Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$6,748.04
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.
$19,280.10
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.
$179.05 with BCBS-TX vs $639.45 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $179.05 | ↓ -97% |
| BCBS-TX | Commercial|Blue Premier | $187.58 | ↓ -97% |
| United | Commercial|Exchange | $204.63 | ↓ -97% |
| Aetna-Kelsey Care | Commercial|HMO | $213.15 | ↓ -97% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $221.68 | ↓ -97% |
| Bright Health | Commercial|All Plans | $221.68 | ↓ -97% |
| BCBS-TX | Commercial|HMO | $230.21 | ↓ -97% |
| United | Commercial|Charter | $238.73 | ↓ -96% |
| Aetna | Commercial|HMO | $247.26 | ↓ -96% |
| Aetna | Commercial|PPO | $247.26 | ↓ -96% |
| Cigna | Commercial|PPO | $255.78 | ↓ -96% |
| BCBS-TX | Commercial|PPO | $255.78 | ↓ -96% |
| Cigna | Commercial|HMO | $255.78 | ↓ -96% |
| Cigna | Commercial|Surefit | $255.78 | ↓ -96% |
| United | Commercial|PPO | $264.31 | ↓ -96% |
| United | Commercial|HMO | $264.31 | ↓ -96% |
| Aetna | Commercial|Transplant | $315.47 | ↓ -95% |
| Humana | Commercial|PPO | $358.10 | ↓ -95% |
| Humana | Commercial|HMO | $358.10 | ↓ -95% |
| Cigna Lifesource | Commercial|Transplant | $511.56 | ↓ -92% |
| Coventry | Commercial|PPO | $554.19 | ↓ -92% |
| First Health | Commercial|All Plans | $554.19 | ↓ -92% |
| PHCS | Commercial|All Plans | $554.19 | ↓ -92% |
| Healthsmart | Commercial|PPO | $596.82 | ↓ -91% |
| Cigna | Commercial|Transplant | $596.82 | ↓ -91% |
| MultiPlan | Commercial|All Plans | $639.45 | ↓ -91% |
Visitor-reported prices
Comments
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,396.50 | $739.20 – $3,360.00 |
| St. Joseph Health Madison Hospital | Madisonville | $13,389.43 | $483.87 – $3,418.20 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,396.50 | $739.20 – $3,360.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,396.50 | $739.20 – $3,360.00 |
| St. Joseph Health College Station Hospital | College Station | $13,389.43 | $759.60 – $3,228.30 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,396.50 | $739.20 – $3,360.00 |
| St. Joseph Health Grimes Hospital | Navasota | $13,389.43 | $759.60 – $4,215.78 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,396.50 | $739.20 – $3,360.00 |