Consultation pathology during surgery cytological exam initial site at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,092.76
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.
$3,122.15
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.
$78.37 with Cigna vs $3,122.15 with BCBS-TX — 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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $78.37 | ↓ -93% |
| Cigna | Commercial|HMO | $86.48 | ↓ -92% |
| Cigna | Commercial|PPO | $118.25 | ↓ -89% |
| United | Commercial|Charter | $811.44 | ↓ -26% |
| United | Commercial|PPO | $811.44 | ↓ -26% |
| United | Commercial|Exchange | $811.44 | ↓ -26% |
| United | Commercial|HMO | $811.44 | ↓ -26% |
| BCBS | Medicare|All Plans | $818.22 | ↓ -25% |
| HUMANA | Medicare|All Plans | $818.22 | ↓ -25% |
| KELSEY | Medicare|All Plans | $818.22 | ↓ -25% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $818.22 | ↓ -25% |
| AETNA | Medicare|All Plans | $834.58 | ↓ -24% |
| UNITED | Medicare|All Plans | $834.58 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $842.77 | ↓ -23% |
| DEVOTED | Medicare|All Plans | $875.50 | ↓ -20% |
| SCANHealth | Medicare|All Plans | $875.50 | ↓ -20% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $917.17 | ↓ -16% |
| Bright Health | Commercial|All Plans | $1,095.91 | ↑ +0% |
| BCBS-TX | Commercial|Exchange | $1,193.58 | ↑ +9% |
| Ambetter | Commercial|All Plans | $1,227.33 | ↑ +12% |
| Wellpoint | Commercial|Exchange | $1,227.33 | ↑ +12% |
| Community Health Choice | Commercial|Exchange | $1,227.33 | ↑ +12% |
| Aetna-Kelsey Care | Commercial|HMO | $1,842.07 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $1,873.29 | ↑ +71% |
| Coventry | Commercial|PPO | $2,029.40 | ↑ +86% |
| First Health | Commercial|All Plans | $2,029.40 | ↑ +86% |
| BCBS-TX | Commercial|Blue Premier | $2,047.93 | ↑ +87% |
| Aetna | Commercial|HMO | $2,123.07 | ↑ +94% |
| Cigna | Commercial|Transplant | $2,185.51 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,185.51 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,341.62 | ↑ +114% |
| BCBS-TX | Commercial|HMO | $2,751.52 | ↑ +152% |
| BCBS-TX | Commercial|PPO | $3,122.15 | ↑ +186% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $499.56 | $123.78 – $1,268.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $461.95 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.69 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $519.69 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $461.95 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $519.69 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $519.69 | $26.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $519.69 | $36.00 – $2,130.15 |