App high cost ss t/a/l >100sq cm addl 100sq cm 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

$460.60

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.

$1,316.00

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.

$87.52 with TCHP vs $2,749.00 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 →

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
TCHP Medicaid|All Plans $87.52 ↓ -81%
UNITED Medicaid|All Other Plans $93.97 ↓ -80%
Cigna Commercial|PPO $100.00 ↓ -78%
Cigna Commercial|Surefit $100.00 ↓ -78%
Cigna Commercial|HMO $100.00 ↓ -78%
UNITED Medicaid|STAR $126.21 ↓ -73%
UNITED Medicaid|STARPLUS $287.42 ↓ -38%
Cigna Lifesource Commercial|Transplant $789.60 ↑ +71%
Aetna-Kelsey Care Commercial|HMO $807.00 ↑ +75%
First Health Commercial|All Plans $855.40 ↑ +86%
Coventry Commercial|PPO $855.40 ↑ +86%
PHCS Commercial|All Plans $855.40 ↑ +86%
Aetna Commercial|PPO $894.88 ↑ +94%
Cigna Commercial|Transplant $921.20 ↑ +100%
Healthsmart Commercial|PPO $921.20 ↑ +100%
Aetna Commercial|HMO $972.00 ↑ +111%
MultiPlan Commercial|All Plans $987.00 ↑ +114%
Aetna Commercial|Transplant $1,000.16 ↑ +117%
United Commercial|Exchange $1,676.00 ↑ +264%
Humana Commercial|PPO $2,430.00 ↑ +428%
Humana Commercial|HMO $2,430.00 ↑ +428%
United Commercial|Charter $2,474.00 ↑ +437%
United Commercial|HMO $2,749.00 ↑ +497%
United Commercial|PPO $2,749.00 ↑ +497%

Visitor-reported prices

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App high cost ss t/a/l >100sq cm addl 100sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,051.25 $297.86 – $1,489.28
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $640.49 $71.00 – $960.73
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $800.62 $71.00 – $1,000.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,051.25 $280.33 – $1,489.28
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $640.49 $85.00 – $960.73
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $640.49 $330.92 – $960.73
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $800.62 $71.00 – $1,200.92
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,051.25 $280.33 – $1,489.28

All Texas hospitals for this procedure →