Cystogram >= 3 views supervision & interpretation 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

$354.20

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.

Full explanation →

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

$1,012.00

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.

$39.37 with CHC vs $1,011.60 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 →

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
CHC Medicaid|All Plans $39.37 ↓ -89%
TCHP Medicaid|All Plans $39.37 ↓ -89%
Wellpoint Medicaid|All Plans $41.44 ↓ -88%
UNITED Medicaid|All Other Plans $42.27 ↓ -88%
UNITED Medicaid|STAR $56.77 ↓ -84%
Cigna Commercial|Surefit $81.02 ↓ -77%
Cigna Commercial|HMO $89.23 ↓ -75%
Cigna Commercial|PPO $109.50 ↓ -69%
UNITED Medicaid|STARPLUS $129.29 ↓ -63%
United Commercial|Exchange $140.00 ↓ -60%
United Commercial|Charter $209.00 ↓ -41%
United Commercial|PPO $230.00 ↓ -35%
United Commercial|HMO $230.00 ↓ -35%
BCBS Medicare|All Plans $357.71 ↑ +1%
KELSEY Medicare|All Plans $357.71 ↑ +1%
CIGNA-HEALTHSPRING Medicare|All Plans $357.71 ↑ +1%
HUMANA Medicare|All Plans $357.71 ↑ +1%
UNITED Medicare|All Plans $364.86 ↑ +3%
AETNA Medicare|All Plans $364.86 ↑ +3%
AMERIVANTAGE Medicare|All Plans $368.44 ↑ +4%
SCANHealth Medicare|All Plans $382.75 ↑ +8%
DEVOTED Medicare|All Plans $382.75 ↑ +8%
Community Health Choice Commercial|Exchange $536.57 ↑ +51%
Wellpoint Commercial|Exchange $536.57 ↑ +51%
Ambetter Commercial|All Plans $536.57 ↑ +51%
BCBS-TX Commercial|Exchange $538.41 ↑ +52%
BCBS - TX Commercial|MyBlue Health Exchange $557.50 ↑ +57%
Aetna-Kelsey Care Commercial|HMO $596.85 ↑ +69%
Cigna Lifesource Commercial|Transplant $606.96 ↑ +71%
Bright Health Commercial|All Plans $615.81 ↑ +74%
Coventry Commercial|PPO $657.54 ↑ +86%
First Health Commercial|All Plans $657.54 ↑ +86%
Aetna Commercial|HMO $687.89 ↑ +94%
Healthsmart Commercial|PPO $708.12 ↑ +100%
Cigna Commercial|Transplant $708.12 ↑ +100%
MultiPlan Commercial|All Plans $758.70 ↑ +114%
BCBS-TX Commercial|Blue Premier $977.54 ↑ +176%
BCBS-TX Commercial|HMO $1,011.60 ↑ +186%
BCBS-TX Commercial|PPO $1,011.60 ↑ +186%

Visitor-reported prices

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Cystogram >= 3 views supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $40.61 – $672.06
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $326.08 $41.44 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $728.84 $150.02 – $1,093.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $803.25 $41.44 – $1,004.06
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $326.08 $41.44 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $728.84 $44.34 – $1,093.27
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $728.84 $41.44 – $1,093.27
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $803.25 $41.44 – $1,204.88

All Texas hospitals for this procedure →