Reptilase test at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$26.95
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.
$77.00
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.
$7.09 with Renaissance vs $77.00 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 | $7.09 | ↓ -74% |
| Wellpoint | Medicaid|CHIP | $8.27 | ↓ -69% |
| TCHP | Medicaid|STARKIDS | $8.27 | ↓ -69% |
| TCHP | Medicaid|All Other Plans | $8.27 | ↓ -69% |
| Wellpoint | Medicaid|STARKIDS | $8.27 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $8.27 | ↓ -69% |
| UHC | Medicaid|STARKIDS | $8.44 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $8.44 | ↓ -69% |
| UHC | Medicaid|CHIP | $8.44 | ↓ -69% |
| BCBS | Medicaid|All Plans | $8.68 | ↓ -68% |
| CHC | Medicaid|All Other Plans | $9.51 | ↓ -65% |
| Humana | Medicare|TRANSPLANT | $9.85 | ↓ -63% |
| CIGNA HEALTHSPRING | Medicare|HMO | $9.85 | ↓ -63% |
| AETNA | Medicare|TRANSPLANT | $9.85 | ↓ -63% |
| KELSEY | Medicare|All Plans | $9.85 | ↓ -63% |
| BCBS | Medicare|All Plans | $9.85 | ↓ -63% |
| Humana | Medicare|All Other Plans | $9.85 | ↓ -63% |
| CIGNA HEALTHSPRING | Medicare|PPO | $9.95 | ↓ -63% |
| AETNA | Medicare|All Other Plans | $10.05 | ↓ -63% |
| UHC-SecureHorizons | Medicare|All Plans | $10.05 | ↓ -63% |
| Amerivantage | Medicare|All Plans | $10.15 | ↓ -62% |
| SELECTCARE | Medicare|All Plans | $10.34 | ↓ -62% |
| SCANHealth | Medicare|All Plans | $10.54 | ↓ -61% |
| DEVOTED | Medicare|All Plans | $10.54 | ↓ -61% |
| TCHP | Medicaid|STAR | $11.08 | ↓ -59% |
| Wellpoint | Medicaid|STAR | $11.08 | ↓ -59% |
| UNITED | Medicaid|STAR | $11.33 | ↓ -58% |
| KINDRED | Medicare|All Plans | $11.82 | ↓ -56% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $11.82 | ↓ -56% |
| CHC | Medicaid|STAR | $12.74 | ↓ -53% |
| KelseyCare | Commercial|Exchange | $13.30 | ↓ -51% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $13.69 | ↓ -49% |
| Employer Direct | Commercial|PPO | $13.79 | ↓ -49% |
| Harris Health | Commercial|ERS | $14.78 | ↓ -45% |
| Superior Health Plan | Commercial|All Plans | $14.78 | ↓ -45% |
| Community Health Choice | Commercial|All Other Plans | $14.78 | ↓ -45% |
| Community Health Choice | Commercial|Exchange | $14.78 | ↓ -45% |
| Wellpoint | Commercial|Exchange | $14.78 | ↓ -45% |
| Aetna | Commercial|Exchange | $15.17 | ↓ -44% |
| Bright Health | Commercial|All Plans | $16.25 | ↓ -40% |
| United | Commercial|PPO | $18.24 | ↓ -32% |
| United | Commercial|HMO | $18.24 | ↓ -32% |
| United | Commercial|Exchange | $18.24 | ↓ -32% |
| United | Commercial|Charter | $18.24 | ↓ -32% |
| OPTUM | Medicare|All Plans | $20.79 | ↓ -23% |
| Cigna | Commercial|Surefit | $23.13 | ↓ -14% |
| Cigna | Commercial|HMO | $25.52 | ↓ -5% |
| UNITED | Medicaid|STARPLUS | $25.80 | ↓ -4% |
| UHC | Medicaid|STARPLUS | $25.80 | ↓ -4% |
| OPTUM | Medicaid|STAR | $27.86 | ↑ +3% |
| BCBS - TX | Commercial|Premier | $28.47 | ↑ +6% |
| TCHPCHIP | Medicaid|HMO | $31.57 | ↑ +17% |
| NX Health | Commercial|PPO | $32.01 | ↑ +19% |
| TCH | Commercial|Transplant | $34.65 | ↑ +29% |
| Cigna | Commercial|PPO | $34.90 | ↑ +29% |
| United | Commercial|Optum | $36.19 | ↑ +34% |
| BCBS - TX | Commercial|Transplant | $36.67 | ↑ +36% |
| BCBS - TX | Commercial|PPO Trad | $37.82 | ↑ +40% |
| Shell | Commercial|All Plans | $38.50 | ↑ +43% |
| BCBS - TX | Commercial|HMO | $39.30 | ↑ +46% |
| TEXASTRUECHOICE | Medicaid|CHIP | $42.35 | ↑ +57% |
| CHC | Medicaid|CHIP | $42.35 | ↑ +57% |
| CHC | Medicaid|HMO | $42.35 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $46.20 | ↑ +71% |
| Humana | Commercial|Transplant | $50.05 | ↑ +86% |
| First Health | Commercial|All Plans | $50.05 | ↑ +86% |
| Coventry | Commercial|PPO | $50.05 | ↑ +86% |
| Cigna | Commercial|Transplant | $53.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $53.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $53.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $57.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $63.62 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $65.45 | ↑ +143% |
| MHealth Network | Commercial|PPO | $77.00 | ↑ +186% |
Visitor-reported prices
Comments
Reptilase test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $26.95 | $7.09 – $77.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $8.27 – $40.44 |
| HCA HOUSTON WEST | HOUSTON | not published | $8.10 – $40.44 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $8.27 – $40.44 |
| Adventhealth Rollins Brook | Lampasas | $106.97 | $8.87 – $37.92 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $106.47 | $8.27 – $133.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $101.55 | $12.00 – $152.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $98.59 | $8.27 – $123.23 |