Clos txnose fx without stablz 21315 at St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$608.90

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,739.70

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$399.61 with TCHP vs $7,221.00 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 →

Payer
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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
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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
TCHP Medicaid|All Plans $399.61 ↓ -34%
CHC Medicaid|All Plans $399.61 ↓ -34%
Wellpoint Medicaid|All Plans $420.64 ↓ -31%
UNITED Medicaid|All Other Plans $429.05 ↓ -30%
UNITED Medicaid|STAR $576.28 ↓ -5%
BCBS-TX Commercial|Exchange $1,012.01 ↑ +66%
Cigna Lifesource Commercial|Transplant $1,043.82 ↑ +71%
Aetna-Kelsey Care Commercial|HMO $1,076.00 ↑ +77%
First Health Commercial|All Plans $1,130.81 ↑ +86%
Coventry Commercial|PPO $1,130.81 ↑ +86%
Aetna Commercial|PPO $1,183.00 ↑ +94%
Cigna Commercial|Transplant $1,217.79 ↑ +100%
Healthsmart Commercial|PPO $1,217.79 ↑ +100%
BCBS - TX Commercial|MyBlue Health Exchange $1,295.37 ↑ +113%
Aetna Commercial|HMO $1,298.00 ↑ +113%
MultiPlan Commercial|All Plans $1,304.78 ↑ +114%
UNITED Medicaid|STARPLUS $1,312.40 ↑ +116%
Aetna Commercial|Transplant $1,322.18 ↑ +117%
CIGNA-HEALTHSPRING Medicare|All Plans $1,483.68 ↑ +144%
BCBS Medicare|All Plans $1,483.68 ↑ +144%
KELSEY Medicare|All Plans $1,483.68 ↑ +144%
HUMANA Medicare|All Plans $1,483.68 ↑ +144%
UNITED Medicare|All Plans $1,513.35 ↑ +149%
AETNA Medicare|All Plans $1,513.35 ↑ +149%
AMERIVANTAGE Medicare|All Plans $1,528.19 ↑ +151%
DEVOTED Medicare|All Plans $1,587.54 ↑ +161%
SCANHealth Medicare|All Plans $1,587.54 ↑ +161%
BCBS-TX Commercial|Blue Premier $1,956.54 ↑ +221%
Wellpoint Commercial|Exchange $2,225.52 ↑ +265%
Community Health Choice Commercial|Exchange $2,225.52 ↑ +265%
Ambetter Commercial|All Plans $2,225.52 ↑ +265%
Bright Health Commercial|All Plans $2,262.17 ↑ +272%
United Commercial|Exchange $2,303.00 ↑ +278%
BCBS-TX Commercial|HMO $2,320.86 ↑ +281%
BCBS-TX Commercial|PPO $2,590.73 ↑ +325%
Cigna Commercial|Surefit $2,609.00 ↑ +328%
Cigna Commercial|HMO $2,875.00 ↑ +372%
United Commercial|Charter $3,400.00 ↑ +458%
United Commercial|HMO $3,778.00 ↑ +520%
United Commercial|PPO $3,778.00 ↑ +520%
Humana Commercial|HMO $4,000.00 ↑ +557%
Humana Commercial|PPO $4,000.00 ↑ +557%
PHCS Commercial|All Plans $5,185.00 ↑ +752%
Cigna Commercial|PPO $7,221.00 ↑ +1086%

Visitor-reported prices

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Clos txnose fx without stablz 21315 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $412.23 – $2,347.85
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,833.15 $420.64 – $3,777.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $3,297.71 $71.00 – $4,946.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,403.33 $71.00 – $3,777.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,833.15 $420.64 – $3,777.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $3,297.71 $85.00 – $4,946.56
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $3,297.71 $420.64 – $4,946.56
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,403.33 $71.00 – $3,777.93

All Texas hospitals for this procedure →