Brace fx hum ovr shldr sm at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$165.75
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.
$473.55
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.
$99.45 with BCBS-TX vs $355.17 with MultiPlan — 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 | $99.45 | ↓ -40% |
| BCBS-TX | Commercial|Blue Premier | $104.19 | ↓ -37% |
| United | Commercial|Exchange | $113.66 | ↓ -31% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $123.13 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $127.86 | ↓ -23% |
| United | Commercial|Charter | $132.60 | ↓ -20% |
| Cigna | Commercial|HMO | $142.07 | ↓ -14% |
| BCBS-TX | Commercial|PPO | $142.07 | ↓ -14% |
| Cigna | Commercial|Surefit | $142.07 | ↓ -14% |
| Cigna | Commercial|PPO | $142.07 | ↓ -14% |
| United | Commercial|PPO | $146.81 | ↓ -11% |
| United | Commercial|HMO | $146.81 | ↓ -11% |
| Humana | Commercial|PPO | $198.90 | ↑ +20% |
| Humana | Commercial|HMO | $198.90 | ↑ +20% |
| Cigna Lifesource | Commercial|Transplant | $284.13 | ↑ +71% |
| PHCS | Commercial|All Plans | $307.81 | ↑ +86% |
| Coventry | Commercial|PPO | $307.81 | ↑ +86% |
| First Health | Commercial|All Plans | $307.81 | ↑ +86% |
| Cigna | Commercial|Transplant | $331.49 | ↑ +100% |
| Healthsmart | Commercial|PPO | $331.49 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $355.17 | ↑ +114% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $405.66 – $889.97 |
| St. Joseph Health Madison Hospital | Madisonville | $289.80 | $210.98 – $1,490.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $132.15 | $132.15 – $792.86 |
| St. Joseph Health College Station Hospital | College Station | $289.80 | $331.20 – $1,407.60 |
| St. Joseph Health Grimes Hospital | Navasota | $289.80 | $331.20 – $1,838.16 |
| St. Luke's Health Memorial Livingston | Livingston | $132.15 | $132.15 – $792.86 |
| St. Luke's Health Memorial San Augustine | San Augustine | $132.15 | $132.15 – $792.86 |
| St. Joseph Health Burleson Hospital | Caldwell | $289.80 | $331.20 – $1,490.40 |