Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$768.81
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.
$2,196.60
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.
$56.30 with BCBS-TX vs $5,160.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $56.30 | ↓ -93% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $72.07 | ↓ -91% |
| BCBS-TX | Commercial|Blue Premier | $108.85 | ↓ -86% |
| BCBS-TX | Commercial|HMO | $129.12 | ↓ -83% |
| BCBS-TX | Commercial|PPO | $144.13 | ↓ -81% |
| CHC | Medicaid|All Plans | $244.72 | ↓ -68% |
| TCHP | Medicaid|All Plans | $244.72 | ↓ -68% |
| Wellpoint | Medicaid|All Plans | $257.60 | ↓ -66% |
| UNITED | Medicaid|All Other Plans | $262.75 | ↓ -66% |
| UNITED | Medicaid|STAR | $352.91 | ↓ -54% |
| BCBS | Medicare|All Plans | $704.73 | ↓ -8% |
| KELSEY | Medicare|All Plans | $704.73 | ↓ -8% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $704.73 | ↓ -8% |
| HUMANA | Medicare|All Plans | $704.73 | ↓ -8% |
| UNITED | Medicare|All Plans | $718.82 | ↓ -7% |
| AETNA | Medicare|All Plans | $718.82 | ↓ -7% |
| AMERIVANTAGE | Medicare|All Plans | $725.87 | ↓ -6% |
| DEVOTED | Medicare|All Plans | $754.06 | ↓ -2% |
| SCANHealth | Medicare|All Plans | $754.06 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $803.71 | ↑ +5% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +5% |
| Aetna | Commercial|HMO | $972.00 | ↑ +26% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +35% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +37% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +37% |
| Ambetter | Commercial|All Plans | $1,057.10 | ↑ +37% |
| Cigna Lifesource | Commercial|Transplant | $1,317.96 | ↑ +71% |
| First Health | Commercial|All Plans | $1,427.79 | ↑ +86% |
| Coventry | Commercial|PPO | $1,427.79 | ↑ +86% |
| Aetna | Commercial|PPO | $1,493.69 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,537.62 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,537.62 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,647.45 | ↑ +114% |
| United | Commercial|Exchange | $1,676.00 | ↑ +118% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +142% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +167% |
| United | Commercial|Charter | $2,474.00 | ↑ +222% |
| United | Commercial|PPO | $2,749.00 | ↑ +258% |
| United | Commercial|HMO | $2,749.00 | ↑ +258% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +571% |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $252.45 – $542.01 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,526.97 | $126.87 – $1,908.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,158.23 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,273.63 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,526.97 | $257.60 – $1,908.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,158.23 | $85.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,158.23 | $257.60 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,273.63 | $71.00 – $1,910.45 |