Inj., emicizumab-kxwh 0.5 mg at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$38,221.73
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.
$109,204.93
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.
$41.35 with Renaissance vs $109,204.93 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 | $41.35 | ↓ -100% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $48.49 | ↓ -100% |
| HUMANA | Medicare|TRANSPLANT | $51.98 | ↓ -100% |
| KELSEY | Medicare|All Plans | $51.98 | ↓ -100% |
| BCBS-TX | Commercial|Exchange | $54.72 | ↓ -100% |
| HUMANA | Medicare|All Other Plans | $57.43 | ↓ -100% |
| BCBS | Medicare|All Plans | $57.43 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|HMO | $57.43 | ↓ -100% |
| SELECTCARE | Medicare|All Plans | $57.43 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $58.00 | ↓ -100% |
| AETNA | Medicare|All Plans | $58.58 | ↓ -100% |
| UHC-SecureHorizons | Medicare|All Plans | $58.58 | ↓ -100% |
| Amerivantage | Medicare|All Plans | $59.15 | ↓ -100% |
| DEVOTED | Medicare|All Plans | $61.45 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $61.45 | ↓ -100% |
| KINDRED | Medicare|All Plans | $63.17 | ↓ -100% |
| United | Commercial|Exchange | $74.28 | ↓ -100% |
| KelseyCare | Commercial|Exchange | $77.53 | ↓ -100% |
| Employer Direct | Commercial|PPO | $80.40 | ↓ -100% |
| Bright Health | Commercial|All Plans | $81.48 | ↓ -100% |
| Community Health Choice | Commercial|All Other Plans | $86.14 | ↓ -100% |
| Superior Health Plan | Commercial|All Plans | $86.14 | ↓ -100% |
| Wellpoint | Commercial|Exchange | $86.14 | ↓ -100% |
| Community Health Choice | Commercial|Exchange | $86.14 | ↓ -100% |
| Aetna | Commercial|Exchange | $88.44 | ↓ -100% |
| BCBS-TX | Commercial|Blue Premier | $94.32 | ↓ -100% |
| United | Commercial|Charter | $111.84 | ↓ -100% |
| United | Commercial|PPO | $111.84 | ↓ -100% |
| United | Commercial|HMO | $111.84 | ↓ -100% |
| BCBS-TX | Commercial|HMO | $118.34 | ↓ -100% |
| BCBS-TX | Commercial|PPO | $144.59 | ↓ -100% |
| Cigna | Commercial|PPO | $155.82 | ↓ -100% |
| Cigna | Commercial|Surefit | $164.27 | ↓ -100% |
| Cigna | Commercial|HMO | $164.27 | ↓ -100% |
| NX Health | Commercial|PPO | $186.65 | ↓ -100% |
| Aetna-Kelsey Care | Commercial|HMO | $24,025.09 | ↓ -37% |
| Aetna | Commercial|PPO | $28,393.29 | ↓ -26% |
| Aetna | Commercial|HMO | $28,393.29 | ↓ -26% |
| OPTUM | Medicare|All Plans | $29,485.34 | ↓ -23% |
| Aetna | Commercial|Transplant | $34,945.58 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $38,221.73 | ↑ +0% |
| OPTUM | Medicaid|STAR | $39,510.35 | ↑ +3% |
| United | Commercial|Optum | $51,326.32 | ↑ +34% |
| Humana | Commercial|PPO | $52,418.37 | ↑ +37% |
| Humana | Commercial|HMO | $52,418.37 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $53,510.42 | ↑ +40% |
| CHC | Medicaid|CHIP | $60,062.72 | ↑ +57% |
| CHC | Medicaid|HMO | $60,062.72 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $60,062.72 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $65,522.96 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $65,522.96 | ↑ +71% |
| First Health | Commercial|All Plans | $70,983.21 | ↑ +86% |
| Coventry | Commercial|PPO | $70,983.21 | ↑ +86% |
| Humana | Commercial|Transplant | $70,983.21 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $76,443.46 | ↑ +100% |
| PHCS | Commercial|All Plans | $76,443.46 | ↑ +100% |
| Cigna | Commercial|Transplant | $76,443.46 | ↑ +100% |
| Interlink | Commercial|Transplant | $76,443.46 | ↑ +100% |
| Healthsmart | Commercial|PPO | $76,443.46 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $78,627.55 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $81,903.70 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $90,225.12 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $92,824.20 | ↑ +143% |
| MHealth Network | Commercial|PPO | $109,204.93 | ↑ +186% |
Visitor-reported prices
Comments
Inj., emicizumab-kxwh 0.5 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $38,221.73 | $40.04 – $109,204.93 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $48.70 – $138.98 |
| HCA HOUSTON WEST | HOUSTON | not published | $48.70 – $138.98 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $48.70 – $138.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $38,221.73 | $41.35 – $109,204.93 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $38,221.73 | $41.35 – $109,204.93 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $38,221.73 | $37.43 – $109,204.93 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $15,669.18 | $48.08 – $186.41 |