Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$176.77
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.
$505.05
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.
$50.51 with HUMANA vs $380.97 with BCBS-TX — 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $50.51 | ↓ -71% |
| KELSEY | Medicare|All Plans | $50.51 | ↓ -71% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $50.51 | ↓ -71% |
| BCBS | Medicare|All Plans | $50.51 | ↓ -71% |
| AETNA | Medicare|All Plans | $51.52 | ↓ -71% |
| UNITED | Medicare|All Plans | $51.52 | ↓ -71% |
| AMERIVANTAGE | Medicare|All Plans | $52.03 | ↓ -71% |
| SCANHealth | Medicare|All Plans | $54.05 | ↓ -69% |
| DEVOTED | Medicare|All Plans | $54.05 | ↓ -69% |
| Ambetter | Commercial|All Plans | $75.76 | ↓ -57% |
| Community Health Choice | Commercial|Exchange | $75.76 | ↓ -57% |
| Wellpoint | Commercial|Exchange | $75.76 | ↓ -57% |
| Aetna-Kelsey Care | Commercial|HMO | $111.12 | ↓ -37% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $127.77 | ↓ -28% |
| United | Commercial|Exchange | $131.32 | ↓ -26% |
| Aetna | Commercial|HMO | $131.32 | ↓ -26% |
| Aetna | Commercial|PPO | $131.32 | ↓ -26% |
| BCBS-TX | Commercial|Exchange | $144.18 | ↓ -18% |
| Aetna | Commercial|Transplant | $161.62 | ↓ -9% |
| Bright Health | Commercial|All Plans | $166.67 | ↓ -6% |
| United | Commercial|Charter | $171.72 | ↓ -3% |
| Cigna | Commercial|HMO | $181.82 | ↑ +3% |
| Cigna | Commercial|PPO | $181.82 | ↑ +3% |
| Cigna | Commercial|Surefit | $181.82 | ↑ +3% |
| United | Commercial|PPO | $191.92 | ↑ +9% |
| United | Commercial|HMO | $191.92 | ↑ +9% |
| Humana | Commercial|PPO | $242.43 | ↑ +37% |
| Humana | Commercial|HMO | $242.43 | ↑ +37% |
| BCBS-TX | Commercial|Blue Premier | $248.51 | ↑ +41% |
| Cigna Lifesource | Commercial|Transplant | $303.03 | ↑ +71% |
| BCBS-TX | Commercial|HMO | $311.81 | ↑ +76% |
| Coventry | Commercial|PPO | $328.29 | ↑ +86% |
| First Health | Commercial|All Plans | $328.29 | ↑ +86% |
| Cigna | Commercial|Transplant | $353.54 | ↑ +100% |
| PHCS | Commercial|All Plans | $353.54 | ↑ +100% |
| Healthsmart | Commercial|PPO | $353.54 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $378.79 | ↑ +114% |
| BCBS-TX | Commercial|PPO | $380.97 | ↑ +116% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $971.60 | $133.47 – $1,049.49 |
| Adventhealth Rollins Brook | Lampasas | $620.18 | $451.30 – $451.30 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $804.01 | $133.47 – $1,049.49 |
| Covenant Children's Hospital | Lubbock | $858.60 | $438.40 – $507.19 |
| HCA HOUSTON CONROE | CONROE | $443.52 | $133.47 – $1,049.49 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,806.96 | $133.47 – $1,049.49 |
| Baylor St Luke's Medical Center | Houston | $161.19 | $11.13 – $96.56 |
| St. Luke's Health Memorial Lufkin | Lufkin | $440.51 | $3.51 – $38.95 |