Clsd tx elbow dislocation child 24640 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

$90.41

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.

$258.30

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.

$41.96 with BCBS-TX vs $5,160.00 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
BCBS-TX Commercial|Exchange $41.96 ↓ -54%
TCHP Medicaid|All Plans $46.55 ↓ -49%
CHC Medicaid|All Plans $46.55 ↓ -49%
Wellpoint Medicaid|All Plans $49.00 ↓ -46%
UNITED Medicaid|All Other Plans $49.98 ↓ -45%
BCBS - TX Commercial|MyBlue Health Exchange $53.70 ↓ -41%
UNITED Medicaid|STAR $67.13 ↓ -26%
BCBS-TX Commercial|Blue Premier $81.11 ↓ -10%
BCBS-TX Commercial|HMO $96.22 ↑ +6%
BCBS-TX Commercial|PPO $107.40 ↑ +19%
UNITED Medicaid|STARPLUS $152.88 ↑ +69%
Cigna Lifesource Commercial|Transplant $154.98 ↑ +71%
PHCS Commercial|All Plans $167.90 ↑ +86%
Coventry Commercial|PPO $167.90 ↑ +86%
First Health Commercial|All Plans $167.90 ↑ +86%
Aetna Commercial|PPO $175.65 ↑ +94%
Cigna Commercial|Transplant $180.81 ↑ +100%
Healthsmart Commercial|PPO $180.81 ↑ +100%
MultiPlan Commercial|All Plans $193.73 ↑ +114%
Aetna Commercial|Transplant $196.31 ↑ +117%
BCBS Medicare|All Plans $240.27 ↑ +166%
KELSEY Medicare|All Plans $240.27 ↑ +166%
CIGNA-HEALTHSPRING Medicare|All Plans $240.27 ↑ +166%
HUMANA Medicare|All Plans $240.27 ↑ +166%
UNITED Medicare|All Plans $245.08 ↑ +171%
AETNA Medicare|All Plans $245.08 ↑ +171%
AMERIVANTAGE Medicare|All Plans $247.48 ↑ +174%
DEVOTED Medicare|All Plans $257.09 ↑ +184%
SCANHealth Medicare|All Plans $257.09 ↑ +184%
Bright Health Commercial|All Plans $344.69 ↑ +281%
Ambetter Commercial|All Plans $360.40 ↑ +299%
Community Health Choice Commercial|Exchange $360.40 ↑ +299%
Wellpoint Commercial|Exchange $360.41 ↑ +299%
United Commercial|Exchange $1,676.00 ↑ +1754%
Cigna Commercial|Surefit $1,864.00 ↑ +1962%
Cigna Commercial|HMO $2,054.00 ↑ +2172%
United Commercial|Charter $2,474.00 ↑ +2636%
United Commercial|HMO $2,749.00 ↑ +2941%
United Commercial|PPO $2,749.00 ↑ +2941%
Humana Commercial|PPO $4,000.00 ↑ +4324%
Humana Commercial|HMO $4,000.00 ↑ +4324%
Cigna Commercial|PPO $5,160.00 ↑ +5607%

Visitor-reported prices

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Clsd tx elbow dislocation child 24640 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $48.02 – $403.89
Adventhealth Rollins Brook Lampasas $1,849.58 $69.93 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $627.36 $49.00 – $784.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $565.51 $52.43 – $848.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $550.58 $49.00 – $688.22
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $627.36 $49.00 – $784.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $565.51 $52.43 – $848.27
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $565.51 $49.00 – $848.27

All Texas hospitals for this procedure →