Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$21.72
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.
$62.03
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.
$1.47 with United vs $54.68 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 |
|---|---|---|---|
| United | Commercial|Exchange | $1.47 | ↓ -93% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1.66 | ↓ -92% |
| BCBS-TX | Commercial|Exchange | $1.87 | ↓ -91% |
| United | Commercial|Charter | $2.21 | ↓ -90% |
| United | Commercial|PPO | $2.21 | ↓ -90% |
| United | Commercial|HMO | $2.21 | ↓ -90% |
| Cigna | Commercial|PPO | $2.92 | ↓ -87% |
| Cigna | Commercial|Surefit | $3.08 | ↓ -86% |
| Cigna | Commercial|HMO | $3.08 | ↓ -86% |
| BCBS-TX | Commercial|Blue Premier | $3.22 | ↓ -85% |
| BCBS-TX | Commercial|HMO | $4.04 | ↓ -81% |
| BCBS-TX | Commercial|PPO | $4.94 | ↓ -77% |
| Aetna-Kelsey Care | Commercial|HMO | $12.03 | ↓ -45% |
| Aetna | Commercial|PPO | $14.22 | ↓ -35% |
| Aetna | Commercial|HMO | $14.22 | ↓ -35% |
| OPTUM | Medicare|All Plans | $14.77 | ↓ -32% |
| Aetna | Commercial|Transplant | $17.50 | ↓ -19% |
| Bright Health | Commercial|All Plans | $18.05 | ↓ -17% |
| TCHPCHIP | Medicaid|HMO | $19.14 | ↓ -12% |
| OPTUM | Medicaid|STAR | $19.79 | ↓ -9% |
| United | Commercial|Optum | $25.70 | ↑ +18% |
| Humana | Commercial|HMO | $26.25 | ↑ +21% |
| Humana | Commercial|PPO | $26.25 | ↑ +21% |
| KelseyCare | Commercial|All Other Plans | $26.80 | ↑ +23% |
| TEXASTRUECHOICE | Medicaid|CHIP | $30.08 | ↑ +38% |
| CHC | Medicaid|HMO | $30.08 | ↑ +38% |
| CHC | Medicaid|CHIP | $30.08 | ↑ +38% |
| Cigna Lifesource | Commercial|Transplant | $32.81 | ↑ +51% |
| Independent Med System | Commercial|All Plans | $32.81 | ↑ +51% |
| First Health | Commercial|All Plans | $35.55 | ↑ +64% |
| Coventry | Commercial|PPO | $35.55 | ↑ +64% |
| Humana | Commercial|Transplant | $35.55 | ↑ +64% |
| Cigna | Commercial|Transplant | $38.28 | ↑ +76% |
| Healthsmart | Commercial|PPO | $38.28 | ↑ +76% |
| PHCS Savility | Commercial|PPO | $38.28 | ↑ +76% |
| PHCS | Commercial|All Plans | $38.28 | ↑ +76% |
| Interlink | Commercial|Transplant | $38.28 | ↑ +76% |
| Healthsmart | Commercial|AP3-PPO | $39.37 | ↑ +81% |
| MultiPlan | Commercial|All Plans | $41.01 | ↑ +89% |
| OPTUM | Medicaid|STARPLUS | $45.18 | ↑ +108% |
| USA Health Network | Commercial|All Plans | $46.48 | ↑ +114% |
| MHealth Network | Commercial|PPO | $54.68 | ↑ +152% |
Visitor-reported prices
Comments
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $21.72 | $1.37 – $54.68 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1.13 – $11.30 |
| HCA HOUSTON WEST | HOUSTON | not published | $1.08 – $11.30 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1.13 – $11.30 |
| Adventhealth Rollins Brook | Lampasas | $53.91 | $5.85 – $5.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7.92 | $1.05 – $6.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7.92 | $0.92 – $6.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7.92 | $0.89 – $5.59 |