Cysto/uretero w/lithotripsy at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$9,002.88
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.
$25,722.50
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.
$1,528.00 with Aetna-Kelsey Care vs $30,902.00 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 | $1,528.00 | ↓ -83% |
| TCHP | Medicaid|All Plans | $1,604.96 | ↓ -82% |
| CHC | Medicaid|All Plans | $1,604.96 | ↓ -82% |
| Wellpoint | Medicaid|All Plans | $1,689.43 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $1,723.22 | ↓ -81% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -80% |
| UNITED | Medicaid|STAR | $2,314.52 | ↓ -74% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -73% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -73% |
| BCBS-TX | Commercial|Exchange | $3,173.72 | ↓ -65% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,062.36 | ↓ -55% |
| United | Commercial|Exchange | $4,078.00 | ↓ -55% |
| BCBS | Medicare|All Plans | $5,091.86 | ↓ -43% |
| KELSEY | Medicare|All Plans | $5,091.86 | ↓ -43% |
| HUMANA | Medicare|All Plans | $5,091.86 | ↓ -43% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $5,091.86 | ↓ -43% |
| UNITED | Medicare|All Plans | $5,193.70 | ↓ -42% |
| AETNA | Medicare|All Plans | $5,193.70 | ↓ -42% |
| AMERIVANTAGE | Medicare|All Plans | $5,244.62 | ↓ -42% |
| UNITED | Medicaid|STARPLUS | $5,271.02 | ↓ -41% |
| SCANHealth | Medicare|All Plans | $5,448.29 | ↓ -39% |
| DEVOTED | Medicare|All Plans | $5,448.29 | ↓ -39% |
| United | Commercial|Charter | $6,021.00 | ↓ -33% |
| BCBS-TX | Commercial|Blue Premier | $6,135.85 | ↓ -32% |
| United | Commercial|PPO | $6,690.00 | ↓ -26% |
| United | Commercial|HMO | $6,690.00 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $7,278.39 | ↓ -19% |
| Bright Health | Commercial|All Plans | $7,378.07 | ↓ -18% |
| Wellpoint | Commercial|Exchange | $7,637.79 | ↓ -15% |
| Ambetter | Commercial|All Plans | $7,637.79 | ↓ -15% |
| Community Health Choice | Commercial|Exchange | $7,637.79 | ↓ -15% |
| BCBS-TX | Commercial|PPO | $8,124.71 | ↓ -10% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +24% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +37% |
| Cigna Lifesource | Commercial|Transplant | $15,433.50 | ↑ +71% |
| First Health | Commercial|All Plans | $16,719.63 | ↑ +86% |
| PHCS | Commercial|All Plans | $16,719.63 | ↑ +86% |
| Coventry | Commercial|PPO | $16,719.63 | ↑ +86% |
| Aetna | Commercial|PPO | $17,491.30 | ↑ +94% |
| Healthsmart | Commercial|PPO | $18,005.75 | ↑ +100% |
| Cigna | Commercial|Transplant | $18,005.75 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $19,291.88 | ↑ +114% |
| Aetna | Commercial|Transplant | $19,549.10 | ↑ +117% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +243% |
Visitor-reported prices
Comments
Cysto/uretero w/lithotripsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1,655.64 – $7,363.02 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,748.22 | $1,689.43 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,966.17 | $71.00 – $13,449.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,101.74 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,748.22 | $1,689.43 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,966.17 | $85.00 – $13,449.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,966.17 | $1,689.43 – $13,449.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,101.74 | $71.00 – $15,152.62 |