Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
$26.50
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.
$75.69
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.
$12.09 with Aetna-Kelsey Care vs $54.95 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $12.09 | ↓ -54% |
| United | Commercial|Exchange | $14.29 | ↓ -46% |
| Aetna | Commercial|PPO | $14.29 | ↓ -46% |
| Aetna | Commercial|HMO | $14.29 | ↓ -46% |
| OPTUM | Medicare|All Plans | $14.84 | ↓ -44% |
| Aetna | Commercial|Transplant | $17.59 | ↓ -34% |
| Bright Health | Commercial|All Plans | $18.14 | ↓ -32% |
| United | Commercial|Charter | $18.69 | ↓ -29% |
| TCHPCHIP | Medicaid|HMO | $19.24 | ↓ -27% |
| Cigna | Commercial|PPO | $19.79 | ↓ -25% |
| Cigna | Commercial|Surefit | $19.79 | ↓ -25% |
| Cigna | Commercial|HMO | $19.79 | ↓ -25% |
| OPTUM | Medicaid|STAR | $19.89 | ↓ -25% |
| United | Commercial|PPO | $20.89 | ↓ -21% |
| United | Commercial|HMO | $20.89 | ↓ -21% |
| United | Commercial|Optum | $25.83 | ↓ -3% |
| Humana | Commercial|HMO | $26.38 | ↓ -0% |
| Humana | Commercial|PPO | $26.38 | ↓ -0% |
| KelseyCare | Commercial|All Other Plans | $26.93 | ↑ +2% |
| CHC | Medicaid|CHIP | $30.23 | ↑ +14% |
| CHC | Medicaid|HMO | $30.23 | ↑ +14% |
| TEXASTRUECHOICE | Medicaid|CHIP | $30.23 | ↑ +14% |
| Cigna Lifesource | Commercial|Transplant | $32.97 | ↑ +24% |
| Independent Med System | Commercial|All Plans | $32.97 | ↑ +24% |
| Coventry | Commercial|PPO | $35.72 | ↑ +35% |
| First Health | Commercial|All Plans | $35.72 | ↑ +35% |
| Humana | Commercial|Transplant | $35.72 | ↑ +35% |
| Interlink | Commercial|Transplant | $38.47 | ↑ +45% |
| Cigna | Commercial|Transplant | $38.47 | ↑ +45% |
| PHCS | Commercial|All Plans | $38.47 | ↑ +45% |
| PHCS Savility | Commercial|PPO | $38.47 | ↑ +45% |
| Healthsmart | Commercial|PPO | $38.47 | ↑ +45% |
| Healthsmart | Commercial|AP3-PPO | $39.57 | ↑ +49% |
| MultiPlan | Commercial|All Plans | $41.22 | ↑ +56% |
| OPTUM | Medicaid|STARPLUS | $45.40 | ↑ +71% |
| USA Health Network | Commercial|All Plans | $46.71 | ↑ +76% |
| MHealth Network | Commercial|PPO | $54.95 | ↑ +107% |
Visitor-reported prices
Comments
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $26.50 | $12.09 – $54.95 |
| HCA HOUSTON TOMBALL | HOUSTON | $17.63 | $4.67 – $14.34 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $4.67 – $14.34 |
| Adventhealth Rollins Brook | Lampasas | $113.50 | $17.67 – $17.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18.27 | $5.18 – $25.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $18.27 | $3.76 – $27.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $18.27 | $3.65 – $22.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18.27 | $4.87 – $25.88 |