Adh-sendout at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$56.39
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.
$161.10
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.
$27.08 with TCHP vs $161.10 with BCBS-TX — 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 | $27.08 | ↓ -52% |
| CHC | Medicaid|All Plans | $27.08 | ↓ -52% |
| Wellpoint | Medicaid|All Plans | $28.51 | ↓ -49% |
| UNITED | Medicaid|All Other Plans | $29.08 | ↓ -48% |
| KELSEY | Medicare|All Plans | $33.94 | ↓ -40% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $33.94 | ↓ -40% |
| BCBS | Medicare|All Plans | $33.94 | ↓ -40% |
| HUMANA | Medicare|All Plans | $33.94 | ↓ -40% |
| UNITED | Medicare|All Plans | $34.62 | ↓ -39% |
| AETNA | Medicare|All Plans | $34.62 | ↓ -39% |
| AMERIVANTAGE | Medicare|All Plans | $34.96 | ↓ -38% |
| SCANHealth | Medicare|All Plans | $36.32 | ↓ -36% |
| DEVOTED | Medicare|All Plans | $36.32 | ↓ -36% |
| UNITED | Medicaid|STAR | $39.06 | ↓ -31% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $49.55 | ↓ -12% |
| Wellpoint | Commercial|Exchange | $50.91 | ↓ -10% |
| Ambetter | Commercial|All Plans | $50.91 | ↓ -10% |
| Community Health Choice | Commercial|Exchange | $50.91 | ↓ -10% |
| Bright Health | Commercial|All Plans | $56.00 | ↓ -1% |
| United | Commercial|Charter | $62.85 | ↑ +11% |
| United | Commercial|HMO | $62.85 | ↑ +11% |
| United | Commercial|Exchange | $62.85 | ↑ +11% |
| United | Commercial|PPO | $62.85 | ↑ +11% |
| BCBS-TX | Commercial|Exchange | $64.49 | ↑ +14% |
| Cigna | Commercial|Surefit | $80.97 | ↑ +44% |
| UNITED | Medicaid|STARPLUS | $88.95 | ↑ +58% |
| Cigna | Commercial|HMO | $89.34 | ↑ +58% |
| Cigna Lifesource | Commercial|Transplant | $96.66 | ↑ +71% |
| First Health | Commercial|All Plans | $104.72 | ↑ +86% |
| Coventry | Commercial|PPO | $104.72 | ↑ +86% |
| Aetna | Commercial|HMO | $109.55 | ↑ +94% |
| BCBS-TX | Commercial|Blue Premier | $110.64 | ↑ +96% |
| Cigna | Commercial|Transplant | $112.77 | ↑ +100% |
| Healthsmart | Commercial|PPO | $112.77 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $120.83 | ↑ +114% |
| Cigna | Commercial|PPO | $122.14 | ↑ +117% |
| BCBS-TX | Commercial|HMO | $148.66 | ↑ +164% |
| BCBS-TX | Commercial|PPO | $161.10 | ↑ +186% |
Visitor-reported prices
Comments
Adh-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $869.11 | $27.94 – $139.38 |
| Adventhealth Rollins Brook | Lampasas | $433.43 | $30.55 – $130.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $414.60 | $12.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $414.60 | $8.00 – $101.25 |