Tirofiban 12.5 mg/50 ml at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$360.60
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.
$1,030.28
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.
$5.17 with United vs $56.62 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 | $5.17 | ↓ -99% |
| Bright Health | Commercial|All Plans | $5.87 | ↓ -98% |
| United | Commercial|PPO | $7.78 | ↓ -98% |
| United | Commercial|Charter | $7.78 | ↓ -98% |
| United | Commercial|HMO | $7.78 | ↓ -98% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $11.29 | ↓ -97% |
| Cigna | Commercial|PPO | $11.30 | ↓ -97% |
| Cigna | Commercial|Surefit | $11.91 | ↓ -97% |
| Cigna | Commercial|HMO | $11.91 | ↓ -97% |
| Aetna-Kelsey Care | Commercial|HMO | $12.46 | ↓ -97% |
| BCBS-TX | Commercial|Exchange | $12.74 | ↓ -96% |
| Aetna | Commercial|HMO | $14.73 | ↓ -96% |
| Aetna | Commercial|PPO | $14.73 | ↓ -96% |
| OPTUM | Medicare|All Plans | $15.29 | ↓ -96% |
| Aetna | Commercial|Transplant | $18.12 | ↓ -95% |
| TCHPCHIP | Medicaid|HMO | $19.82 | ↓ -95% |
| OPTUM | Medicaid|STAR | $20.49 | ↓ -94% |
| BCBS-TX | Commercial|Blue Premier | $21.96 | ↓ -94% |
| United | Commercial|Optum | $26.62 | ↓ -93% |
| Humana | Commercial|HMO | $27.18 | ↓ -92% |
| Humana | Commercial|PPO | $27.18 | ↓ -92% |
| BCBS-TX | Commercial|HMO | $27.56 | ↓ -92% |
| KelseyCare | Commercial|All Other Plans | $27.75 | ↓ -92% |
| CHC | Medicaid|CHIP | $31.15 | ↓ -91% |
| TEXASTRUECHOICE | Medicaid|CHIP | $31.15 | ↓ -91% |
| CHC | Medicaid|HMO | $31.15 | ↓ -91% |
| BCBS-TX | Commercial|PPO | $33.67 | ↓ -91% |
| Cigna Lifesource | Commercial|Transplant | $33.98 | ↓ -91% |
| Independent Med System | Commercial|All Plans | $33.98 | ↓ -91% |
| First Health | Commercial|All Plans | $36.81 | ↓ -90% |
| Coventry | Commercial|PPO | $36.81 | ↓ -90% |
| Humana | Commercial|Transplant | $36.81 | ↓ -90% |
| PHCS Savility | Commercial|PPO | $39.64 | ↓ -89% |
| PHCS | Commercial|All Plans | $39.64 | ↓ -89% |
| Cigna | Commercial|Transplant | $39.64 | ↓ -89% |
| Healthsmart | Commercial|PPO | $39.64 | ↓ -89% |
| Interlink | Commercial|Transplant | $39.64 | ↓ -89% |
| MultiPlan | Commercial|All Plans | $42.47 | ↓ -88% |
| OPTUM | Medicaid|STARPLUS | $46.78 | ↓ -87% |
| USA Health Network | Commercial|All Plans | $48.13 | ↓ -87% |
| MHealth Network | Commercial|PPO | $56.62 | ↓ -84% |
Visitor-reported prices
Comments
Tirofiban 12.5 mg/50 ml at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE | $31.20 | $3.45 – $126.52 |
| Baylor St Luke's Medical Center | Houston | $360.60 | $6.34 – $56.62 |
| St. Joseph Health Madison Hospital | Madisonville | $30.38 | $3.62 – $156.24 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $360.60 | $5.17 – $56.62 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $360.60 | $5.17 – $56.62 |
| St. Joseph Health College Station Hospital | College Station | $30.38 | $3.62 – $147.56 |
| St. Joseph Health Grimes Hospital | Navasota | $30.38 | $3.62 – $192.69 |
| St. Luke's Health - The Vintage Hospital | Houston | $360.60 | $5.17 – $56.62 |