Clsd tx/fx/phalanx/phalang/manip 28515 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$90.41
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.
$258.30
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.
$79.31 with BCBS-TX vs $4,000.00 with Humana — 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 | $79.31 | ↓ -12% |
| TCHP | Medicaid|All Plans | $81.05 | ↓ -10% |
| CHC | Medicaid|All Plans | $81.05 | ↓ -10% |
| Wellpoint | Medicaid|All Plans | $85.32 | ↓ -6% |
| UNITED | Medicaid|All Other Plans | $87.03 | ↓ -4% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $101.51 | ↑ +12% |
| UNITED | Medicaid|STAR | $116.89 | ↑ +29% |
| Cigna | Commercial|Surefit | $140.00 | ↑ +55% |
| BCBS-TX | Commercial|Blue Premier | $153.32 | ↑ +70% |
| Cigna | Commercial|HMO | $154.00 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $154.98 | ↑ +71% |
| Coventry | Commercial|PPO | $167.90 | ↑ +86% |
| PHCS | Commercial|All Plans | $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% |
| BCBS-TX | Commercial|HMO | $181.87 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $193.73 | ↑ +114% |
| Aetna | Commercial|Transplant | $196.31 | ↑ +117% |
| BCBS-TX | Commercial|PPO | $203.02 | ↑ +125% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $240.27 | ↑ +166% |
| KELSEY | Medicare|All Plans | $240.27 | ↑ +166% |
| HUMANA | Medicare|All Plans | $240.27 | ↑ +166% |
| BCBS | Medicare|All Plans | $240.27 | ↑ +166% |
| AETNA | Medicare|All Plans | $245.08 | ↑ +171% |
| UNITED | 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% |
| UNITED | Medicaid|STARPLUS | $266.20 | ↑ +194% |
| 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% |
| Cigna | Commercial|PPO | $387.00 | ↑ +328% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +793% |
| Aetna | Commercial|HMO | $972.00 | ↑ +975% |
| United | Commercial|Exchange | $1,676.00 | ↑ +1754% |
| United | Commercial|Charter | $2,474.00 | ↑ +2636% |
| United | Commercial|HMO | $2,749.00 | ↑ +2941% |
| United | Commercial|PPO | $2,749.00 | ↑ +2941% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +4324% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +4324% |
Visitor-reported prices
Comments
Clsd tx/fx/phalanx/phalang/manip 28515 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $83.61 – $763.44 |
| Adventhealth Rollins Brook | Lampasas | $762.39 | $132.18 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $798.36 | $85.32 – $997.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $764.75 | $71.00 – $1,147.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $715.76 | $71.00 – $894.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $798.36 | $85.32 – $997.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $764.75 | $85.00 – $1,147.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $764.75 | $85.32 – $1,147.12 |