Factor ix alprolix recomb at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$131.30
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.
$375.12
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.
$2.55 with Renaissance vs $375.12 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $2.55 | ↓ -98% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2.65 | ↓ -98% |
| BCBS-TX | Commercial|Exchange | $2.99 | ↓ -98% |
| SELECTCARE | Medicare|All Plans | $3.54 | ↓ -97% |
| BCBS | Medicare|All Plans | $3.54 | ↓ -97% |
| HUMANA | Medicare|All Other Plans | $3.54 | ↓ -97% |
| HUMANA | Medicare|TRANSPLANT | $3.54 | ↓ -97% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3.54 | ↓ -97% |
| KELSEY | Medicare|All Plans | $3.54 | ↓ -97% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3.58 | ↓ -97% |
| AETNA | Medicare|All Plans | $3.61 | ↓ -97% |
| UHC-SecureHorizons | Medicare|All Plans | $3.61 | ↓ -97% |
| Amerivantage | Medicare|All Plans | $3.65 | ↓ -97% |
| DEVOTED | Medicare|All Plans | $3.79 | ↓ -97% |
| SCANHealth | Medicare|All Plans | $3.79 | ↓ -97% |
| KINDRED | Medicare|All Plans | $3.89 | ↓ -97% |
| KelseyCare | Commercial|Exchange | $4.78 | ↓ -96% |
| United | Commercial|Exchange | $5.11 | ↓ -96% |
| BCBS-TX | Commercial|Blue Premier | $5.15 | ↓ -96% |
| Community Health Choice | Commercial|All Other Plans | $5.31 | ↓ -96% |
| Ambetter | Commercial|All Plans | $5.31 | ↓ -96% |
| Wellpoint | Commercial|Exchange | $5.31 | ↓ -96% |
| Community Health Choice | Commercial|Exchange | $5.31 | ↓ -96% |
| Harris Health | Commercial|ERS | $5.31 | ↓ -96% |
| Bright Health | Commercial|All Plans | $5.51 | ↓ -96% |
| Aetna | Commercial|Exchange | $5.57 | ↓ -96% |
| BCBS-TX | Commercial|HMO | $6.46 | ↓ -95% |
| United | Commercial|HMO | $7.70 | ↓ -94% |
| United | Commercial|PPO | $7.70 | ↓ -94% |
| United | Commercial|Charter | $7.70 | ↓ -94% |
| BCBS-TX | Commercial|PPO | $7.90 | ↓ -94% |
| Cigna | Commercial|PPO | $10.59 | ↓ -92% |
| Cigna | Commercial|Surefit | $11.16 | ↓ -92% |
| Cigna | Commercial|HMO | $11.16 | ↓ -92% |
| NX Health | Commercial|PPO | $11.51 | ↓ -91% |
| Aetna-Kelsey Care | Commercial|HMO | $82.53 | ↓ -37% |
| Aetna | Commercial|PPO | $97.54 | ↓ -26% |
| Aetna | Commercial|HMO | $97.54 | ↓ -26% |
| OPTUM | Medicare|All Plans | $101.29 | ↓ -23% |
| Aetna | Commercial|Transplant | $120.04 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $131.30 | ↑ +0% |
| OPTUM | Medicaid|STAR | $135.72 | ↑ +3% |
| United | Commercial|Optum | $176.31 | ↑ +34% |
| Humana | Commercial|HMO | $180.06 | ↑ +37% |
| Humana | Commercial|PPO | $180.06 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $183.81 | ↑ +40% |
| CHC | Medicaid|HMO | $206.32 | ↑ +57% |
| CHC | Medicaid|CHIP | $206.32 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $206.32 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $225.08 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $225.08 | ↑ +71% |
| Coventry | Commercial|PPO | $243.83 | ↑ +86% |
| Humana | Commercial|Transplant | $243.83 | ↑ +86% |
| First Health | Commercial|All Plans | $243.83 | ↑ +86% |
| PHCS | Commercial|All Plans | $262.59 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $262.59 | ↑ +100% |
| Interlink | Commercial|Transplant | $262.59 | ↑ +100% |
| Cigna | Commercial|Transplant | $262.59 | ↑ +100% |
| Healthsmart | Commercial|PPO | $262.59 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $281.34 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $309.93 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $318.86 | ↑ +143% |
| MHealth Network | Commercial|PPO | $375.12 | ↑ +186% |
Visitor-reported prices
Comments
Factor ix alprolix recomb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $2.16 | $2.81 – $5.87 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $2.16 | $2.81 – $5.87 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $1.44 | $2.81 – $3.46 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $1.44 | $2.81 – $3.46 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $1.98 | $2.81 – $5.35 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $3.85 | $2.81 – $5.35 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $1.44 | $2.81 – $3.46 |
| Adventhealth Rollins Brook | Lampasas | not published | $9.36 – $9.36 |