Caffeine citrate 20 mg/ml inj for po 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

$35.31

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.

$100.86

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.

$1.28 with Aetna-Kelsey Care vs $5.80 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
Aetna-Kelsey Care Commercial|HMO $1.28 ↓ -96%
BCBS - TX Commercial|MyBlue Health Exchange $1.50 ↓ -96%
Aetna Commercial|PPO $1.51 ↓ -96%
Aetna Commercial|HMO $1.51 ↓ -96%
United Commercial|Exchange $1.51 ↓ -96%
OPTUM Medicare|All Plans $1.57 ↓ -96%
BCBS-TX Commercial|Exchange $1.70 ↓ -95%
Aetna Commercial|Transplant $1.86 ↓ -95%
Bright Health Commercial|All Plans $1.92 ↓ -95%
United Commercial|Charter $1.98 ↓ -94%
TCHPCHIP Medicaid|HMO $2.03 ↓ -94%
Cigna Commercial|Surefit $2.09 ↓ -94%
Cigna Commercial|HMO $2.09 ↓ -94%
Cigna Commercial|PPO $2.09 ↓ -94%
OPTUM Medicaid|STAR $2.10 ↓ -94%
United Commercial|PPO $2.21 ↓ -94%
United Commercial|HMO $2.21 ↓ -94%
United Commercial|Optum $2.73 ↓ -92%
Humana Commercial|PPO $2.79 ↓ -92%
Humana Commercial|HMO $2.79 ↓ -92%
KelseyCare Commercial|All Other Plans $2.85 ↓ -92%
BCBS-TX Commercial|Blue Premier $2.93 ↓ -92%
TEXASTRUECHOICE Medicaid|CHIP $3.19 ↓ -91%
CHC Medicaid|HMO $3.19 ↓ -91%
CHC Medicaid|CHIP $3.19 ↓ -91%
Independent Med System Commercial|All Plans $3.48 ↓ -90%
Cigna Lifesource Commercial|Transplant $3.48 ↓ -90%
BCBS-TX Commercial|HMO $3.67 ↓ -90%
First Health Commercial|All Plans $3.77 ↓ -89%
Coventry Commercial|PPO $3.77 ↓ -89%
Humana Commercial|Transplant $3.77 ↓ -89%
PHCS Commercial|All Plans $4.06 ↓ -89%
Healthsmart Commercial|PPO $4.06 ↓ -89%
PHCS Savility Commercial|PPO $4.06 ↓ -89%
Cigna Commercial|Transplant $4.06 ↓ -89%
Interlink Commercial|Transplant $4.06 ↓ -89%
MultiPlan Commercial|All Plans $4.35 ↓ -88%
BCBS-TX Commercial|PPO $4.49 ↓ -87%
OPTUM Medicaid|STARPLUS $4.80 ↓ -86%
USA Health Network Commercial|All Plans $4.93 ↓ -86%
MHealth Network Commercial|PPO $5.80 ↓ -84%

Visitor-reported prices

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Caffeine citrate 20 mg/ml inj for po at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $335.66 $2.70 – $14.90
HCA HOUSTON MEDICAL CENTER Houston $429.49 $2.70 – $14.90
Covenant Children's Hospital Lubbock $60.50 $5.16 – $8.51
HCA HOUSTON NORTHWEST SPRING $17.86 $2.70 – $14.90
Baylor St Luke's Medical Center Houston $35.31 $1.24 – $5.80
St. Joseph Health Madison Hospital Madisonville $3.71 $0.60 – $4.23
St. Luke's Health Memorial Lufkin Lufkin $36.02 $1.72 – $56.52
HCA HOUSTON PEARLAND Pearland $110.87 $2.70 – $14.90

All Texas hospitals for this procedure →