Biliary endo perq dx w/speci at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,414.67
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.
$4,041.90
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.
$1,076.00 with Aetna-Kelsey Care vs $30,902.00 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -24% |
| CHC | Medicaid|All Plans | $1,093.96 | ↓ -23% |
| TCHP | Medicaid|All Plans | $1,093.96 | ↓ -23% |
| Wellpoint | Medicaid|All Plans | $1,151.54 | ↓ -19% |
| UNITED | Medicaid|All Other Plans | $1,174.57 | ↓ -17% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -8% |
| UNITED | Medicaid|STAR | $1,577.61 | ↑ +12% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +26% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +26% |
| BCBS-TX | Commercial|Exchange | $2,332.01 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $2,425.14 | ↑ +71% |
| Coventry | Commercial|PPO | $2,627.24 | ↑ +86% |
| First Health | Commercial|All Plans | $2,627.24 | ↑ +86% |
| Aetna | Commercial|PPO | $2,748.50 | ↑ +94% |
| Healthsmart | Commercial|PPO | $2,829.33 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,829.33 | ↑ +100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,984.97 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $3,031.43 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,071.85 | ↑ +117% |
| UNITED | Medicaid|STARPLUS | $3,592.80 | ↑ +154% |
| United | Commercial|Exchange | $3,677.00 | ↑ +160% |
| BCBS-TX | Commercial|Blue Premier | $4,508.54 | ↑ +219% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +267% |
| Bright Health | Commercial|All Plans | $5,320.57 | ↑ +276% |
| BCBS-TX | Commercial|HMO | $5,348.06 | ↑ +278% |
| United | Commercial|Charter | $5,428.00 | ↑ +284% |
| BCBS-TX | Commercial|PPO | $5,969.93 | ↑ +322% |
| United | Commercial|PPO | $6,032.00 | ↑ +326% |
| United | Commercial|HMO | $6,032.00 | ↑ +326% |
| BCBS | Medicare|All Plans | $6,249.86 | ↑ +342% |
| HUMANA | Medicare|All Plans | $6,249.86 | ↑ +342% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $6,249.86 | ↑ +342% |
| KELSEY | Medicare|All Plans | $6,249.86 | ↑ +342% |
| UNITED | Medicare|All Plans | $6,374.86 | ↑ +351% |
| AETNA | Medicare|All Plans | $6,374.86 | ↑ +351% |
| AMERIVANTAGE | Medicare|All Plans | $6,437.36 | ↑ +355% |
| DEVOTED | Medicare|All Plans | $6,687.35 | ↑ +373% |
| SCANHealth | Medicare|All Plans | $6,687.35 | ↑ +373% |
| Wellpoint | Commercial|Exchange | $9,374.79 | ↑ +563% |
| Ambetter | Commercial|All Plans | $9,374.79 | ↑ +563% |
| Community Health Choice | Commercial|Exchange | $9,374.79 | ↑ +563% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +689% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +770% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +2084% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1,128.51 – $5,410.25 |
| HCA HOUSTON KINGWOOD | HUMBLE | $4,262.78 | $1,128.51 – $6,535.84 |
| Baylor St Luke's Medical Center | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $6,238.05 | $4,812.21 – $17,823.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| Ascension Providence | Waco | $1,286.28 | $758.25 – $5,876.65 |