Avul nail plate addl at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$50.40
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.
$144.00
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.
$9.58 with CHC 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 |
|---|---|---|---|
| CHC | Medicaid|All Plans | $9.58 | ↓ -81% |
| TCHP | Medicaid|All Plans | $9.58 | ↓ -81% |
| Wellpoint | Medicaid|All Plans | $10.08 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $10.29 | ↓ -80% |
| UNITED | Medicaid|STAR | $13.81 | ↓ -73% |
| UNITED | Medicaid|STARPLUS | $31.45 | ↓ -38% |
| Cigna Lifesource | Commercial|Transplant | $86.40 | ↑ +71% |
| First Health | Commercial|All Plans | $93.60 | ↑ +86% |
| PHCS | Commercial|All Plans | $93.60 | ↑ +86% |
| Coventry | Commercial|PPO | $93.60 | ↑ +86% |
| Aetna | Commercial|PPO | $97.92 | ↑ +94% |
| Cigna | Commercial|PPO | $100.00 | ↑ +98% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +98% |
| Cigna | Commercial|HMO | $100.00 | ↑ +98% |
| Healthsmart | Commercial|PPO | $100.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $100.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $108.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $109.44 | ↑ +117% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +1501% |
| Aetna | Commercial|HMO | $972.00 | ↑ +1829% |
| United | Commercial|Exchange | $1,676.00 | ↑ +3225% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +4721% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +4721% |
| United | Commercial|Charter | $2,474.00 | ↑ +4809% |
| United | Commercial|PPO | $2,749.00 | ↑ +5354% |
| United | Commercial|HMO | $2,749.00 | ↑ +5354% |
Visitor-reported prices
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Avul nail plate addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $244.70 | $69.33 – $346.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $274.56 | $56.51 – $411.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $249.59 | $49.92 – $311.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $244.70 | $65.25 – $346.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $274.56 | $85.00 – $411.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $274.56 | $141.86 – $411.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $249.59 | $71.00 – $374.38 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $244.70 | $65.25 – $346.66 |