Athrectomy fem/pop/unilateral 37225 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$9,754.15
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.
$27,869.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1,528.00 with Aetna-Kelsey Care vs $26,978.72 with Community Health Choice — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -84% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -81% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -75% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -75% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -66% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -63% |
| United | Commercial|Exchange | $4,969.00 | ↓ -49% |
| CHC | Medicaid|All Plans | $5,244.63 | ↓ -46% |
| TCHP | Medicaid|All Plans | $5,244.63 | ↓ -46% |
| Wellpoint | Medicaid|All Plans | $5,520.66 | ↓ -43% |
| UNITED | Medicaid|All Other Plans | $5,631.07 | ↓ -42% |
| United | Commercial|Charter | $7,337.00 | ↓ -25% |
| BCBS-TX | Commercial|Exchange | $7,431.36 | ↓ -24% |
| UNITED | Medicaid|STAR | $7,563.30 | ↓ -22% |
| United | Commercial|HMO | $8,150.00 | ↓ -16% |
| United | Commercial|PPO | $8,150.00 | ↓ -16% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -6% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $9,512.14 | ↓ -2% |
| BCBS-TX | Commercial|Blue Premier | $14,367.30 | ↑ +47% |
| Cigna Lifesource | Commercial|Transplant | $16,721.40 | ↑ +71% |
| Bright Health | Commercial|All Plans | $16,797.53 | ↑ +72% |
| BCBS-TX | Commercial|HMO | $17,042.59 | ↑ +75% |
| UNITED | Medicaid|STARPLUS | $17,224.46 | ↑ +77% |
| KELSEY | Medicare|All Plans | $17,985.81 | ↑ +84% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $17,985.81 | ↑ +84% |
| HUMANA | Medicare|All Plans | $17,985.81 | ↑ +84% |
| BCBS | Medicare|All Plans | $17,985.81 | ↑ +84% |
| First Health | Commercial|All Plans | $18,114.85 | ↑ +86% |
| Coventry | Commercial|PPO | $18,114.85 | ↑ +86% |
| PHCS | Commercial|All Plans | $18,114.85 | ↑ +86% |
| AETNA | Medicare|All Plans | $18,345.53 | ↑ +88% |
| UNITED | Medicare|All Plans | $18,345.53 | ↑ +88% |
| AMERIVANTAGE | Medicare|All Plans | $18,525.38 | ↑ +90% |
| Aetna | Commercial|PPO | $18,950.92 | ↑ +94% |
| BCBS-TX | Commercial|PPO | $19,024.28 | ↑ +95% |
| DEVOTED | Medicare|All Plans | $19,244.82 | ↑ +97% |
| SCANHealth | Medicare|All Plans | $19,244.82 | ↑ +97% |
| Healthsmart | Commercial|PPO | $19,508.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $19,508.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $20,901.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $21,180.44 | ↑ +117% |
| Wellpoint | Commercial|Exchange | $26,978.72 | ↑ +177% |
| Ambetter | Commercial|All Plans | $26,978.72 | ↑ +177% |
| Community Health Choice | Commercial|Exchange | $26,978.72 | ↑ +177% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $5,410.25 – $17,240.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $26,503.49 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,745.61 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,902.90 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $26,503.49 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,745.61 | $85.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,745.61 | $14,096.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $22,902.90 | $71.00 – $43,439.01 |