Appendix Removal (Laparoscopic) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$2,524.41
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.
$7,212.60
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.
$479.64 with TCHP vs $10,059.00 with Cigna — 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 | $479.64 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $514.98 | ↓ -80% |
| UNITED | Medicaid|STAR | $691.69 | ↓ -73% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -51% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -41% |
| UNITED | Medicaid|STARPLUS | $1,575.24 | ↓ -38% |
| BCBS-TX | Commercial|Exchange | $3,625.28 | ↑ +44% |
| Cigna | Commercial|Surefit | $3,635.00 | ↑ +44% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +58% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +58% |
| Cigna | Commercial|HMO | $4,005.00 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $4,327.56 | ↑ +71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,640.36 | ↑ +84% |
| PHCS | Commercial|All Plans | $4,688.19 | ↑ +86% |
| Coventry | Commercial|PPO | $4,688.19 | ↑ +86% |
| First Health | Commercial|All Plans | $4,688.19 | ↑ +86% |
| United | Commercial|Exchange | $4,853.00 | ↑ +92% |
| Aetna | Commercial|PPO | $4,904.57 | ↑ +94% |
| Healthsmart | Commercial|PPO | $5,048.82 | ↑ +100% |
| Cigna | Commercial|Transplant | $5,048.82 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $5,409.45 | ↑ +114% |
| Aetna | Commercial|Transplant | $5,481.58 | ↑ +117% |
| KELSEY | Medicare|All Plans | $5,843.81 | ↑ +131% |
| HUMANA | Medicare|All Plans | $5,843.81 | ↑ +131% |
| BCBS | Medicare|All Plans | $5,843.81 | ↑ +131% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $5,843.81 | ↑ +131% |
| UNITED | Medicare|All Plans | $5,960.69 | ↑ +136% |
| AETNA | Medicare|All Plans | $5,960.69 | ↑ +136% |
| AMERIVANTAGE | Medicare|All Plans | $6,019.12 | ↑ +138% |
| SCANHealth | Medicare|All Plans | $6,252.88 | ↑ +148% |
| DEVOTED | Medicare|All Plans | $6,252.88 | ↑ +148% |
| BCBS-TX | Commercial|Blue Premier | $7,008.88 | ↑ +178% |
| United | Commercial|Charter | $7,164.00 | ↑ +184% |
| United | Commercial|PPO | $7,961.00 | ↑ +215% |
| United | Commercial|HMO | $7,961.00 | ↑ +215% |
| BCBS-TX | Commercial|HMO | $8,313.98 | ↑ +229% |
| Bright Health | Commercial|All Plans | $8,461.71 | ↑ +235% |
| Ambetter | Commercial|All Plans | $8,765.72 | ↑ +247% |
| Community Health Choice | Commercial|Exchange | $8,765.72 | ↑ +247% |
| Wellpoint | Commercial|Exchange | $8,765.72 | ↑ +247% |
| BCBS-TX | Commercial|PPO | $9,280.72 | ↑ +268% |
| Cigna | Commercial|PPO | $10,059.00 | ↑ +298% |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $8,410.66 – $8,410.66 |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $6,042.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $5,769.43 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | not published | $5,132.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | not published | $5,132.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | not published | $5,769.43 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $5,132.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $5,132.00 – $14,293.73 |