Alteplase 100 mg infusion from pyxis vial at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$205.10
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.
$586.00
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.
$41.04 with BCBS - TX vs $426.04 with MultiPlan — 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $41.04 | ↓ -80% |
| BCBS-TX | Commercial|Exchange | $46.31 | ↓ -77% |
| BCBS-TX | Commercial|Blue Premier | $79.82 | ↓ -61% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $91.61 | ↓ -55% |
| HUMANA | Medicare|All Plans | $91.61 | ↓ -55% |
| BCBS | Medicare|All Plans | $91.61 | ↓ -55% |
| KELSEY | Medicare|All Plans | $91.61 | ↓ -55% |
| AETNA | Medicare|All Plans | $93.44 | ↓ -54% |
| UNITED | Medicare|All Plans | $93.44 | ↓ -54% |
| AMERIVANTAGE | Medicare|All Plans | $94.36 | ↓ -54% |
| DEVOTED | Medicare|All Plans | $98.02 | ↓ -52% |
| SCANHealth | Medicare|All Plans | $98.02 | ↓ -52% |
| BCBS-TX | Commercial|HMO | $100.15 | ↓ -51% |
| BCBS-TX | Commercial|PPO | $122.36 | ↓ -40% |
| Aetna-Kelsey Care | Commercial|HMO | $124.98 | ↓ -39% |
| United | Commercial|Exchange | $130.63 | ↓ -36% |
| Community Health Choice | Commercial|Exchange | $137.41 | ↓ -33% |
| Wellpoint | Commercial|Exchange | $141.45 | ↓ -31% |
| Ambetter | Commercial|All Plans | $141.45 | ↓ -31% |
| Bright Health | Commercial|All Plans | $144.14 | ↓ -30% |
| Aetna | Commercial|HMO | $147.70 | ↓ -28% |
| Aetna | Commercial|PPO | $147.70 | ↓ -28% |
| Aetna | Commercial|Transplant | $181.78 | ↓ -11% |
| United | Commercial|Charter | $193.14 | ↓ -6% |
| United | Commercial|HMO | $196.68 | ↓ -4% |
| United | Commercial|PPO | $196.68 | ↓ -4% |
| Cigna | Commercial|HMO | $204.50 | ↓ -0% |
| Cigna | Commercial|PPO | $204.50 | ↓ -0% |
| Cigna | Commercial|Surefit | $204.50 | ↓ -0% |
| Humana | Commercial|PPO | $272.67 | ↑ +33% |
| Humana | Commercial|HMO | $272.67 | ↑ +33% |
| Cigna Lifesource | Commercial|Transplant | $340.83 | ↑ +66% |
| Coventry | Commercial|PPO | $369.24 | ↑ +80% |
| First Health | Commercial|All Plans | $369.24 | ↑ +80% |
| Healthsmart | Commercial|PPO | $397.64 | ↑ +94% |
| PHCS | Commercial|All Plans | $397.64 | ↑ +94% |
| Cigna | Commercial|Transplant | $397.64 | ↑ +94% |
| MultiPlan | Commercial|All Plans | $426.04 | ↑ +108% |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $73.79 – $854.98 |
| Adventhealth Rollins Brook | Lampasas | $766.25 | $144.95 – $144.95 |
| Baylor St Luke's Medical Center | Houston | $21,753.62 | $33.89 – $1,427.34 |
| St. Joseph Health Madison Hospital | Madisonville | $1,501.57 | $18.74 – $132.35 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $21,753.62 | $41.04 – $1,427.34 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $21,753.62 | $41.04 – $1,427.34 |
| St. Joseph Health College Station Hospital | College Station | $1,501.57 | $25.00 – $125.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $21,753.62 | $41.04 – $1,427.34 |