Allograft allowrap 4x4cm dry 16sqcm at St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$10,136.39

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$28,961.10

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$123.81 with United vs $598.50 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 →

Payer
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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
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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 $123.81 ↓ -99%
BCBS-TX Commercial|Exchange $167.58 ↓ -98%
BCBS-TX Commercial|Blue Premier $175.56 ↓ -98%
United Commercial|PPO $186.41 ↓ -98%
United Commercial|Charter $186.41 ↓ -98%
United Commercial|HMO $186.41 ↓ -98%
Aetna-Kelsey Care Commercial|HMO $199.50 ↓ -98%
BCBS - TX Commercial|MyBlue Health Exchange $207.48 ↓ -98%
Bright Health Commercial|All Plans $207.48 ↓ -98%
BCBS-TX Commercial|HMO $215.46 ↓ -98%
Aetna Commercial|PPO $231.42 ↓ -98%
Aetna Commercial|HMO $231.42 ↓ -98%
BCBS-TX Commercial|PPO $239.40 ↓ -98%
Cigna Commercial|PPO $239.40 ↓ -98%
Cigna Commercial|HMO $239.40 ↓ -98%
Cigna Commercial|Surefit $239.40 ↓ -98%
Aetna Commercial|Transplant $295.26 ↓ -97%
Humana Commercial|PPO $335.16 ↓ -97%
Humana Commercial|HMO $335.16 ↓ -97%
Cigna Lifesource Commercial|Transplant $478.80 ↓ -95%
First Health Commercial|All Plans $518.70 ↓ -95%
PHCS Commercial|All Plans $518.70 ↓ -95%
Coventry Commercial|PPO $518.70 ↓ -95%
Cigna Commercial|Transplant $558.60 ↓ -94%
Healthsmart Commercial|PPO $558.60 ↓ -94%
MultiPlan Commercial|All Plans $598.50 ↓ -94%

Visitor-reported prices

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Allograft allowrap 4x4cm dry 16sqcm at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $82.76 – $209.78
HCA HOUSTON NORTHWEST SPRING $803.45 $82.76 – $209.78
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $82.76 – $209.78
HCA HOUSTON MEDICAL CENTER Houston not published $82.76 – $209.78
HCA HOUSTON CONROE CONROE not published $205.36 – $209.78
HCA HOUSTON KINGWOOD HUMBLE not published $205.36 – $209.78
HCA HOUSTON PEARLAND Pearland not published $82.76 – $209.78
HCA HOUSTON WEST HOUSTON not published $205.36 – $209.78

All Texas hospitals for this procedure →