Colonoscopy (with biopsy) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,521.45
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.
$4,347.00
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.
$407.80 with CHC 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 →
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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 | $407.80 | ↓ -73% |
| TCHP | Medicaid|All Plans | $407.80 | ↓ -73% |
| Wellpoint | Medicaid|All Plans | $429.26 | ↓ -72% |
| UNITED | Medicaid|All Other Plans | $437.85 | ↓ -71% |
| UNITED | Medicaid|STAR | $588.09 | ↓ -61% |
| BCBS-TX | Commercial|Exchange | $753.17 | ↓ -50% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $964.05 | ↓ -37% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -29% |
| KELSEY | Medicare|All Plans | $1,180.99 | ↓ -22% |
| BCBS | Medicare|All Plans | $1,180.99 | ↓ -22% |
| HUMANA | Medicare|All Plans | $1,180.99 | ↓ -22% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $1,180.99 | ↓ -22% |
| UNITED | Medicare|All Plans | $1,204.61 | ↓ -21% |
| AETNA | Medicare|All Plans | $1,204.61 | ↓ -21% |
| AMERIVANTAGE | Medicare|All Plans | $1,216.42 | ↓ -20% |
| DEVOTED | Medicare|All Plans | $1,263.66 | ↓ -17% |
| SCANHealth | Medicare|All Plans | $1,263.66 | ↓ -17% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -15% |
| UNITED | Medicaid|STARPLUS | $1,339.29 | ↓ -12% |
| BCBS-TX | Commercial|Blue Premier | $1,456.12 | ↓ -4% |
| BCBS-TX | Commercial|HMO | $1,727.26 | ↑ +14% |
| Bright Health | Commercial|All Plans | $1,734.13 | ↑ +14% |
| Ambetter | Commercial|All Plans | $1,771.48 | ↑ +16% |
| Community Health Choice | Commercial|Exchange | $1,771.48 | ↑ +16% |
| Wellpoint | Commercial|Exchange | $1,771.49 | ↑ +16% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +17% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +17% |
| BCBS-TX | Commercial|PPO | $1,928.10 | ↑ +27% |
| United | Commercial|Exchange | $2,303.00 | ↑ +51% |
| Cigna Lifesource | Commercial|Transplant | $2,608.20 | ↑ +71% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +71% |
| Coventry | Commercial|PPO | $2,825.55 | ↑ +86% |
| First Health | Commercial|All Plans | $2,825.55 | ↑ +86% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +89% |
| Aetna | Commercial|PPO | $2,955.96 | ↑ +94% |
| Healthsmart | Commercial|PPO | $3,042.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,042.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,260.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,303.72 | ↑ +117% |
| United | Commercial|Charter | $3,400.00 | ↑ +123% |
| United | Commercial|PPO | $3,778.00 | ↑ +148% |
| United | Commercial|HMO | $3,778.00 | ↑ +148% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +241% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +375% |
Visitor-reported prices
Comments
Colonoscopy (with biopsy) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $420.67 – $1,747.34 |
| Texas Health Hospital Mansfield | Mansfield | $8,895.96 | $1,060.46 – $2,761.00 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $8,895.96 | $1,060.46 – $2,761.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,255.28 – $2,991.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $429.26 – $4,063.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | not published | $459.31 – $3,630.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | not published | $429.26 – $3,421.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | not published | $429.26 – $4,063.00 |