Inj octafluoropropane mic,ml 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

$80.15

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.

$229.00

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.

$50.38 with Aetna-Kelsey Care vs $229.00 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
Aetna-Kelsey Care Commercial|HMO $50.38 ↓ -37%
BCBS-TX Commercial|MyBlue Health Exchange $51.01 ↓ -36%
BCBS-TX Commercial|Exchange $57.56 ↓ -28%
United Commercial|Exchange $59.42 ↓ -26%
Aetna Commercial|PPO $59.54 ↓ -26%
Aetna Commercial|HMO $59.54 ↓ -26%
OPTUM Medicare|All Plans $61.83 ↓ -23%
Aetna Commercial|Transplant $73.28 ↓ -9%
Bright Health Commercial|All Plans $75.57 ↓ -6%
United Commercial|Charter $77.86 ↓ -3%
TCHPCHIP Medicaid|HMO $80.15 ↑ +0%
Cigna Commercial|HMO $82.44 ↑ +3%
Cigna Commercial|Surefit $82.44 ↑ +3%
Cigna Commercial|PPO $82.44 ↑ +3%
OPTUM Medicaid|STAR $82.86 ↑ +3%
United Commercial|PPO $87.02 ↑ +9%
United Commercial|HMO $87.02 ↑ +9%
BCBS-TX Commercial|Blue Premier $99.22 ↑ +24%
United Commercial|Optum $107.63 ↑ +34%
Humana Commercial|PPO $109.92 ↑ +37%
Humana Commercial|HMO $109.92 ↑ +37%
KelseyCare Commercial|All Other Plans $112.21 ↑ +40%
BCBS-TX Commercial|HMO $124.49 ↑ +55%
CHC Medicaid|HMO $125.95 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $125.95 ↑ +57%
CHC Medicaid|CHIP $125.95 ↑ +57%
Independent Med System Commercial|All Plans $137.40 ↑ +71%
Cigna Lifesource Commercial|Transplant $137.40 ↑ +71%
First Health Commercial|All Plans $148.85 ↑ +86%
Coventry Commercial|PPO $148.85 ↑ +86%
Humana Commercial|Transplant $148.85 ↑ +86%
BCBS-TX Commercial|PPO $152.10 ↑ +90%
Healthsmart Commercial|PPO $160.30 ↑ +100%
PHCS Savility Commercial|PPO $160.30 ↑ +100%
PHCS Commercial|All Plans $160.30 ↑ +100%
Cigna Commercial|Transplant $160.30 ↑ +100%
Interlink Commercial|Transplant $160.30 ↑ +100%
Healthsmart Commercial|AP3-PPO $164.88 ↑ +106%
MultiPlan Commercial|All Plans $171.75 ↑ +114%
OPTUM Medicaid|STARPLUS $189.20 ↑ +136%
USA Health Network Commercial|All Plans $194.65 ↑ +143%
MHealth Network Commercial|PPO $229.00 ↑ +186%

Visitor-reported prices

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Inj octafluoropropane mic,ml at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $80.15 $42.12 – $229.00
HCA HOUSTON MEDICAL CENTER Houston not published $41.88 – $316.26
HCA HOUSTON WEST HOUSTON not published $40.21 – $316.26
HCA HOUSTON TOMBALL HOUSTON not published $41.88 – $316.26
Adventhealth Rollins Brook Lampasas $158.74 $180.18 – $180.18
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $379.08 $43.95 – $537.03
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $379.08 $43.95 – $568.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $379.08 $7.20 – $45.00

All Texas hospitals for this procedure →