Acetazolamide 500 mg solution for injection at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$77.80
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.
$222.27
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.
$12.82 with Aetna-Kelsey Care vs $58.26 with BCBS-TX — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $12.82 | ↓ -84% |
| Aetna | Commercial|PPO | $15.15 | ↓ -81% |
| United | Commercial|Exchange | $15.15 | ↓ -81% |
| Aetna | Commercial|HMO | $15.15 | ↓ -81% |
| OPTUM | Medicare|All Plans | $15.74 | ↓ -80% |
| Aetna | Commercial|Transplant | $18.65 | ↓ -76% |
| Bright Health | Commercial|All Plans | $19.23 | ↓ -75% |
| United | Commercial|Charter | $19.81 | ↓ -75% |
| TCHPCHIP | Medicaid|HMO | $20.40 | ↓ -74% |
| Cigna | Commercial|PPO | $20.98 | ↓ -73% |
| Cigna | Commercial|Surefit | $20.98 | ↓ -73% |
| Cigna | Commercial|HMO | $20.98 | ↓ -73% |
| OPTUM | Medicaid|STAR | $21.08 | ↓ -73% |
| United | Commercial|PPO | $22.14 | ↓ -72% |
| United | Commercial|HMO | $22.14 | ↓ -72% |
| United | Commercial|Optum | $27.39 | ↓ -65% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $27.44 | ↓ -65% |
| Humana | Commercial|HMO | $27.97 | ↓ -64% |
| Humana | Commercial|PPO | $27.97 | ↓ -64% |
| KelseyCare | Commercial|All Other Plans | $28.55 | ↓ -63% |
| BCBS-TX | Commercial|Exchange | $30.96 | ↓ -60% |
| CHC | Medicaid|CHIP | $32.05 | ↓ -59% |
| CHC | Medicaid|HMO | $32.05 | ↓ -59% |
| TEXASTRUECHOICE | Medicaid|CHIP | $32.05 | ↓ -59% |
| Independent Med System | Commercial|All Plans | $34.96 | ↓ -55% |
| Cigna Lifesource | Commercial|Transplant | $34.96 | ↓ -55% |
| First Health | Commercial|All Plans | $37.87 | ↓ -51% |
| Humana | Commercial|Transplant | $37.87 | ↓ -51% |
| Coventry | Commercial|PPO | $37.87 | ↓ -51% |
| Interlink | Commercial|Transplant | $40.79 | ↓ -48% |
| Healthsmart | Commercial|PPO | $40.79 | ↓ -48% |
| Cigna | Commercial|Transplant | $40.79 | ↓ -48% |
| PHCS | Commercial|All Plans | $40.79 | ↓ -48% |
| PHCS Savility | Commercial|PPO | $40.79 | ↓ -48% |
| Healthsmart | Commercial|AP3-PPO | $41.95 | ↓ -46% |
| MultiPlan | Commercial|All Plans | $43.70 | ↓ -44% |
| OPTUM | Medicaid|STARPLUS | $48.14 | ↓ -38% |
| USA Health Network | Commercial|All Plans | $49.53 | ↓ -36% |
| BCBS-TX | Commercial|Blue Premier | $53.36 | ↓ -31% |
| MHealth Network | Commercial|PPO | $58.26 | ↓ -25% |
| BCBS-TX | Commercial|PPO | $58.26 | ↓ -25% |
| BCBS-TX | Commercial|HMO | $58.26 | ↓ -25% |
Visitor-reported prices
Comments
Acetazolamide 500 mg solution for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $77.80 | $12.82 – $58.26 |
| HCA HOUSTON WEST | HOUSTON | $1,207.00 | $25.59 – $141.42 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $19.06 – $141.42 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $19.06 – $141.42 |
| Adventhealth Rollins Brook | Lampasas | $246.40 | $96.90 – $96.90 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $63.50 | $19.06 – $141.42 |
| St. Luke's Health Memorial Lufkin | Lufkin | $152.56 | $26.72 – $478.92 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $77.80 | $12.82 – $58.26 |