Cta upper extremity w &/or without contrast left at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$3,546.82
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.
?
What you pay up front if you don't use insurance.
$10,133.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$166.31 with CHC vs $7,600.32 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $166.31 | ↓ -95% |
| TCHP | Medicaid|All Plans | $166.31 | ↓ -95% |
| Wellpoint | Medicaid|All Plans | $175.06 | ↓ -95% |
| BCBS | Medicare|All Plans | $178.31 | ↓ -95% |
| KELSEY | Medicare|All Plans | $178.31 | ↓ -95% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $178.31 | ↓ -95% |
| HUMANA | Medicare|All Plans | $178.31 | ↓ -95% |
| UNITED | Medicaid|All Other Plans | $178.56 | ↓ -95% |
| UNITED | Medicare|All Plans | $181.88 | ↓ -95% |
| AETNA | Medicare|All Plans | $181.88 | ↓ -95% |
| AMERIVANTAGE | Medicare|All Plans | $183.66 | ↓ -95% |
| DEVOTED | Medicare|All Plans | $190.79 | ↓ -95% |
| SCANHealth | Medicare|All Plans | $190.79 | ↓ -95% |
| UNITED | Medicaid|STAR | $239.83 | ↓ -93% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $266.04 | ↓ -92% |
| Community Health Choice | Commercial|Exchange | $267.46 | ↓ -92% |
| Ambetter | Commercial|All Plans | $267.46 | ↓ -92% |
| Wellpoint | Commercial|Exchange | $267.47 | ↓ -92% |
| Bright Health | Commercial|All Plans | $298.72 | ↓ -92% |
| BCBS-TX | Commercial|Exchange | $309.77 | ↓ -91% |
| Cigna | Commercial|Surefit | $507.00 | ↓ -86% |
| UNITED | Medicaid|STARPLUS | $546.19 | ↓ -85% |
| Cigna | Commercial|HMO | $559.00 | ↓ -84% |
| BCBS-TX | Commercial|Blue Premier | $564.88 | ↓ -84% |
| Aetna | Commercial|Transplant | $590.00 | ↓ -83% |
| Aetna | Commercial|PPO | $667.00 | ↓ -81% |
| BCBS-TX | Commercial|HMO | $705.19 | ↓ -80% |
| BCBS-TX | Commercial|PPO | $792.66 | ↓ -78% |
| Humana | Commercial|HMO | $800.00 | ↓ -77% |
| Humana | Commercial|PPO | $800.00 | ↓ -77% |
| United | Commercial|Exchange | $1,315.00 | ↓ -63% |
| Cigna | Commercial|PPO | $1,405.00 | ↓ -60% |
| United | Commercial|Charter | $1,942.00 | ↓ -45% |
| United | Commercial|PPO | $2,156.00 | ↓ -39% |
| United | Commercial|HMO | $2,156.00 | ↓ -39% |
| Aetna-Kelsey Care | Commercial|HMO | $5,978.92 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $6,080.25 | ↑ +71% |
| First Health | Commercial|All Plans | $6,586.94 | ↑ +86% |
| Coventry | Commercial|PPO | $6,586.94 | ↑ +86% |
| Aetna | Commercial|HMO | $6,890.95 | ↑ +94% |
| Healthsmart | Commercial|PPO | $7,093.63 | ↑ +100% |
| Cigna | Commercial|Transplant | $7,093.63 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $7,600.32 | ↑ +114% |
Visitor-reported prices
Comments
Cta upper extremity w &/or without contrast left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $171.56 – $391.77 |
| Adventhealth Rollins Brook | Lampasas | $5,118.42 | $849.15 – $849.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,389.24 | $167.39 – $4,236.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,859.32 | $236.02 – $4,288.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,213.55 | $167.39 – $2,766.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,389.24 | $167.39 – $4,236.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,859.32 | $167.39 – $4,288.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,859.32 | $175.06 – $4,288.98 |