Peng benzathine/procaine inj at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$168.10
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.
$480.27
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.
$4.14 with BCBS - TX vs $480.27 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 | $4.14 | ↓ -98% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $5.20 | ↓ -97% |
| BCBS - TX | Commercial|Premier | $6.53 | ↓ -96% |
| BCBS - TX | Commercial|HMO | $8.51 | ↓ -95% |
| BCBS - TX | Commercial|PPO Trad | $9.20 | ↓ -95% |
| Renaissance | Commercial|All Plans | $12.53 | ↓ -93% |
| Humana | Medicare|All Other Plans | $17.40 | ↓ -90% |
| CIGNA HEALTHSPRING | Medicare|HMO | $17.40 | ↓ -90% |
| BCBS | Medicare|All Plans | $17.40 | ↓ -90% |
| AETNA | Medicare|TRANSPLANT | $17.40 | ↓ -90% |
| Humana | Medicare|TRANSPLANT | $17.40 | ↓ -90% |
| KELSEY | Medicare|All Plans | $17.40 | ↓ -90% |
| CIGNA HEALTHSPRING | Medicare|PPO | $17.57 | ↓ -90% |
| UHC-SecureHorizons | Medicare|All Plans | $17.75 | ↓ -89% |
| AETNA | Medicare|All Other Plans | $17.75 | ↓ -89% |
| Amerivantage | Medicare|All Plans | $17.92 | ↓ -89% |
| SELECTCARE | Medicare|All Plans | $18.27 | ↓ -89% |
| SCANHealth | Medicare|All Plans | $18.62 | ↓ -89% |
| DEVOTED | Medicare|All Plans | $18.62 | ↓ -89% |
| KINDRED | Medicare|All Plans | $20.88 | ↓ -88% |
| Bright Health | Commercial|All Plans | $21.57 | ↓ -87% |
| KelseyCare | Commercial|Exchange | $23.49 | ↓ -86% |
| Employer Direct | Commercial|PPO | $24.36 | ↓ -86% |
| Harris Health | Commercial|ERS | $26.10 | ↓ -84% |
| Community Health Choice | Commercial|All Other Plans | $26.10 | ↓ -84% |
| Superior Health Plan | Commercial|All Plans | $26.10 | ↓ -84% |
| Community Health Choice | Commercial|Exchange | $26.10 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $26.10 | ↓ -84% |
| Aetna | Commercial|Exchange | $26.80 | ↓ -84% |
| United | Commercial|Exchange | $30.40 | ↓ -82% |
| United | Commercial|Charter | $41.69 | ↓ -75% |
| United | Commercial|PPO | $41.69 | ↓ -75% |
| United | Commercial|HMO | $41.69 | ↓ -75% |
| NX Health | Commercial|PPO | $56.55 | ↓ -66% |
| Cigna | Commercial|PPO | $57.58 | ↓ -66% |
| Cigna | Commercial|Surefit | $60.71 | ↓ -64% |
| Cigna | Commercial|HMO | $60.71 | ↓ -64% |
| Aetna | Commercial|KelseyCare | $105.66 | ↓ -37% |
| Aetna | Commercial|PPO | $124.88 | ↓ -26% |
| Aetna | Commercial|HMO | $124.88 | ↓ -26% |
| OPTUM | Medicare|All Plans | $129.68 | ↓ -23% |
| Aetna | Commercial|Transplant | $153.69 | ↓ -9% |
| OPTUM | Medicaid|STAR | $173.77 | ↑ +3% |
| TCHPCHIP | Medicaid|HMO | $196.92 | ↑ +17% |
| TCH | Commercial|Transplant | $216.13 | ↑ +29% |
| United | Commercial|Optum | $225.73 | ↑ +34% |
| Humana | Commercial|HMO | $235.34 | ↑ +40% |
| Humana | Commercial|PPO | $235.34 | ↑ +40% |
| KelseyCare | Commercial|All Other Plans | $235.34 | ↑ +40% |
| Shell | Commercial|All Plans | $240.14 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $264.15 | ↑ +57% |
| CHC | Medicaid|CHIP | $264.15 | ↑ +57% |
| CHC | Medicaid|HMO | $264.15 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $288.17 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $288.17 | ↑ +71% |
| First Health | Commercial|All Plans | $312.18 | ↑ +86% |
| Humana | Commercial|Transplant | $312.18 | ↑ +86% |
| Coventry | Commercial|PPO | $312.18 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $336.19 | ↑ +100% |
| Healthsmart | Commercial|PPO | $336.19 | ↑ +100% |
| Interlink | Commercial|Transplant | $336.19 | ↑ +100% |
| Cigna | Commercial|Transplant | $336.19 | ↑ +100% |
| PHCS | Commercial|PPO | $336.19 | ↑ +100% |
| Healthsmart | Commercial|AP3 | $345.80 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $360.21 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $396.80 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $408.23 | ↑ +143% |
| MHealth Network | Commercial|PPO | $480.27 | ↑ +186% |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $168.10 | $5.01 – $480.27 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $9.02 – $108.11 |
| HCA HOUSTON WEST | HOUSTON | not published | $9.02 – $108.11 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $9.02 – $108.11 |
| St. Joseph Health Madison Hospital | Madisonville | $26.59 | $6.35 – $136.73 |
| St. Luke's Health Memorial Lufkin | Lufkin | $363.50 | $5.46 – $35.06 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $168.10 | $5.01 – $480.27 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $168.10 | $5.01 – $480.27 |