Vaccine pneumococcal conjugate 13 valent (pcv13) im at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$303.17
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.
$866.18
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.
$63.65 with Renaissance vs $803.63 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 | $63.65 | ↓ -79% |
| KELSEY | Medicare|All Plans | $88.40 | ↓ -71% |
| HUMANA | Medicare|All Other Plans | $88.40 | ↓ -71% |
| CIGNA HEALTHSPRING | Medicare|HMO | $88.40 | ↓ -71% |
| BCBS | Medicare|All Plans | $88.40 | ↓ -71% |
| SELECTCARE | Medicare|All Plans | $88.40 | ↓ -71% |
| CIGNA HEALTHSPRING | Medicare|PPO | $89.29 | ↓ -71% |
| AETNA | Medicare|All Plans | $90.17 | ↓ -70% |
| UHC-SecureHorizons | Medicare|All Plans | $90.17 | ↓ -70% |
| Amerivantage | Medicare|All Plans | $91.06 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $94.59 | ↓ -69% |
| DEVOTED | Medicare|All Plans | $94.59 | ↓ -69% |
| KINDRED | Medicare|All Plans | $97.24 | ↓ -68% |
| KelseyCare | Commercial|Exchange | $119.34 | ↓ -61% |
| HUMANA | Medicare|TRANSPLANT | $128.59 | ↓ -58% |
| Community Health Choice | Commercial|All Other Plans | $132.60 | ↓ -56% |
| Ambetter | Commercial|All Plans | $132.60 | ↓ -56% |
| Wellpoint | Commercial|Exchange | $132.60 | ↓ -56% |
| Community Health Choice | Commercial|Exchange | $132.60 | ↓ -56% |
| Harris Health | Commercial|ERS | $132.60 | ↓ -56% |
| Aetna | Commercial|Exchange | $136.14 | ↓ -55% |
| Aetna-Kelsey Care | Commercial|HMO | $176.80 | ↓ -42% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $201.43 | ↓ -34% |
| Aetna | Commercial|HMO | $208.95 | ↓ -31% |
| Aetna | Commercial|PPO | $208.95 | ↓ -31% |
| United | Commercial|Exchange | $208.95 | ↓ -31% |
| OPTUM | Medicare|All Plans | $216.99 | ↓ -28% |
| BCBS-TX | Commercial|Exchange | $227.30 | ↓ -25% |
| Aetna | Commercial|Transplant | $257.17 | ↓ -15% |
| Bright Health | Commercial|All Plans | $265.20 | ↓ -13% |
| United | Commercial|Charter | $273.24 | ↓ -10% |
| TCHPCHIP | Medicaid|HMO | $281.28 | ↓ -7% |
| NX Health | Commercial|PPO | $287.30 | ↓ -5% |
| Cigna | Commercial|Surefit | $289.31 | ↓ -5% |
| Cigna | Commercial|PPO | $289.31 | ↓ -5% |
| Cigna | Commercial|HMO | $289.31 | ↓ -5% |
| OPTUM | Medicaid|STAR | $290.76 | ↓ -4% |
| United | Commercial|PPO | $305.38 | ↑ +1% |
| United | Commercial|HMO | $305.38 | ↑ +1% |
| United | Commercial|Optum | $377.71 | ↑ +25% |
| Humana | Commercial|HMO | $385.75 | ↑ +27% |
| Humana | Commercial|PPO | $385.75 | ↑ +27% |
| BCBS-TX | Commercial|Blue Premier | $391.78 | ↑ +29% |
| KelseyCare | Commercial|All Other Plans | $393.78 | ↑ +30% |
| CHC | Medicaid|CHIP | $442.00 | ↑ +46% |
| TEXASTRUECHOICE | Medicaid|CHIP | $442.00 | ↑ +46% |
| CHC | Medicaid|HMO | $442.00 | ↑ +46% |
| Independent Med System | Commercial|All Plans | $482.18 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $482.18 | ↑ +59% |
| BCBS-TX | Commercial|HMO | $491.57 | ↑ +62% |
| Humana | Commercial|Transplant | $522.36 | ↑ +72% |
| First Health | Commercial|All Plans | $522.36 | ↑ +72% |
| Coventry | Commercial|PPO | $522.36 | ↑ +72% |
| PHCS Savility | Commercial|PPO | $562.55 | ↑ +86% |
| Healthsmart | Commercial|PPO | $562.55 | ↑ +86% |
| PHCS | Commercial|All Plans | $562.55 | ↑ +86% |
| Cigna | Commercial|Transplant | $562.55 | ↑ +86% |
| Interlink | Commercial|Transplant | $562.55 | ↑ +86% |
| BCBS-TX | Commercial|PPO | $600.60 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $602.73 | ↑ +99% |
| OPTUM | Medicaid|STARPLUS | $663.96 | ↑ +119% |
| USA Health Network | Commercial|All Plans | $683.09 | ↑ +125% |
| MHealth Network | Commercial|PPO | $803.63 | ↑ +165% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,420.90 | $257.99 – $1,997.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $2,719.72 | $257.99 – $1,997.77 |
| Covenant Children's Hospital | Lubbock | $1,496.71 | $691.15 – $980.36 |
| HCA HOUSTON NORTHWEST | SPRING | $2,622.56 | $257.99 – $1,997.77 |
| Baylor St Luke's Medical Center | Houston | $303.17 | $92.58 – $803.63 |
| St. Joseph Health Madison Hospital | Madisonville | $20.30 | $14.78 – $116.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,570.75 | $286.57 – $4,712.24 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $303.17 | $63.65 – $803.63 |