Control nosebleed pack+caut 30905 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

$106.75

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.

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What you pay up front if you don't use insurance.

$305.00

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.

$44.35 with TCHP 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
TCHP Medicaid|All Plans $44.35 ↓ -58%
CHC Medicaid|All Plans $44.35 ↓ -58%
Wellpoint Medicaid|All Plans $46.68 ↓ -56%
UNITED Medicaid|All Other Plans $47.61 ↓ -55%
UNITED Medicaid|STAR $63.95 ↓ -40%
BCBS-TX Commercial|Exchange $81.77 ↓ -23%
BCBS - TX Commercial|MyBlue Health Exchange $104.67 ↓ -2%
HUMANA Medicare|All Plans $129.11 ↑ +21%
KELSEY Medicare|All Plans $129.11 ↑ +21%
CIGNA-HEALTHSPRING Medicare|All Plans $129.11 ↑ +21%
BCBS Medicare|All Plans $129.11 ↑ +21%
AETNA Medicare|All Plans $131.69 ↑ +23%
UNITED Medicare|All Plans $131.69 ↑ +23%
AMERIVANTAGE Medicare|All Plans $132.98 ↑ +25%
DEVOTED Medicare|All Plans $138.15 ↑ +29%
SCANHealth Medicare|All Plans $138.15 ↑ +29%
UNITED Medicaid|STARPLUS $145.64 ↑ +36%
BCBS-TX Commercial|Blue Premier $158.09 ↑ +48%
Cigna Lifesource Commercial|Transplant $183.00 ↑ +71%
BCBS-TX Commercial|HMO $187.53 ↑ +76%
Bright Health Commercial|All Plans $188.56 ↑ +77%
Wellpoint Commercial|Exchange $193.67 ↑ +81%
Ambetter Commercial|All Plans $193.67 ↑ +81%
Community Health Choice Commercial|Exchange $193.67 ↑ +81%
First Health Commercial|All Plans $198.25 ↑ +86%
Coventry Commercial|PPO $198.25 ↑ +86%
Aetna Commercial|PPO $207.40 ↑ +94%
BCBS-TX Commercial|PPO $209.34 ↑ +96%
Cigna Commercial|Transplant $213.50 ↑ +100%
Healthsmart Commercial|PPO $213.50 ↑ +100%
MultiPlan Commercial|All Plans $228.75 ↑ +114%
Aetna Commercial|Transplant $231.80 ↑ +117%
Aetna-Kelsey Care Commercial|HMO $807.00 ↑ +656%
Aetna Commercial|HMO $972.00 ↑ +811%
Humana Commercial|PPO $1,345.00 ↑ +1160%
Humana Commercial|HMO $1,345.00 ↑ +1160%
United Commercial|Exchange $1,676.00 ↑ +1470%
Cigna Commercial|Surefit $1,864.00 ↑ +1646%
Cigna Commercial|HMO $2,054.00 ↑ +1824%
United Commercial|Charter $2,474.00 ↑ +2218%
United Commercial|HMO $2,749.00 ↑ +2475%
United Commercial|PPO $2,749.00 ↑ +2475%
PHCS Commercial|All Plans $4,487.00 ↑ +4103%
Cigna Commercial|PPO $5,160.00 ↑ +4734%

Visitor-reported prices

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Control nosebleed pack+caut 30905 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $45.75 – $189.71
Adventhealth Rollins Brook Lampasas $906.38 $136.29 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $460.17 $46.68 – $575.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $489.67 $49.95 – $734.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $490.82 $46.68 – $613.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $460.17 $46.68 – $575.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $489.67 $49.95 – $734.50
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $489.67 $46.68 – $734.50

All Texas hospitals for this procedure →