Ca screen;flexi sigmoidscope at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,011.00
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.
$2,888.55
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.
$100.00 with Cigna 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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $100.00 | ↓ -90% |
| Cigna | Commercial|PPO | $100.00 | ↓ -90% |
| Cigna | Commercial|HMO | $100.00 | ↓ -90% |
| BCBS-TX | Commercial|Exchange | $109.08 | ↓ -89% |
| TCHP | Medicaid|All Plans | $124.14 | ↓ -88% |
| CHC | Medicaid|All Plans | $124.14 | ↓ -88% |
| Wellpoint | Medicaid|All Plans | $130.67 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $133.28 | ↓ -87% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $139.62 | ↓ -86% |
| UNITED | Medicaid|STAR | $179.02 | ↓ -82% |
| BCBS-TX | Commercial|Blue Premier | $210.89 | ↓ -79% |
| BCBS-TX | Commercial|HMO | $250.16 | ↓ -75% |
| BCBS-TX | Commercial|PPO | $279.24 | ↓ -72% |
| UNITED | Medicaid|STARPLUS | $407.69 | ↓ -60% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -20% |
| BCBS | Medicare|All Plans | $913.19 | ↓ -10% |
| KELSEY | Medicare|All Plans | $913.19 | ↓ -10% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $913.19 | ↓ -10% |
| HUMANA | Medicare|All Plans | $913.19 | ↓ -10% |
| UNITED | Medicare|All Plans | $931.45 | ↓ -8% |
| AETNA | Medicare|All Plans | $931.45 | ↓ -8% |
| AMERIVANTAGE | Medicare|All Plans | $940.59 | ↓ -7% |
| Aetna | Commercial|HMO | $972.00 | ↓ -4% |
| DEVOTED | Medicare|All Plans | $977.11 | ↓ -3% |
| SCANHealth | Medicare|All Plans | $977.11 | ↓ -3% |
| Bright Health | Commercial|All Plans | $1,327.10 | ↑ +31% |
| Wellpoint | Commercial|Exchange | $1,369.79 | ↑ +35% |
| Community Health Choice | Commercial|Exchange | $1,369.79 | ↑ +35% |
| Ambetter | Commercial|All Plans | $1,369.79 | ↑ +35% |
| United | Commercial|Exchange | $1,676.00 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $1,733.13 | ↑ +71% |
| First Health | Commercial|All Plans | $1,877.56 | ↑ +86% |
| Coventry | Commercial|PPO | $1,877.56 | ↑ +86% |
| Aetna | Commercial|PPO | $1,964.22 | ↑ +94% |
| Cigna | Commercial|Transplant | $2,021.99 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,021.99 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,166.42 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,195.30 | ↑ +117% |
| United | Commercial|Charter | $2,474.00 | ↑ +145% |
| United | Commercial|HMO | $2,749.00 | ↑ +172% |
| United | Commercial|PPO | $2,749.00 | ↑ +172% |
Visitor-reported prices
Comments
Ca screen;flexi sigmoidscope at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $128.06 – $1,050.08 |
| Adventhealth Rollins Brook | Lampasas | not published | $181.80 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $128.06 – $1,050.08 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $140.21 – $1,050.08 |
| HCA HOUSTON CONROE | CONROE | not published | $128.06 – $1,050.08 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $128.06 – $1,050.08 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $140.21 – $1,050.08 |
| HCA HOUSTON PEARLAND | Pearland | not published | $140.21 – $1,050.08 |