App high cost ss t/a/l >100sq cm 1st 100sq cm at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$2,004.80
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.
$5,728.00
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.
$1,076.00 with Aetna-Kelsey Care vs $6,032.00 with United — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -46% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -35% |
| CHC | Medicaid|All Plans | $1,384.74 | ↓ -31% |
| TCHP | Medicaid|All Plans | $1,384.74 | ↓ -31% |
| Wellpoint | Medicaid|All Plans | $1,457.62 | ↓ -27% |
| UNITED | Medicaid|All Other Plans | $1,486.77 | ↓ -26% |
| Cigna | Commercial|Surefit | $1,864.00 | ↓ -7% |
| UNITED | Medicaid|STAR | $1,996.94 | ↓ -0% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +2% |
| BCBS-TX | Commercial|Exchange | $2,232.97 | ↑ +11% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +21% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +21% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,858.20 | ↑ +43% |
| Cigna Lifesource | Commercial|Transplant | $3,436.80 | ↑ +71% |
| HUMANA | Medicare|All Plans | $3,666.90 | ↑ +83% |
| BCBS | Medicare|All Plans | $3,666.90 | ↑ +83% |
| KELSEY | Medicare|All Plans | $3,666.90 | ↑ +83% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,666.90 | ↑ +83% |
| United | Commercial|Exchange | $3,677.00 | ↑ +83% |
| PHCS | Commercial|All Plans | $3,723.20 | ↑ +86% |
| First Health | Commercial|All Plans | $3,723.20 | ↑ +86% |
| Coventry | Commercial|PPO | $3,723.20 | ↑ +86% |
| AETNA | Medicare|All Plans | $3,740.24 | ↑ +87% |
| UNITED | Medicare|All Plans | $3,740.24 | ↑ +87% |
| AMERIVANTAGE | Medicare|All Plans | $3,776.91 | ↑ +88% |
| Aetna | Commercial|PPO | $3,895.04 | ↑ +94% |
| DEVOTED | Medicare|All Plans | $3,923.58 | ↑ +96% |
| SCANHealth | Medicare|All Plans | $3,923.58 | ↑ +96% |
| Healthsmart | Commercial|PPO | $4,009.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,009.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $4,296.00 | ↑ +114% |
| BCBS-TX | Commercial|Blue Premier | $4,317.07 | ↑ +115% |
| Aetna | Commercial|Transplant | $4,353.28 | ↑ +117% |
| UNITED | Medicaid|STARPLUS | $4,547.77 | ↑ +127% |
| BCBS-TX | Commercial|HMO | $5,120.94 | ↑ +155% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +157% |
| United | Commercial|Charter | $5,428.00 | ↑ +171% |
| Ambetter | Commercial|All Plans | $5,500.35 | ↑ +174% |
| Community Health Choice | Commercial|Exchange | $5,500.35 | ↑ +174% |
| Wellpoint | Commercial|Exchange | $5,500.35 | ↑ +174% |
| BCBS-TX | Commercial|PPO | $5,716.40 | ↑ +185% |
| Bright Health | Commercial|All Plans | $5,888.55 | ↑ +194% |
| United | Commercial|PPO | $6,032.00 | ↑ +201% |
| United | Commercial|HMO | $6,032.00 | ↑ +201% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1,534.54 – $5,180.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,033.56 | $1,220.13 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,108.85 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,168.39 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,033.56 | $1,254.03 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,108.85 | $85.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,108.85 | $1,565.86 – $8,887.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,168.39 | $71.00 – $8,887.48 |