Cystouretero & or pyeloscope 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

$1,178.10

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.

$3,366.00

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.

$1,085.76 with TCHP 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 →

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 $1,085.76 ↓ -8%
CHC Medicaid|All Plans $1,085.76 ↓ -8%
Wellpoint Medicaid|All Plans $1,142.90 ↓ -3%
UNITED Medicaid|All Other Plans $1,165.76 ↓ -1%
Aetna-Kelsey Care Commercial|HMO $1,233.00 ↑ +5%
Aetna Commercial|HMO $1,488.00 ↑ +26%
UNITED Medicaid|STAR $1,565.77 ↑ +33%
Cigna Lifesource Commercial|Transplant $2,019.60 ↑ +71%
Humana Commercial|PPO $2,025.00 ↑ +72%
Humana Commercial|HMO $2,025.00 ↑ +72%
Coventry Commercial|PPO $2,187.90 ↑ +86%
First Health Commercial|All Plans $2,187.90 ↑ +86%
BCBS-TX Commercial|Exchange $2,263.91 ↑ +92%
Aetna Commercial|PPO $2,288.88 ↑ +94%
Cigna Commercial|Transplant $2,356.20 ↑ +100%
Healthsmart Commercial|PPO $2,356.20 ↑ +100%
MultiPlan Commercial|All Plans $2,524.50 ↑ +114%
Aetna Commercial|Transplant $2,558.16 ↑ +117%
BCBS - TX Commercial|MyBlue Health Exchange $2,897.80 ↑ +146%
United Commercial|Exchange $3,137.00 ↑ +166%
BCBS Medicare|All Plans $3,454.56 ↑ +193%
HUMANA Medicare|All Plans $3,454.56 ↑ +193%
KELSEY Medicare|All Plans $3,454.56 ↑ +193%
CIGNA-HEALTHSPRING Medicare|All Plans $3,454.56 ↑ +193%
AETNA Medicare|All Plans $3,523.65 ↑ +199%
UNITED Medicare|All Plans $3,523.65 ↑ +199%
AMERIVANTAGE Medicare|All Plans $3,558.20 ↑ +202%
UNITED Medicaid|STARPLUS $3,565.85 ↑ +203%
SCANHealth Medicare|All Plans $3,696.38 ↑ +214%
DEVOTED Medicare|All Plans $3,696.38 ↑ +214%
BCBS-TX Commercial|Blue Premier $4,376.88 ↑ +272%
United Commercial|Charter $4,631.00 ↑ +293%
Bright Health Commercial|All Plans $5,141.58 ↑ +336%
United Commercial|HMO $5,145.00 ↑ +337%
United Commercial|PPO $5,145.00 ↑ +337%
Community Health Choice Commercial|Exchange $5,181.84 ↑ +340%
Ambetter Commercial|All Plans $5,181.84 ↑ +340%
Wellpoint Commercial|Exchange $5,181.84 ↑ +340%
BCBS-TX Commercial|HMO $5,191.89 ↑ +341%
PHCS Commercial|All Plans $5,252.00 ↑ +346%
BCBS-TX Commercial|PPO $5,795.60 ↑ +392%
Cigna Commercial|Surefit $11,164.00 ↑ +848%
Cigna Commercial|HMO $12,302.00 ↑ +944%
Cigna Commercial|PPO $30,902.00 ↑ +2523%

Visitor-reported prices

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Cystouretero & or pyeloscope at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $1,120.04 – $5,252.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $3,707.00 $71.00 – $8,636.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $4,013.63 $71.00 – $8,636.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $3,707.00 $85.00 – $8,636.11
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $3,707.00 $1,142.90 – $8,636.11
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $4,013.63 $71.00 – $8,636.11
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $3,707.00 $71.00 – $8,636.11
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $3,707.00 $71.00 – $8,636.11

All Texas hospitals for this procedure →