Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$755.06
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.
$2,157.30
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.
$32.21 with BCBS-TX 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 →
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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 | $32.21 | ↓ -96% |
| TCHP | Medicaid|All Plans | $37.87 | ↓ -95% |
| CHC | Medicaid|All Plans | $37.87 | ↓ -95% |
| Wellpoint | Medicaid|All Plans | $39.86 | ↓ -95% |
| UNITED | Medicaid|All Other Plans | $40.66 | ↓ -95% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $41.23 | ↓ -95% |
| UNITED | Medicaid|STAR | $54.61 | ↓ -93% |
| BCBS-TX | Commercial|Blue Premier | $62.28 | ↓ -92% |
| BCBS-TX | Commercial|HMO | $73.87 | ↓ -90% |
| BCBS-TX | Commercial|PPO | $82.46 | ↓ -89% |
| UNITED | Medicaid|STARPLUS | $124.36 | ↓ -84% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -81% |
| Cigna | Commercial|HMO | $154.00 | ↓ -80% |
| BCBS | Medicare|All Plans | $295.67 | ↓ -61% |
| KELSEY | Medicare|All Plans | $295.67 | ↓ -61% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $295.67 | ↓ -61% |
| HUMANA | Medicare|All Plans | $295.67 | ↓ -61% |
| UNITED | Medicare|All Plans | $301.58 | ↓ -60% |
| AETNA | Medicare|All Plans | $301.58 | ↓ -60% |
| AMERIVANTAGE | Medicare|All Plans | $304.54 | ↓ -60% |
| DEVOTED | Medicare|All Plans | $316.37 | ↓ -58% |
| SCANHealth | Medicare|All Plans | $316.37 | ↓ -58% |
| Cigna | Commercial|PPO | $387.00 | ↓ -49% |
| Bright Health | Commercial|All Plans | $436.92 | ↓ -42% |
| Ambetter | Commercial|All Plans | $443.50 | ↓ -41% |
| Community Health Choice | Commercial|Exchange | $443.50 | ↓ -41% |
| Wellpoint | Commercial|Exchange | $443.51 | ↓ -41% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +7% |
| Aetna | Commercial|HMO | $972.00 | ↑ +29% |
| Cigna Lifesource | Commercial|Transplant | $1,294.38 | ↑ +71% |
| First Health | Commercial|All Plans | $1,402.25 | ↑ +86% |
| Coventry | Commercial|PPO | $1,402.25 | ↑ +86% |
| Aetna | Commercial|PPO | $1,466.97 | ↑ +94% |
| Healthsmart | Commercial|PPO | $1,510.11 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,510.11 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,617.98 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,639.55 | ↑ +117% |
| United | Commercial|Exchange | $1,676.00 | ↑ +122% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +222% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +222% |
| United | Commercial|Charter | $2,474.00 | ↑ +228% |
| United | Commercial|PPO | $2,749.00 | ↑ +264% |
| United | Commercial|HMO | $2,749.00 | ↑ +264% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $39.06 – $310.10 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $944.18 | $39.86 – $1,180.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,000.01 | $39.86 – $1,500.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $944.18 | $39.86 – $1,416.27 |