In-111 pentetate dtpa / 0.5 mci at St. Luke's Health - Springwoods Village Hospital

2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616

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

$1,541.75

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.

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What you pay up front if you don't use insurance.

$4,405.00

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.

$100.00 with Cigna vs $4,405.00 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
Cigna Commercial|HMO $100.00 ↓ -94%
Cigna Commercial|Surefit $100.00 ↓ -94%
Cigna Commercial|PPO $100.00 ↓ -94%
BCBS-TX Commercial|MyBlue Health Exchange $448.58 ↓ -71%
BCBS-TX Commercial|Exchange $506.19 ↓ -67%
Renaissance Commercial|All Plans $515.84 ↓ -67%
KELSEY Medicare|All Plans $716.45 ↓ -54%
SELECTCARE Medicare|All Plans $716.45 ↓ -54%
HUMANA Medicare|All Other Plans $716.45 ↓ -54%
BCBS Medicare|All Plans $716.45 ↓ -54%
CIGNA HEALTHSPRING Medicare|HMO $716.45 ↓ -54%
HUMANA Medicare|TRANSPLANT $716.45 ↓ -54%
CIGNA HEALTHSPRING Medicare|PPO $723.61 ↓ -53%
UHC-SecureHorizons Medicare|All Plans $730.78 ↓ -53%
AETNA Medicare|All Plans $730.78 ↓ -53%
Amerivantage Medicare|All Plans $737.94 ↓ -52%
SCANHealth Medicare|All Plans $766.60 ↓ -50%
DEVOTED Medicare|All Plans $766.60 ↓ -50%
KINDRED Medicare|All Plans $788.10 ↓ -49%
BCBS-TX Commercial|Blue Premier $872.46 ↓ -43%
KelseyCare Commercial|Exchange $967.21 ↓ -37%
United Commercial|Exchange $1,021.43 ↓ -34%
Superior Health Plan Commercial|All Plans $1,074.67 ↓ -30%
Community Health Choice Commercial|Exchange $1,074.67 ↓ -30%
Wellpoint Commercial|Exchange $1,074.67 ↓ -30%
Cigna Commercial|All Other Plans $1,074.67 ↓ -30%
BCBS-TX Commercial|HMO $1,094.70 ↓ -29%
Aetna Commercial|Exchange $1,103.33 ↓ -28%
OPTUM Medicare|All Plans $1,189.35 ↓ -23%
BCBS-TX Commercial|PPO $1,337.51 ↓ -13%
United Commercial|Charter $1,497.70 ↓ -3%
United Commercial|PPO $1,537.87 ↓ -0%
United Commercial|HMO $1,537.87 ↓ -0%
TCHPCHIP Medicaid|HMO $1,541.75 ↑ +0%
OPTUM Medicaid|STAR $1,593.73 ↑ +3%
United Commercial|Optum $2,070.35 ↑ +34%
NXHealth Commercial|All Plans $2,328.46 ↑ +51%
CHC Medicaid|HMO $2,422.75 ↑ +57%
CHC Medicaid|CHIP $2,422.75 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $2,422.75 ↑ +57%
Cigna Lifesource Commercial|Transplant $2,643.00 ↑ +71%
Humana Commercial|Transplant $2,863.25 ↑ +86%
First Health Commercial|All Plans $2,863.25 ↑ +86%
Coventry Commercial|PPO $2,863.25 ↑ +86%
Cigna Commercial|Transplant $3,083.50 ↑ +100%
Interlink Commercial|Transplant $3,083.50 ↑ +100%
Healthsmart Commercial|PPO $3,083.50 ↑ +100%
MultiPlan Commercial|All Plans $3,303.75 ↑ +114%
OPTUM Medicaid|STARPLUS $3,639.42 ↑ +136%
USA Health Network Commercial|All Plans $3,744.25 ↑ +143%
MHealth Network Commercial|PPO $4,405.00 ↑ +186%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON NORTHWEST SPRING $1,376.99 $806.62 – $4,829.38
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $13,574.48 $806.62 – $4,829.38
HCA HOUSTON MEDICAL CENTER Houston $3,122.79 $806.62 – $4,829.38
HCA HOUSTON KINGWOOD HUMBLE $3,333.49 $806.62 – $4,829.38
St. Luke's Health - Patients Medical Center Pasadena $1,541.61 $100.00 – $3,303.45
Baylor St Luke's Medical Center Houston $1,541.75 $100.00 – $4,405.00
St. Joseph Health Madison Hospital Madisonville $192.50 $140.14 – $990.00
St. Luke's Health Memorial Lufkin Lufkin $552.64 $100.00 – $3,250.80

All Texas hospitals for this procedure →