPO | $20,584.23 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $20,584.23 | ↑ +40% |
| Shell | Commercial|All Plans | $21,004.31 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $23,104.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $23,104.75 | ↑ +57% |
| CHC | Medicaid|HMO | $23,104.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $25,205.18 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $25,205.18 | ↑ +71% |
| First Health | Commercial|All Plans | $27,305.61 | ↑ +86% |
| Humana | Commercial|Transplant | $27,305.61 | ↑ +86% |
| Coventry | Commercial|PPO | $27,305.61 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $29,406.04 | ↑ +100% |
| Healthsmart | Commercial|PPO | $29,406.04 | ↑ +100% |
| Interlink | Commercial|Transplant | $29,406.04 | ↑ +100% |
| Cigna | Commercial|Transplant | $29,406.04 | ↑ +100% |
| PHCS | Commercial|PPO | $29,406.04 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $30,246.21 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $31,506.47 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $34,707.53 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $35,707.33 | ↑ +143% |
| MHealth Network | Commercial|PPO | $42,008.62 | ↑ +186% |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $14,703.02 | $52.32 – $42,008.62 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $59.35 – $480.67 |
| HCA HOUSTON WEST | HOUSTON | not published | $59.73 – $480.67 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $59.35 – $480.67 |
| Adventhealth Rollins Brook | Lampasas | $12,642.74 | $184.80 – $184.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,437.74 | $55.59 – $13,047.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,437.74 | $56.42 – $15,656.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,437.74 | $56.42 – $13,047.18 |