5' nucleotidase - sendout at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$51.03
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.
$145.80
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.
$8.90 with TCHP vs $109.35 with MultiPlan — 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $8.90 | ↓ -83% |
| CHC | Medicaid|All Plans | $8.90 | ↓ -83% |
| Wellpoint | Medicaid|All Plans | $9.37 | ↓ -82% |
| UNITED | Medicaid|All Other Plans | $9.56 | ↓ -81% |
| KELSEY | Medicare|All Plans | $11.15 | ↓ -78% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $11.15 | ↓ -78% |
| BCBS | Medicare|All Plans | $11.15 | ↓ -78% |
| HUMANA | Medicare|All Plans | $11.15 | ↓ -78% |
| UNITED | Medicare|All Plans | $11.37 | ↓ -78% |
| AETNA | Medicare|All Plans | $11.37 | ↓ -78% |
| AMERIVANTAGE | Medicare|All Plans | $11.48 | ↓ -78% |
| SCANHealth | Medicare|All Plans | $11.93 | ↓ -77% |
| DEVOTED | Medicare|All Plans | $11.93 | ↓ -77% |
| UNITED | Medicaid|STAR | $12.84 | ↓ -75% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $16.28 | ↓ -68% |
| Wellpoint | Commercial|Exchange | $16.73 | ↓ -67% |
| Ambetter | Commercial|All Plans | $16.73 | ↓ -67% |
| Community Health Choice | Commercial|Exchange | $16.73 | ↓ -67% |
| Bright Health | Commercial|All Plans | $18.40 | ↓ -64% |
| United | Commercial|Charter | $20.66 | ↓ -60% |
| United | Commercial|HMO | $20.66 | ↓ -60% |
| United | Commercial|Exchange | $20.66 | ↓ -60% |
| United | Commercial|PPO | $20.66 | ↓ -60% |
| BCBS-TX | Commercial|Exchange | $21.19 | ↓ -58% |
| Cigna | Commercial|Surefit | $26.45 | ↓ -48% |
| Cigna | Commercial|HMO | $29.18 | ↓ -43% |
| UNITED | Medicaid|STARPLUS | $29.23 | ↓ -43% |
| BCBS-TX | Commercial|Blue Premier | $36.35 | ↓ -29% |
| Cigna | Commercial|PPO | $39.88 | ↓ -22% |
| BCBS-TX | Commercial|HMO | $48.84 | ↓ -4% |
| BCBS-TX | Commercial|PPO | $57.20 | ↑ +12% |
| Cigna Lifesource | Commercial|Transplant | $87.48 | ↑ +71% |
| First Health | Commercial|All Plans | $94.77 | ↑ +86% |
| Coventry | Commercial|PPO | $94.77 | ↑ +86% |
| Aetna | Commercial|HMO | $99.15 | ↑ +94% |
| Healthsmart | Commercial|PPO | $102.06 | ↑ +100% |
| Cigna | Commercial|Transplant | $102.06 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $109.35 | ↑ +114% |
Visitor-reported prices
Comments
5' nucleotidase - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $9.18 – $45.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $349.53 | $9.37 – $104.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $349.53 | $12.00 – $133.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $349.53 | $9.37 – $95.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $349.53 | $9.37 – $104.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $349.53 | $10.03 – $133.42 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $349.53 | $8.00 – $133.42 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $349.53 | $9.37 – $114.23 |