Aminophylline 25 mg/ml intravenous solution (wrapper) at St. Luke's Health - Lakeside Hospital

17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879

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

$39.45

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.

$112.69

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.

$0.74 with BCBS - TX vs $91.26 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
BCBS - TX Commercial|MyBlue Health Exchange $0.74 ↓ -98%
BCBS-TX Commercial|Exchange $0.84 ↓ -98%
BCBS-TX Commercial|Blue Premier $1.44 ↓ -96%
BCBS-TX Commercial|HMO $1.81 ↓ -95%
BCBS-TX Commercial|PPO $2.21 ↓ -94%
United Commercial|Exchange $7.38 ↓ -81%
United Commercial|PPO $11.12 ↓ -72%
United Commercial|Charter $11.12 ↓ -72%
United Commercial|HMO $11.12 ↓ -72%
Cigna Commercial|PPO $19.12 ↓ -52%
Aetna-Kelsey Care Commercial|HMO $20.08 ↓ -49%
Cigna Commercial|HMO $20.15 ↓ -49%
Cigna Commercial|Surefit $20.15 ↓ -49%
Aetna Commercial|PPO $23.73 ↓ -40%
Aetna Commercial|HMO $23.73 ↓ -40%
OPTUM Medicare|All Plans $24.65 ↓ -38%
Aetna Commercial|Transplant $29.21 ↓ -26%
Bright Health Commercial|All Plans $30.12 ↓ -24%
TCHPCHIP Medicaid|HMO $31.95 ↓ -19%
OPTUM Medicaid|STAR $33.02 ↓ -16%
United Commercial|Optum $42.90 ↑ +9%
Humana Commercial|PPO $43.81 ↑ +11%
Humana Commercial|HMO $43.81 ↑ +11%
KelseyCare Commercial|All Other Plans $44.72 ↑ +13%
CHC Medicaid|HMO $50.20 ↑ +27%
TEXASTRUECHOICE Medicaid|CHIP $50.20 ↑ +27%
CHC Medicaid|CHIP $50.20 ↑ +27%
Independent Med System Commercial|All Plans $54.76 ↑ +39%
Cigna Lifesource Commercial|Transplant $54.76 ↑ +39%
Humana Commercial|Transplant $59.32 ↑ +50%
Coventry Commercial|PPO $59.32 ↑ +50%
First Health Commercial|All Plans $59.32 ↑ +50%
Healthsmart Commercial|PPO $63.89 ↑ +62%
PHCS Commercial|All Plans $63.89 ↑ +62%
Cigna Commercial|Transplant $63.89 ↑ +62%
Interlink Commercial|Transplant $63.89 ↑ +62%
PHCS Savility Commercial|PPO $63.89 ↑ +62%
MultiPlan Commercial|All Plans $68.45 ↑ +74%
OPTUM Medicaid|STARPLUS $75.40 ↑ +91%
USA Health Network Commercial|All Plans $77.58 ↑ +97%
MHealth Network Commercial|PPO $91.26 ↑ +131%

Visitor-reported prices

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Aminophylline 25 mg/ml intravenous solution (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $42.10 $2.62 – $2.62
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $137.21 $1.33 – $36.14
Baylor St Luke's Medical Center Houston $39.45 $0.61 – $91.26
St. Luke's Health Memorial Lufkin Lufkin $47.73 $1.46 – $35.06
HCA HOUSTON PEARLAND Pearland $36.81 $1.33 – $36.14
St. Luke's Health - Springwoods Village Hospital Spring $39.45 $0.74 – $91.26
St. Luke's Health - Sugar Land Hospital Sugar Land $39.45 $0.74 – $91.26
St. Luke's Health - The Vintage Hospital Houston $39.45 $0.74 – $91.26

All Texas hospitals for this procedure →