Clsd tx metatarsal fracture w/manip 28475 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$78.75
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.
$225.00
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.
$81.05 with CHC 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 |
|---|---|---|---|
| CHC | Medicaid|All Plans | $81.05 | ↑ +3% |
| TCHP | Medicaid|All Plans | $81.05 | ↑ +3% |
| BCBS-TX | Commercial|Exchange | $81.72 | ↑ +4% |
| Wellpoint | Medicaid|All Plans | $85.32 | ↑ +8% |
| UNITED | Medicaid|All Other Plans | $87.03 | ↑ +11% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $104.60 | ↑ +33% |
| UNITED | Medicaid|STAR | $116.89 | ↑ +48% |
| Cigna Lifesource | Commercial|Transplant | $135.00 | ↑ +71% |
| Cigna | Commercial|Surefit | $140.00 | ↑ +78% |
| PHCS | Commercial|All Plans | $146.25 | ↑ +86% |
| First Health | Commercial|All Plans | $146.25 | ↑ +86% |
| Coventry | Commercial|PPO | $146.25 | ↑ +86% |
| Aetna | Commercial|PPO | $153.00 | ↑ +94% |
| Cigna | Commercial|HMO | $154.00 | ↑ +96% |
| Cigna | Commercial|Transplant | $157.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $157.50 | ↑ +100% |
| BCBS-TX | Commercial|Blue Premier | $157.99 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $168.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $171.00 | ↑ +117% |
| BCBS-TX | Commercial|HMO | $187.41 | ↑ +138% |
| BCBS-TX | Commercial|PPO | $209.20 | ↑ +166% |
| HUMANA | Medicare|All Plans | $240.27 | ↑ +205% |
| KELSEY | Medicare|All Plans | $240.27 | ↑ +205% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $240.27 | ↑ +205% |
| BCBS | Medicare|All Plans | $240.27 | ↑ +205% |
| AETNA | Medicare|All Plans | $245.08 | ↑ +211% |
| UNITED | Medicare|All Plans | $245.08 | ↑ +211% |
| AMERIVANTAGE | Medicare|All Plans | $247.48 | ↑ +214% |
| SCANHealth | Medicare|All Plans | $257.09 | ↑ +226% |
| DEVOTED | Medicare|All Plans | $257.09 | ↑ +226% |
| UNITED | Medicaid|STARPLUS | $266.20 | ↑ +238% |
| Bright Health | Commercial|All Plans | $344.69 | ↑ +338% |
| Ambetter | Commercial|All Plans | $360.40 | ↑ +358% |
| Community Health Choice | Commercial|Exchange | $360.40 | ↑ +358% |
| Wellpoint | Commercial|Exchange | $360.41 | ↑ +358% |
| Cigna | Commercial|PPO | $387.00 | ↑ +391% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +925% |
| Aetna | Commercial|HMO | $972.00 | ↑ +1134% |
| United | Commercial|Exchange | $1,676.00 | ↑ +2028% |
| United | Commercial|Charter | $2,474.00 | ↑ +3042% |
| United | Commercial|HMO | $2,749.00 | ↑ +3391% |
| United | Commercial|PPO | $2,749.00 | ↑ +3391% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +4979% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +4979% |
Visitor-reported prices
Comments
Clsd tx metatarsal fracture w/manip 28475 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $83.61 – $786.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $580.30 | $85.32 – $725.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $522.78 | $71.00 – $784.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $484.06 | $71.00 – $605.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $580.30 | $85.32 – $725.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $522.78 | $85.00 – $784.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $522.78 | $85.32 – $784.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $484.06 | $71.00 – $726.08 |