Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$863.45
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.
?
What you pay up front if you don't use insurance.
$2,467.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$673.56 with TCHP vs $5,160.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $673.56 | ↓ -22% |
| CHC | Medicaid|All Plans | $673.56 | ↓ -22% |
| Wellpoint | Medicaid|All Plans | $709.01 | ↓ -18% |
| UNITED | Medicaid|All Other Plans | $723.19 | ↓ -16% |
| UNITED | Medicaid|STAR | $971.34 | ↑ +12% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +25% |
| BCBS-TX | Commercial|Exchange | $1,217.06 | ↑ +41% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +50% |
| Cigna Lifesource | Commercial|Transplant | $1,464.00 | ↑ +70% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,557.83 | ↑ +80% |
| Coventry | Commercial|PPO | $1,586.00 | ↑ +84% |
| PHCS | Commercial|All Plans | $1,586.00 | ↑ +84% |
| First Health | Commercial|All Plans | $1,586.00 | ↑ +84% |
| Aetna | Commercial|PPO | $1,659.20 | ↑ +92% |
| Cigna | Commercial|Transplant | $1,708.00 | ↑ +98% |
| Healthsmart | Commercial|PPO | $1,708.00 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $1,830.00 | ↑ +112% |
| BCBS | Medicare|All Plans | $1,832.19 | ↑ +112% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $1,832.19 | ↑ +112% |
| HUMANA | Medicare|All Plans | $1,832.19 | ↑ +112% |
| KELSEY | Medicare|All Plans | $1,832.19 | ↑ +112% |
| Aetna | Commercial|Transplant | $1,854.40 | ↑ +115% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +116% |
| UNITED | Medicare|All Plans | $1,868.83 | ↑ +116% |
| AETNA | Medicare|All Plans | $1,868.83 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $1,887.16 | ↑ +119% |
| SCANHealth | Medicare|All Plans | $1,960.44 | ↑ +127% |
| DEVOTED | Medicare|All Plans | $1,960.44 | ↑ +127% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +138% |
| UNITED | Medicaid|STARPLUS | $2,212.11 | ↑ +156% |
| United | Commercial|Exchange | $2,303.00 | ↑ +167% |
| BCBS-TX | Commercial|Blue Premier | $2,352.97 | ↑ +173% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +181% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +181% |
| Community Health Choice | Commercial|Exchange | $2,748.28 | ↑ +218% |
| Ambetter | Commercial|All Plans | $2,748.28 | ↑ +218% |
| Wellpoint | Commercial|Exchange | $2,748.29 | ↑ +218% |
| BCBS-TX | Commercial|HMO | $2,791.11 | ↑ +223% |
| Bright Health | Commercial|All Plans | $2,864.28 | ↑ +232% |
| BCBS-TX | Commercial|PPO | $3,115.66 | ↑ +261% |
| United | Commercial|Charter | $3,400.00 | ↑ +294% |
| United | Commercial|HMO | $3,778.00 | ↑ +338% |
| United | Commercial|PPO | $3,778.00 | ↑ +338% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +498% |
Visitor-reported prices
Comments
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $760.80 – $2,823.57 |
| Adventhealth Rollins Brook | Lampasas | $2,873.35 | $2,028.43 – $4,827.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,413.96 | $705.32 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,749.81 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,976.22 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,413.96 | $705.32 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,749.81 | $85.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,749.81 | $784.87 – $4,517.58 |