Nesiritide injection at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$1,539.81
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.
$4,399.45
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.
$41.57 with United vs $4,399.45 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 |
|---|---|---|---|
| United | Commercial|Exchange | $41.57 | ↓ -97% |
| United | Commercial|Charter | $62.59 | ↓ -96% |
| United | Commercial|HMO | $62.59 | ↓ -96% |
| United | Commercial|PPO | $62.59 | ↓ -96% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $76.95 | ↓ -95% |
| BCBS-TX | Commercial|Exchange | $86.84 | ↓ -94% |
| BCBS-TX | Commercial|Blue Premier | $149.67 | ↓ -90% |
| Cigna | Commercial|PPO | $177.74 | ↓ -88% |
| Cigna | Commercial|Surefit | $187.38 | ↓ -88% |
| Cigna | Commercial|HMO | $187.38 | ↓ -88% |
| BCBS-TX | Commercial|HMO | $187.80 | ↓ -88% |
| BCBS-TX | Commercial|PPO | $229.45 | ↓ -85% |
| Aetna-Kelsey Care | Commercial|HMO | $967.88 | ↓ -37% |
| Aetna | Commercial|HMO | $1,143.86 | ↓ -26% |
| Aetna | Commercial|PPO | $1,143.86 | ↓ -26% |
| OPTUM | Medicare|All Plans | $1,187.86 | ↓ -23% |
| Aetna | Commercial|Transplant | $1,407.83 | ↓ -9% |
| Bright Health | Commercial|All Plans | $1,451.82 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $1,539.81 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,591.73 | ↑ +3% |
| United | Commercial|Optum | $2,067.75 | ↑ +34% |
| Humana | Commercial|HMO | $2,111.74 | ↑ +37% |
| Humana | Commercial|PPO | $2,111.74 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $2,155.74 | ↑ +40% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,419.70 | ↑ +57% |
| CHC | Medicaid|HMO | $2,419.70 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,419.70 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,639.67 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $2,639.67 | ↑ +71% |
| First Health | Commercial|All Plans | $2,859.65 | ↑ +86% |
| Coventry | Commercial|PPO | $2,859.65 | ↑ +86% |
| Humana | Commercial|Transplant | $2,859.65 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $3,079.62 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,079.62 | ↑ +100% |
| PHCS | Commercial|All Plans | $3,079.62 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,079.62 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,079.62 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,299.59 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $3,634.83 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,739.54 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,399.45 | ↑ +186% |
Visitor-reported prices
Comments
Nesiritide injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,539.81 | $50.94 – $4,399.45 |
| St. Joseph Health Madison Hospital | Madisonville | $132.91 | $29.11 – $683.54 |
| St. Luke's Health Memorial Lufkin | Lufkin | $734.69 | $26.20 – $4,408.14 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,539.81 | $41.57 – $4,399.45 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,539.81 | $41.57 – $4,399.45 |
| St. Joseph Health College Station Hospital | College Station | $132.91 | $29.11 – $645.56 |
| HCA HOUSTON SOUTHEAST | PASADENA | $14,048.67 | $49.60 – $824.78 |
| St. Joseph Health Grimes Hospital | Navasota | $132.91 | $29.11 – $843.03 |