Conversion ext bil drg cath at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$2,877.21
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.
$8,220.60
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.
$1,076.00 with Aetna-Kelsey Care vs $20,636.00 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -63% |
| TCHP | Medicaid|All Plans | $1,093.96 | ↓ -62% |
| CHC | Medicaid|All Plans | $1,093.96 | ↓ -62% |
| Wellpoint | Medicaid|All Plans | $1,151.54 | ↓ -60% |
| UNITED | Medicaid|All Other Plans | $1,174.57 | ↓ -59% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -55% |
| UNITED | Medicaid|STAR | $1,577.61 | ↓ -45% |
| BCBS-TX | Commercial|Exchange | $2,332.01 | ↓ -19% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -16% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -16% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,984.97 | ↑ +4% |
| HUMANA | Medicare|All Plans | $3,534.78 | ↑ +23% |
| KELSEY | Medicare|All Plans | $3,534.78 | ↑ +23% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,534.78 | ↑ +23% |
| BCBS | Medicare|All Plans | $3,534.78 | ↑ +23% |
| UNITED | Medicaid|STARPLUS | $3,592.80 | ↑ +25% |
| AETNA | Medicare|All Plans | $3,605.48 | ↑ +25% |
| UNITED | Medicare|All Plans | $3,605.48 | ↑ +25% |
| AMERIVANTAGE | Medicare|All Plans | $3,640.82 | ↑ +27% |
| United | Commercial|Exchange | $3,677.00 | ↑ +28% |
| DEVOTED | Medicare|All Plans | $3,782.21 | ↑ +31% |
| SCANHealth | Medicare|All Plans | $3,782.21 | ↑ +31% |
| BCBS-TX | Commercial|Blue Premier | $4,508.54 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $4,932.36 | ↑ +71% |
| Community Health Choice | Commercial|Exchange | $5,302.17 | ↑ +84% |
| Wellpoint | Commercial|Exchange | $5,302.17 | ↑ +84% |
| Ambetter | Commercial|All Plans | $5,302.17 | ↑ +84% |
| Bright Health | Commercial|All Plans | $5,320.57 | ↑ +85% |
| Coventry | Commercial|PPO | $5,343.39 | ↑ +86% |
| First Health | Commercial|All Plans | $5,343.39 | ↑ +86% |
| BCBS-TX | Commercial|HMO | $5,348.06 | ↑ +86% |
| United | Commercial|Charter | $5,428.00 | ↑ +89% |
| Aetna | Commercial|PPO | $5,590.01 | ↑ +94% |
| Cigna | Commercial|Transplant | $5,754.42 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,754.42 | ↑ +100% |
| BCBS-TX | Commercial|PPO | $5,969.93 | ↑ +107% |
| United | Commercial|PPO | $6,032.00 | ↑ +110% |
| United | Commercial|HMO | $6,032.00 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $6,165.45 | ↑ +114% |
| Aetna | Commercial|Transplant | $6,247.66 | ↑ +117% |
| Cigna | Commercial|Surefit | $7,455.00 | ↑ +159% |
| Cigna | Commercial|HMO | $8,215.00 | ↑ +186% |
| Cigna | Commercial|PPO | $20,636.00 | ↑ +617% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1,128.51 – $5,410.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,896.87 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,099.56 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,281.71 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,896.87 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,099.56 | $85.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,099.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,281.71 | $71.00 – $8,649.00 |