Close lac/mouth vest/2.5 cm or < 40830 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$231.21
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.
?
What you pay up front if you don't use insurance.
$660.60
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.
?
The hospital's undiscounted list price — almost no one pays this.
$83.20 with TCHP vs $2,749.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $83.20 | ↓ -64% |
| CHC | Medicaid|All Plans | $83.20 | ↓ -64% |
| Wellpoint | Medicaid|All Plans | $87.58 | ↓ -62% |
| UNITED | Medicaid|All Other Plans | $89.33 | ↓ -61% |
| UNITED | Medicaid|STAR | $119.98 | ↓ -48% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -39% |
| BCBS-TX | Commercial|Exchange | $152.73 | ↓ -34% |
| Cigna | Commercial|HMO | $154.00 | ↓ -33% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $195.49 | ↓ -15% |
| BCBS | Medicare|All Plans | $232.60 | ↑ +1% |
| KELSEY | Medicare|All Plans | $232.60 | ↑ +1% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $232.60 | ↑ +1% |
| HUMANA | Medicare|All Plans | $232.60 | ↑ +1% |
| AETNA | Medicare|All Plans | $237.25 | ↑ +3% |
| UNITED | Medicare|All Plans | $237.25 | ↑ +3% |
| AMERIVANTAGE | Medicare|All Plans | $239.58 | ↑ +4% |
| DEVOTED | Medicare|All Plans | $248.88 | ↑ +8% |
| SCANHealth | Medicare|All Plans | $248.88 | ↑ +8% |
| UNITED | Medicaid|STARPLUS | $273.25 | ↑ +18% |
| BCBS-TX | Commercial|Blue Premier | $295.28 | ↑ +28% |
| Wellpoint | Commercial|Exchange | $348.90 | ↑ +51% |
| Ambetter | Commercial|All Plans | $348.90 | ↑ +51% |
| Community Health Choice | Commercial|Exchange | $348.90 | ↑ +51% |
| BCBS-TX | Commercial|HMO | $350.26 | ↑ +51% |
| Bright Health | Commercial|All Plans | $353.79 | ↑ +53% |
| Cigna | Commercial|PPO | $387.00 | ↑ +67% |
| BCBS-TX | Commercial|PPO | $390.99 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $396.36 | ↑ +71% |
| Coventry | Commercial|PPO | $429.39 | ↑ +86% |
| First Health | Commercial|All Plans | $429.39 | ↑ +86% |
| PHCS | Commercial|All Plans | $429.39 | ↑ +86% |
| Aetna | Commercial|PPO | $449.21 | ↑ +94% |
| Cigna | Commercial|Transplant | $462.42 | ↑ +100% |
| Healthsmart | Commercial|PPO | $462.42 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $495.45 | ↑ +114% |
| Aetna | Commercial|Transplant | $502.06 | ↑ +117% |
| United | Commercial|Exchange | $1,676.00 | ↑ +625% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +951% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +951% |
| United | Commercial|Charter | $2,474.00 | ↑ +970% |
| United | Commercial|PPO | $2,749.00 | ↑ +1089% |
| United | Commercial|HMO | $2,749.00 | ↑ +1089% |
Visitor-reported prices
Comments
Close lac/mouth vest/2.5 cm or < 40830 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $85.83 – $354.33 |
| Adventhealth Rollins Brook | Lampasas | $1,350.29 | $254.55 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $523.20 | $87.58 – $654.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $553.04 | $71.00 – $829.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $487.69 | $71.00 – $609.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $523.20 | $87.58 – $654.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $553.04 | $85.00 – $829.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $553.04 | $87.58 – $829.56 |