Mannitol 12.5 gm/50 ml inj at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$23.22
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.
$66.32
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.
$3.35 with BCBS - TX vs $28.84 with KelseyCare — 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $3.35 | ↓ -86% |
| United | Commercial|Exchange | $3.63 | ↓ -84% |
| BCBS-TX | Commercial|Exchange | $3.78 | ↓ -84% |
| United | Commercial|Charter | $5.46 | ↓ -76% |
| United | Commercial|PPO | $5.46 | ↓ -76% |
| United | Commercial|HMO | $5.46 | ↓ -76% |
| Aetna-Kelsey Care | Commercial|HMO | $5.47 | ↓ -76% |
| Aetna | Commercial|PPO | $6.47 | ↓ -72% |
| Aetna | Commercial|HMO | $6.47 | ↓ -72% |
| BCBS-TX | Commercial|Blue Premier | $6.51 | ↓ -72% |
| OPTUM | Medicare|All Plans | $6.71 | ↓ -71% |
| Cigna | Commercial|PPO | $7.70 | ↓ -67% |
| Aetna | Commercial|Transplant | $7.96 | ↓ -66% |
| Cigna | Commercial|Surefit | $8.12 | ↓ -65% |
| Cigna | Commercial|HMO | $8.12 | ↓ -65% |
| BCBS-TX | Commercial|HMO | $8.17 | ↓ -65% |
| Bright Health | Commercial|All Plans | $8.21 | ↓ -65% |
| TCHPCHIP | Medicaid|HMO | $8.70 | ↓ -63% |
| OPTUM | Medicaid|STAR | $9.00 | ↓ -61% |
| BCBS-TX | Commercial|PPO | $9.98 | ↓ -57% |
| United | Commercial|Optum | $11.68 | ↓ -50% |
| Humana | Commercial|HMO | $11.93 | ↓ -49% |
| Humana | Commercial|PPO | $11.93 | ↓ -49% |
| CHC | Medicaid|HMO | $13.67 | ↓ -41% |
| CHC | Medicaid|CHIP | $13.67 | ↓ -41% |
| TEXASTRUECHOICE | Medicaid|CHIP | $13.67 | ↓ -41% |
| Cigna Lifesource | Commercial|Transplant | $14.91 | ↓ -36% |
| Independent Med System | Commercial|All Plans | $14.91 | ↓ -36% |
| First Health | Commercial|All Plans | $16.16 | ↓ -30% |
| Humana | Commercial|Transplant | $16.16 | ↓ -30% |
| Coventry | Commercial|PPO | $16.16 | ↓ -30% |
| Cigna | Commercial|Transplant | $17.40 | ↓ -25% |
| Healthsmart | Commercial|PPO | $17.40 | ↓ -25% |
| PHCS Savility | Commercial|PPO | $17.40 | ↓ -25% |
| PHCS | Commercial|All Plans | $17.40 | ↓ -25% |
| Interlink | Commercial|Transplant | $17.40 | ↓ -25% |
| MultiPlan | Commercial|All Plans | $18.64 | ↓ -20% |
| OPTUM | Medicaid|STARPLUS | $20.54 | ↓ -12% |
| USA Health Network | Commercial|All Plans | $21.13 | ↓ -9% |
| MHealth Network | Commercial|PPO | $24.85 | ↑ +7% |
| KelseyCare | Commercial|All Other Plans | $28.84 | ↑ +24% |
Visitor-reported prices
Comments
Mannitol 12.5 gm/50 ml inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $95.92 | $11.82 – $11.82 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $198.45 | $2.26 – $22.30 |
| HCA HOUSTON MEDICAL CENTER | Houston | $185.60 | $2.26 – $22.30 |
| HCA HOUSTON CONROE | CONROE | $32.05 | $5.42 – $22.30 |
| HCA HOUSTON KINGWOOD | HUMBLE | $179.74 | $5.42 – $22.30 |
| HCA HOUSTON NORTHWEST | SPRING | $168.10 | $2.26 – $22.30 |
| St. Luke's Health - Patients Medical Center | Pasadena | $4.05 | $3.35 – $8.67 |
| Baylor St Luke's Medical Center | Houston | $23.22 | $2.76 – $28.84 |