Theophylline therapeutic drug level at St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$45.68

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.

$130.50

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.

$11.29 with TCHP vs $97.88 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 →

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
TCHP Medicaid|All Plans $11.29 ↓ -75%
CHC Medicaid|All Plans $11.29 ↓ -75%
Wellpoint Medicaid|All Plans $11.88 ↓ -74%
UNITED Medicaid|All Other Plans $12.12 ↓ -73%
KELSEY Medicare|All Plans $14.14 ↓ -69%
CIGNA-HEALTHSPRING Medicare|All Plans $14.14 ↓ -69%
BCBS Medicare|All Plans $14.14 ↓ -69%
HUMANA Medicare|All Plans $14.14 ↓ -69%
UNITED Medicare|All Plans $14.42 ↓ -68%
AETNA Medicare|All Plans $14.42 ↓ -68%
AMERIVANTAGE Medicare|All Plans $14.56 ↓ -68%
SCANHealth Medicare|All Plans $15.13 ↓ -67%
DEVOTED Medicare|All Plans $15.13 ↓ -67%
UNITED Medicaid|STAR $16.28 ↓ -64%
BCBS - TX Commercial|MyBlue Health Exchange $20.64 ↓ -55%
Wellpoint Commercial|Exchange $21.21 ↓ -54%
Ambetter Commercial|All Plans $21.21 ↓ -54%
Community Health Choice Commercial|Exchange $21.21 ↓ -54%
Bright Health Commercial|All Plans $23.33 ↓ -49%
United Commercial|Charter $26.19 ↓ -43%
United Commercial|HMO $26.19 ↓ -43%
United Commercial|Exchange $26.19 ↓ -43%
United Commercial|PPO $26.19 ↓ -43%
BCBS-TX Commercial|Exchange $26.87 ↓ -41%
Cigna Commercial|Surefit $33.87 ↓ -26%
UNITED Medicaid|STARPLUS $37.07 ↓ -19%
Cigna Commercial|HMO $37.38 ↓ -18%
BCBS-TX Commercial|Blue Premier $46.10 ↑ +1%
Cigna Commercial|PPO $51.10 ↑ +12%
BCBS-TX Commercial|HMO $61.93 ↑ +36%
BCBS-TX Commercial|PPO $72.54 ↑ +59%
Cigna Lifesource Commercial|Transplant $78.30 ↑ +71%
First Health Commercial|All Plans $84.83 ↑ +86%
Coventry Commercial|PPO $84.83 ↑ +86%
Aetna Commercial|HMO $88.74 ↑ +94%
Healthsmart Commercial|PPO $91.35 ↑ +100%
Cigna Commercial|Transplant $91.35 ↑ +100%
MultiPlan Commercial|All Plans $97.88 ↑ +114%

Visitor-reported prices

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Theophylline therapeutic drug level at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $141.91 $10.00 – $177.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $139.87 $12.00 – $209.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $135.80 $11.88 – $169.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $141.91 $10.00 – $177.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $139.87 $12.00 – $209.81
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $139.87 $8.00 – $209.81
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $135.80 $11.88 – $203.70
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $141.91 $10.00 – $177.38

All Texas hospitals for this procedure →