Levothyroxine 100 mcg intravenous powder for solution at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$187.29
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.
$535.11
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.
$26.25 with Aetna-Kelsey Care vs $119.28 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 →
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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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $26.25 | ↓ -86% |
| United | Commercial|Exchange | $31.02 | ↓ -83% |
| Aetna | Commercial|PPO | $31.02 | ↓ -83% |
| Aetna | Commercial|HMO | $31.02 | ↓ -83% |
| OPTUM | Medicare|All Plans | $32.21 | ↓ -83% |
| Aetna | Commercial|Transplant | $38.17 | ↓ -80% |
| Bright Health | Commercial|All Plans | $39.37 | ↓ -79% |
| United | Commercial|Charter | $40.56 | ↓ -78% |
| TCHPCHIP | Medicaid|HMO | $41.75 | ↓ -78% |
| Cigna | Commercial|PPO | $42.95 | ↓ -77% |
| Cigna | Commercial|Surefit | $42.95 | ↓ -77% |
| Cigna | Commercial|HMO | $42.95 | ↓ -77% |
| OPTUM | Medicaid|STAR | $43.16 | ↓ -77% |
| United | Commercial|PPO | $45.33 | ↓ -76% |
| United | Commercial|HMO | $45.33 | ↓ -76% |
| United | Commercial|Optum | $56.07 | ↓ -70% |
| Humana | Commercial|HMO | $57.26 | ↓ -69% |
| Humana | Commercial|PPO | $57.26 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $58.45 | ↓ -69% |
| CHC | Medicaid|CHIP | $65.61 | ↓ -65% |
| CHC | Medicaid|HMO | $65.61 | ↓ -65% |
| TEXASTRUECHOICE | Medicaid|CHIP | $65.61 | ↓ -65% |
| Cigna Lifesource | Commercial|Transplant | $71.57 | ↓ -62% |
| Independent Med System | Commercial|All Plans | $71.57 | ↓ -62% |
| Coventry | Commercial|PPO | $77.54 | ↓ -59% |
| First Health | Commercial|All Plans | $77.54 | ↓ -59% |
| Humana | Commercial|Transplant | $77.54 | ↓ -59% |
| Interlink | Commercial|Transplant | $83.50 | ↓ -55% |
| Cigna | Commercial|Transplant | $83.50 | ↓ -55% |
| PHCS | Commercial|All Plans | $83.50 | ↓ -55% |
| PHCS Savility | Commercial|PPO | $83.50 | ↓ -55% |
| Healthsmart | Commercial|PPO | $83.50 | ↓ -55% |
| Healthsmart | Commercial|AP3-PPO | $85.89 | ↓ -54% |
| MultiPlan | Commercial|All Plans | $89.46 | ↓ -52% |
| OPTUM | Medicaid|STARPLUS | $98.55 | ↓ -47% |
| USA Health Network | Commercial|All Plans | $101.39 | ↓ -46% |
| MHealth Network | Commercial|PPO | $119.28 | ↓ -36% |
Visitor-reported prices
Comments
Levothyroxine 100 mcg intravenous powder for solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,196.39 | $26.94 – $26.94 |
| HCA HOUSTON KINGWOOD | HUMBLE | $546.36 | $5.98 – $20.85 |
| Baylor St Luke's Medical Center | Houston | $187.29 | $26.25 – $119.28 |
| St. Joseph Health Madison Hospital | Madisonville | $52.78 | $38.43 – $301.58 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $187.29 | $26.25 – $119.28 |
| St. Joseph Health College Station Hospital | College Station | $52.78 | $51.27 – $301.58 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $187.29 | $26.25 – $119.28 |
| St. Joseph Health Grimes Hospital | Navasota | $52.78 | $51.27 – $334.76 |