In-111 autol wbc diag per dose at St. Luke's Health - The Vintage Hospital

20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141

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

$3,927.00

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.

$11,220.00

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.

$100.00 with Cigna vs $11,220.00 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
Cigna Commercial|HMO $100.00 ↓ -97%
Cigna Commercial|Surefit $100.00 ↓ -97%
Cigna Commercial|PPO $100.00 ↓ -97%
Renaissance Commercial|All Plans $743.80 ↓ -81%
BCBS Medicare|All Plans $1,033.06 ↓ -74%
CIGNA HEALTHSPRING Medicare|HMO $1,033.06 ↓ -74%
KELSEY Medicare|All Plans $1,033.06 ↓ -74%
HUMANA Medicare|TRANSPLANT $1,033.06 ↓ -74%
SELECTCARE Medicare|All Plans $1,033.06 ↓ -74%
HUMANA Medicare|All Other Plans $1,033.06 ↓ -74%
CIGNA HEALTHSPRING Medicare|PPO $1,043.39 ↓ -73%
UHC-SecureHorizons Medicare|All Plans $1,053.72 ↓ -73%
AETNA Medicare|All Plans $1,053.72 ↓ -73%
Amerivantage Medicare|All Plans $1,064.05 ↓ -73%
SCANHealth Medicare|All Plans $1,105.37 ↓ -72%
DEVOTED Medicare|All Plans $1,105.37 ↓ -72%
KINDRED Medicare|All Plans $1,136.37 ↓ -71%
KelseyCare Commercial|Exchange $1,394.63 ↓ -64%
Employer Direct Commercial|PPO $1,446.28 ↓ -63%
United Commercial|Exchange $1,472.82 ↓ -62%
Superior Health Plan Commercial|All Plans $1,549.59 ↓ -61%
Wellpoint Commercial|Exchange $1,549.59 ↓ -61%
Community Health Choice Commercial|All Other Plans $1,549.59 ↓ -61%
Community Health Choice Commercial|Exchange $1,549.59 ↓ -61%
Aetna Commercial|Exchange $1,590.91 ↓ -59%
United Commercial|Charter $2,217.49 ↓ -44%
United Commercial|PPO $2,217.49 ↓ -44%
United Commercial|HMO $2,217.49 ↓ -44%
OPTUM Medicare|All Plans $3,029.40 ↓ -23%
NX Health Commercial|PPO $3,357.45 ↓ -15%
BCBS-TX Commercial|MyBlue Health Exchange $3,882.53 ↓ -1%
TCHPCHIP Medicaid|HMO $3,927.00 ↑ +0%
OPTUM Medicaid|STAR $4,059.40 ↑ +3%
BCBS-TX Commercial|Exchange $4,381.20 ↑ +12%
United Commercial|Optum $5,273.40 ↑ +34%
CHC Medicaid|CHIP $6,171.00 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $6,171.00 ↑ +57%
CHC Medicaid|HMO $6,171.00 ↑ +57%
Cigna Lifesource Commercial|Transplant $6,732.00 ↑ +71%
First Health Commercial|All Plans $7,293.00 ↑ +86%
Humana Commercial|Transplant $7,293.00 ↑ +86%
Coventry Commercial|PPO $7,293.00 ↑ +86%
BCBS-TX Commercial|Blue Premier $7,551.33 ↑ +92%
Interlink Commercial|Transplant $7,854.00 ↑ +100%
Cigna Commercial|Transplant $7,854.00 ↑ +100%
Healthsmart Commercial|PPO $7,854.00 ↑ +100%
MultiPlan Commercial|All Plans $8,415.00 ↑ +114%
OPTUM Medicaid|STARPLUS $9,269.97 ↑ +136%
BCBS-TX Commercial|HMO $9,474.79 ↑ +141%
USA Health Network Commercial|All Plans $9,537.00 ↑ +143%
BCBS-TX Commercial|PPO $11,220.00 ↑ +186%
MHealth Network Commercial|PPO $11,220.00 ↑ +186%

Visitor-reported prices

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In-111 autol wbc diag per dose at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $3,927.00 $100.00 – $11,220.00
HCA HOUSTON WEST HOUSTON $23,543.00 $1,820.26 – $41,799.21
HCA HOUSTON MEDICAL CENTER Houston not published $1,820.26 – $41,799.21
HCA HOUSTON TOMBALL HOUSTON not published $1,820.26 – $41,799.21
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $7,229.04 $1,820.26 – $41,799.21
HCA HOUSTON NORTHWEST SPRING $9,165.90 $1,820.26 – $41,799.21
St. Luke's Health - Patients Medical Center Pasadena $3,927.05 $100.00 – $8,415.11
HCA HOUSTON PEARLAND Pearland $6,228.06 $1,820.26 – $41,799.21

All Texas hospitals for this procedure →