Cyclosporine 250 mg/5 ml intravenous solution at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$101.89
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.
$291.11
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.
$29.46 with BCBS-TX vs $177.35 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 | $29.46 | ↓ -71% |
| BCBS-TX | Commercial|Exchange | $33.25 | ↓ -67% |
| Aetna-Kelsey Care | Commercial|HMO | $39.02 | ↓ -62% |
| United | Commercial|Exchange | $46.12 | ↓ -55% |
| Aetna | Commercial|HMO | $46.12 | ↓ -55% |
| Aetna | Commercial|PPO | $46.12 | ↓ -55% |
| OPTUM | Medicare|All Plans | $47.89 | ↓ -53% |
| Aetna | Commercial|Transplant | $56.76 | ↓ -44% |
| BCBS-TX | Commercial|Blue Premier | $57.30 | ↓ -44% |
| Bright Health | Commercial|All Plans | $58.53 | ↓ -43% |
| United | Commercial|Charter | $60.30 | ↓ -41% |
| TCHPCHIP | Medicaid|HMO | $62.08 | ↓ -39% |
| Cigna | Commercial|PPO | $63.85 | ↓ -37% |
| Cigna | Commercial|Surefit | $63.85 | ↓ -37% |
| Cigna | Commercial|HMO | $63.85 | ↓ -37% |
| OPTUM | Medicaid|STAR | $64.17 | ↓ -37% |
| United | Commercial|PPO | $67.40 | ↓ -34% |
| United | Commercial|HMO | $67.40 | ↓ -34% |
| BCBS-TX | Commercial|HMO | $71.90 | ↓ -29% |
| United | Commercial|Optum | $83.36 | ↓ -18% |
| Humana | Commercial|PPO | $85.13 | ↓ -16% |
| Humana | Commercial|HMO | $85.13 | ↓ -16% |
| KelseyCare | Commercial|All Other Plans | $86.91 | ↓ -15% |
| BCBS-TX | Commercial|PPO | $87.85 | ↓ -14% |
| CHC | Medicaid|CHIP | $97.55 | ↓ -4% |
| CHC | Medicaid|HMO | $97.55 | ↓ -4% |
| TEXASTRUECHOICE | Medicaid|CHIP | $97.55 | ↓ -4% |
| Independent Med System | Commercial|All Plans | $106.41 | ↑ +4% |
| Cigna Lifesource | Commercial|Transplant | $106.41 | ↑ +4% |
| Coventry | Commercial|PPO | $115.28 | ↑ +13% |
| First Health | Commercial|All Plans | $115.28 | ↑ +13% |
| Humana | Commercial|Transplant | $115.28 | ↑ +13% |
| Interlink | Commercial|Transplant | $124.15 | ↑ +22% |
| PHCS Savility | Commercial|PPO | $124.15 | ↑ +22% |
| Healthsmart | Commercial|PPO | $124.15 | ↑ +22% |
| PHCS | Commercial|All Plans | $124.15 | ↑ +22% |
| Cigna | Commercial|Transplant | $124.15 | ↑ +22% |
| Healthsmart | Commercial|AP3-PPO | $127.70 | ↑ +25% |
| MultiPlan | Commercial|All Plans | $133.02 | ↑ +31% |
| OPTUM | Medicaid|STARPLUS | $146.53 | ↑ +44% |
| USA Health Network | Commercial|All Plans | $150.75 | ↑ +48% |
| MHealth Network | Commercial|PPO | $177.35 | ↑ +74% |
Visitor-reported prices
Comments
Cyclosporine 250 mg/5 ml intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $101.89 | $24.33 – $177.35 |
| HCA HOUSTON TOMBALL | HOUSTON | $334.59 | $52.98 – $446.68 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $52.98 – $446.68 |
| HCA HOUSTON WEST | HOUSTON | not published | $52.98 – $446.68 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $173.50 | $52.98 – $446.68 |
| HCA HOUSTON CONROE | CONROE | $810.90 | $52.98 – $446.68 |
| St. Luke's Health - Patients Medical Center | Pasadena | $11.40 | $19.53 – $101.90 |
| St. Joseph Health Madison Hospital | Madisonville | $9.81 | $7.15 – $71.36 |