Vaccine pneumococcal conjugate 13 valent (pcv13) im at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$303.17
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.
$866.18
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.
$92.58 with Renaissance vs $803.63 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 | $92.58 | ↓ -69% |
| KELSEY | Medicare|All Plans | $128.59 | ↓ -58% |
| BCBS | Medicare|All Plans | $128.59 | ↓ -58% |
| AETNA | Medicare|TRANSPLANT | $128.59 | ↓ -58% |
| Humana | Medicare|TRANSPLANT | $128.59 | ↓ -58% |
| CIGNA HEALTHSPRING | Medicare|HMO | $128.59 | ↓ -58% |
| Humana | Medicare|All Other Plans | $128.59 | ↓ -58% |
| CIGNA HEALTHSPRING | Medicare|PPO | $129.87 | ↓ -57% |
| UHC-SecureHorizons | Medicare|All Plans | $131.16 | ↓ -57% |
| AETNA | Medicare|All Other Plans | $131.16 | ↓ -57% |
| Amerivantage | Medicare|All Plans | $132.44 | ↓ -56% |
| SELECTCARE | Medicare|All Plans | $135.01 | ↓ -55% |
| SCANHealth | Medicare|All Plans | $137.59 | ↓ -55% |
| DEVOTED | Medicare|All Plans | $137.59 | ↓ -55% |
| KINDRED | Medicare|All Plans | $154.30 | ↓ -49% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $166.32 | ↓ -45% |
| KelseyCare | Commercial|Exchange | $173.59 | ↓ -43% |
| Aetna | Commercial|KelseyCare | $176.80 | ↓ -42% |
| Employer Direct | Commercial|PPO | $180.02 | ↓ -41% |
| Wellpoint | Commercial|Exchange | $192.88 | ↓ -36% |
| Community Health Choice | Commercial|All Other Plans | $192.88 | ↓ -36% |
| Superior Health Plan | Commercial|All Plans | $192.88 | ↓ -36% |
| Community Health Choice | Commercial|Exchange | $192.88 | ↓ -36% |
| Harris Health | Commercial|ERS | $192.88 | ↓ -36% |
| Aetna | Commercial|Exchange | $198.02 | ↓ -35% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $208.82 | ↓ -31% |
| Aetna | Commercial|HMO | $208.95 | ↓ -31% |
| Aetna | Commercial|PPO | $208.95 | ↓ -31% |
| OPTUM | Medicare|All Plans | $216.99 | ↓ -28% |
| United | Commercial|Exchange | $225.02 | ↓ -26% |
| Aetna | Commercial|Transplant | $257.17 | ↓ -15% |
| BCBS - TX | Commercial|Premier | $262.42 | ↓ -13% |
| Bright Health | Commercial|All Plans | $265.20 | ↓ -13% |
| United | Commercial|Charter | $265.20 | ↓ -13% |
| Cigna | Commercial|HMO | $289.31 | ↓ -5% |
| Cigna | Commercial|PPO | $289.31 | ↓ -5% |
| Cigna | Commercial|Surefit | $289.31 | ↓ -5% |
| OPTUM | Medicaid|STAR | $290.76 | ↓ -4% |
| United | Commercial|PPO | $305.38 | ↑ +1% |
| United | Commercial|HMO | $305.38 | ↑ +1% |
| TCHPCHIP | Medicaid|HMO | $329.49 | ↑ +9% |
| BCBS - TX | Commercial|HMO | $341.88 | ↑ +13% |
| TCH | Commercial|Transplant | $361.64 | ↑ +19% |
| BCBS - TX | Commercial|PPO Trad | $369.60 | ↑ +22% |
| United | Commercial|Optum | $377.71 | ↑ +25% |
| Humana | Commercial|HMO | $393.78 | ↑ +30% |
| Humana | Commercial|PPO | $393.78 | ↑ +30% |
| KelseyCare | Commercial|All Other Plans | $393.78 | ↑ +30% |
| Shell | Commercial|All Plans | $401.82 | ↑ +33% |
| NX Health | Commercial|PPO | $417.89 | ↑ +38% |
| CHC | Medicaid|CHIP | $442.00 | ↑ +46% |
| TEXASTRUECHOICE | Medicaid|CHIP | $442.00 | ↑ +46% |
| CHC | Medicaid|HMO | $442.00 | ↑ +46% |
| Cigna Lifesource | Commercial|Transplant | $482.18 | ↑ +59% |
| Independent Med System | Commercial|All Plans | $482.18 | ↑ +59% |
| Humana | Commercial|Transplant | $522.36 | ↑ +72% |
| Coventry | Commercial|PPO | $522.36 | ↑ +72% |
| First Health | Commercial|All Plans | $522.36 | ↑ +72% |
| PHCS Savility | Commercial|PPO | $562.55 | ↑ +86% |
| Healthsmart | Commercial|PPO | $562.55 | ↑ +86% |
| Interlink | Commercial|Transplant | $562.55 | ↑ +86% |
| Cigna | Commercial|Transplant | $562.55 | ↑ +86% |
| PHCS | Commercial|PPO | $562.55 | ↑ +86% |
| Healthsmart | Commercial|AP3 | $578.62 | ↑ +91% |
| MultiPlan | Commercial|All Plans | $602.73 | ↑ +99% |
| OPTUM | Medicaid|STARPLUS | $663.96 | ↑ +119% |
| USA Health Network | Commercial|All Plans | $683.09 | ↑ +125% |
| MHealth Network | Commercial|PPO | $803.63 | ↑ +165% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $2,719.72 | $257.99 – $1,997.77 |
| St. Luke's Health - The Vintage Hospital | Houston | $303.17 | $52.08 – $803.63 |
| HCA HOUSTON TOMBALL | HOUSTON | $2,587.20 | $257.99 – $1,997.77 |
| HCA HOUSTON WEST | HOUSTON | not published | $362.21 – $1,997.77 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,420.90 | $257.99 – $1,997.77 |
| Covenant Children's Hospital | Lubbock | $1,496.71 | $691.15 – $980.36 |
| HCA HOUSTON NORTHWEST | SPRING | $2,622.56 | $257.99 – $1,997.77 |
| St. Joseph Health Madison Hospital | Madisonville | $20.30 | $14.78 – $116.00 |