Sirolimus, oral at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$2,566.06
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.
$7,331.60
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.
$1.08 with Aetna-Kelsey Care vs $4.88 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1.08 | ↓ -100% |
| Aetna | Commercial|HMO | $1.27 | ↓ -100% |
| United | Commercial|Exchange | $1.27 | ↓ -100% |
| Aetna | Commercial|PPO | $1.27 | ↓ -100% |
| OPTUM | Medicare|All Plans | $1.32 | ↓ -100% |
| Aetna | Commercial|Transplant | $1.57 | ↓ -100% |
| Bright Health | Commercial|All Plans | $1.62 | ↓ -100% |
| United | Commercial|Charter | $1.66 | ↓ -100% |
| TCHPCHIP | Medicaid|HMO | $1.71 | ↓ -100% |
| Cigna | Commercial|PPO | $1.76 | ↓ -100% |
| Cigna | Commercial|HMO | $1.76 | ↓ -100% |
| Cigna | Commercial|Surefit | $1.76 | ↓ -100% |
| OPTUM | Medicaid|STAR | $1.77 | ↓ -100% |
| United | Commercial|PPO | $1.86 | ↓ -100% |
| United | Commercial|HMO | $1.86 | ↓ -100% |
| United | Commercial|Optum | $2.30 | ↓ -100% |
| Humana | Commercial|HMO | $2.35 | ↓ -100% |
| Humana | Commercial|PPO | $2.35 | ↓ -100% |
| KelseyCare | Commercial|All Other Plans | $2.40 | ↓ -100% |
| CHC | Medicaid|CHIP | $2.69 | ↓ -100% |
| CHC | Medicaid|HMO | $2.69 | ↓ -100% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2.69 | ↓ -100% |
| Cigna Lifesource | Commercial|Transplant | $2.93 | ↓ -100% |
| Independent Med System | Commercial|All Plans | $2.93 | ↓ -100% |
| First Health | Commercial|All Plans | $3.18 | ↓ -100% |
| Coventry | Commercial|PPO | $3.18 | ↓ -100% |
| Humana | Commercial|Transplant | $3.18 | ↓ -100% |
| Cigna | Commercial|Transplant | $3.42 | ↓ -100% |
| Healthsmart | Commercial|PPO | $3.42 | ↓ -100% |
| PHCS | Commercial|All Plans | $3.42 | ↓ -100% |
| PHCS Savility | Commercial|PPO | $3.42 | ↓ -100% |
| Interlink | Commercial|Transplant | $3.42 | ↓ -100% |
| MultiPlan | Commercial|All Plans | $3.66 | ↓ -100% |
| OPTUM | Medicaid|STARPLUS | $4.04 | ↓ -100% |
| USA Health Network | Commercial|All Plans | $4.15 | ↓ -100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4.88 | ↓ -100% |
| BCBS-TX | Commercial|Exchange | $4.88 | ↓ -100% |
| BCBS-TX | Commercial|HMO | $4.88 | ↓ -100% |
| BCBS-TX | Commercial|Blue Premier | $4.88 | ↓ -100% |
| BCBS-TX | Commercial|PPO | $4.88 | ↓ -100% |
| MHealth Network | Commercial|PPO | $4.88 | ↓ -100% |
Visitor-reported prices
Comments
Sirolimus, oral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.11 | $1.08 – $7.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.11 | $1.05 – $24.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.11 | $1.39 – $7.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $42.11 | $1.39 – $24.32 |