Theophylline therapeutic drug level at Baylor St Luke's Medical Center

1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$42.70

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$122.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.18 with Renaissance vs $122.00 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 →

Payer
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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
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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 $10.18 ↓ -76%
Wellpoint Medicaid|STARKIDS $11.88 ↓ -72%
TCHP Medicaid|STARKIDS $11.88 ↓ -72%
Wellpoint Medicaid|All Other Plans $11.88 ↓ -72%
Wellpoint Medicaid|CHIP $11.88 ↓ -72%
TCHP Medicaid|All Other Plans $11.88 ↓ -72%
UNITED Medicaid|All Other Plans $12.12 ↓ -72%
UHC Medicaid|CHIP $12.12 ↓ -72%
UHC Medicaid|STARKIDS $12.12 ↓ -72%
BCBS Medicaid|All Plans $12.47 ↓ -71%
CHC Medicaid|All Other Plans $13.66 ↓ -68%
KELSEY Medicare|All Plans $14.14 ↓ -67%
Humana Medicare|All Other Plans $14.14 ↓ -67%
Humana Medicare|TRANSPLANT $14.14 ↓ -67%
CIGNA HEALTHSPRING Medicare|HMO $14.14 ↓ -67%
AETNA Medicare|TRANSPLANT $14.14 ↓ -67%
BCBS Medicare|All Plans $14.14 ↓ -67%
CIGNA HEALTHSPRING Medicare|PPO $14.28 ↓ -67%
AETNA Medicare|All Other Plans $14.42 ↓ -66%
UHC-SecureHorizons Medicare|All Plans $14.42 ↓ -66%
Amerivantage Medicare|All Plans $14.56 ↓ -66%
SELECTCARE Medicare|All Plans $14.85 ↓ -65%
DEVOTED Medicare|All Plans $15.13 ↓ -65%
SCANHealth Medicare|All Plans $15.13 ↓ -65%
TCHP Medicaid|STAR $15.92 ↓ -63%
Wellpoint Medicaid|STAR $15.92 ↓ -63%
UNITED Medicaid|STAR $16.28 ↓ -62%
BCBS - TX Commercial|MyBlue Health Exchange $16.97 ↓ -60%
KINDRED Medicare|All Plans $16.97 ↓ -60%
CHC Medicaid|STAR $18.30 ↓ -57%
KelseyCare Commercial|Exchange $19.09 ↓ -55%
BCBS - TX Commercial|Blue Advantage Exchange $19.65 ↓ -54%
Employer Direct Commercial|PPO $19.80 ↓ -54%
Community Health Choice Commercial|Exchange $21.21 ↓ -50%
Superior Health Plan Commercial|All Plans $21.21 ↓ -50%
Wellpoint Commercial|Exchange $21.21 ↓ -50%
Community Health Choice Commercial|All Other Plans $21.21 ↓ -50%
Harris Health Commercial|ERS $21.21 ↓ -50%
Aetna Commercial|Exchange $21.78 ↓ -49%
Bright Health Commercial|All Plans $23.33 ↓ -45%
United Commercial|Charter $26.19 ↓ -39%
United Commercial|HMO $26.19 ↓ -39%
United Commercial|Exchange $26.19 ↓ -39%
United Commercial|PPO $26.19 ↓ -39%
OPTUM Medicare|All Plans $32.94 ↓ -23%
Cigna Commercial|Surefit $33.87 ↓ -21%
UNITED Medicaid|STARPLUS $37.07 ↓ -13%
UHC Medicaid|STARPLUS $37.07 ↓ -13%
Cigna Commercial|HMO $37.38 ↓ -12%
BCBS - TX Commercial|Premier $40.86 ↓ -4%
OPTUM Medicaid|STAR $44.14 ↑ +3%
NX Health Commercial|PPO $45.95 ↑ +8%
TCHPCHIP Medicaid|HMO $50.02 ↑ +17%
Cigna Commercial|PPO $51.10 ↑ +20%
BCBS - TX Commercial|Transplant $52.68 ↑ +23%
BCBS - TX Commercial|PPO Trad $54.30 ↑ +27%
TCH Commercial|Transplant $54.90 ↑ +29%
BCBS - TX Commercial|HMO $56.42 ↑ +32%
United Commercial|Optum $57.34 ↑ +34%
Shell Commercial|All Plans $61.00 ↑ +43%
CHC Medicaid|CHIP $67.10 ↑ +57%
CHC Medicaid|HMO $67.10 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $67.10 ↑ +57%
Cigna Lifesource Commercial|Transplant $73.20 ↑ +71%
First Health Commercial|All Plans $79.30 ↑ +86%
Humana Commercial|Transplant $79.30 ↑ +86%
Coventry Commercial|PPO $79.30 ↑ +86%
Healthsmart Commercial|PPO $85.40 ↑ +100%
Aetna Commercial|HMO $85.40 ↑ +100%
Interlink Commercial|Transplant $85.40 ↑ +100%
Cigna Commercial|Transplant $85.40 ↑ +100%
MultiPlan Commercial|All Plans $91.50 ↑ +114%
OPTUM Medicaid|STARPLUS $100.80 ↑ +136%
USA Health Network Commercial|All Plans $103.70 ↑ +143%
MHealth Network Commercial|PPO $122.00 ↑ +186%

Visitor-reported prices

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Theophylline therapeutic drug level at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON WEST HOUSTON $940.00 $11.64 – $58.54
St. Luke's Health - The Vintage Hospital Houston $42.70 $10.18 – $122.00
HCA HOUSTON MEDICAL CENTER Houston not published $11.88 – $58.54
HCA HOUSTON TOMBALL HOUSTON not published $11.88 – $58.54
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $141.91 $10.00 – $177.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $139.87 $12.00 – $209.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $135.80 $11.88 – $169.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $141.91 $10.00 – $177.38

All Texas hospitals for this procedure →