Vaccine pneumonococcal conjugate 20 valent (pcv20) im 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

$350.27

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.

$1,000.77

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.

$213.85 with Aetna-Kelsey Care vs $972.03 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 $213.85 ↓ -39%
United Commercial|Exchange $252.73 ↓ -28%
Aetna Commercial|PPO $252.73 ↓ -28%
Aetna Commercial|HMO $252.73 ↓ -28%
OPTUM Medicare|All Plans $262.45 ↓ -25%
Aetna Commercial|Transplant $311.05 ↓ -11%
Bright Health Commercial|All Plans $320.77 ↓ -8%
United Commercial|Charter $330.50 ↓ -6%
TCHPCHIP Medicaid|HMO $340.22 ↓ -3%
Cigna Commercial|PPO $349.94 ↓ -0%
Cigna Commercial|Surefit $349.94 ↓ -0%
Cigna Commercial|HMO $349.94 ↓ -0%
OPTUM Medicaid|STAR $351.69 ↑ +0%
United Commercial|PPO $369.38 ↑ +5%
United Commercial|HMO $369.38 ↑ +5%
United Commercial|Optum $456.86 ↑ +30%
Humana Commercial|HMO $466.58 ↑ +33%
Humana Commercial|PPO $466.58 ↑ +33%
KelseyCare Commercial|All Other Plans $476.30 ↑ +36%
CHC Medicaid|CHIP $534.62 ↑ +53%
CHC Medicaid|HMO $534.62 ↑ +53%
TEXASTRUECHOICE Medicaid|CHIP $534.62 ↑ +53%
Cigna Lifesource Commercial|Transplant $583.22 ↑ +67%
Independent Med System Commercial|All Plans $583.22 ↑ +67%
Coventry Commercial|PPO $631.82 ↑ +80%
First Health Commercial|All Plans $631.82 ↑ +80%
Humana Commercial|Transplant $631.82 ↑ +80%
Interlink Commercial|Transplant $680.43 ↑ +94%
Cigna Commercial|Transplant $680.43 ↑ +94%
PHCS Commercial|All Plans $680.43 ↑ +94%
PHCS Savility Commercial|PPO $680.43 ↑ +94%
Healthsmart Commercial|PPO $680.43 ↑ +94%
Healthsmart Commercial|AP3-PPO $699.87 ↑ +100%
MultiPlan Commercial|All Plans $729.03 ↑ +108%
OPTUM Medicaid|STARPLUS $803.10 ↑ +129%
USA Health Network Commercial|All Plans $826.23 ↑ +136%
MHealth Network Commercial|PPO $972.03 ↑ +178%

Visitor-reported prices

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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $350.27 $213.85 – $972.03
HCA HOUSTON MEDICAL CENTER Houston not published $312.90 – $744.27
HCA HOUSTON WEST HOUSTON not published $312.90 – $744.27
HCA HOUSTON TOMBALL HOUSTON not published $312.90 – $744.27
Adventhealth Rollins Brook Lampasas $1,281.69 $954.34 – $954.34
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $729.93 $206.81 – $1,034.07
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $729.93 $150.24 – $1,094.89
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $729.93 $145.99 – $912.41

All Texas hospitals for this procedure →