Cystouretero w/lithotripsy at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$4,650.10
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.
$13,286.00
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 | ↓ -67% |
| TCHP | Medicaid|All Plans | $1,604.96 | ↓ -65% |
| CHC | Medicaid|All Plans | $1,604.96 | ↓ -65% |
| Wellpoint | Medicaid|All Plans | $1,689.43 | ↓ -64% |
| UNITED | Medicaid|All Other Plans | $1,723.22 | ↓ -63% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -60% |
| UNITED | Medicaid|STAR | $2,314.52 | ↓ -50% |
| Humana | Commercial|PPO | $2,511.00 | ↓ -46% |
| Humana | Commercial|HMO | $2,511.00 | ↓ -46% |
| BCBS-TX | Commercial|Exchange | $3,173.72 | ↓ -32% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,062.36 | ↓ -13% |
| United | Commercial|Exchange | $4,078.00 | ↓ -12% |
| BCBS | Medicare|All Plans | $5,091.86 | ↑ +10% |
| KELSEY | Medicare|All Plans | $5,091.86 | ↑ +10% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $5,091.86 | ↑ +10% |
| HUMANA | Medicare|All Plans | $5,091.86 | ↑ +10% |
| AETNA | Medicare|All Plans | $5,193.70 | ↑ +12% |
| UNITED | Medicare|All Plans | $5,193.70 | ↑ +12% |
| AMERIVANTAGE | Medicare|All Plans | $5,244.62 | ↑ +13% |
| UNITED | Medicaid|STARPLUS | $5,271.02 | ↑ +13% |
| DEVOTED | Medicare|All Plans | $5,448.29 | ↑ +17% |
| SCANHealth | Medicare|All Plans | $5,448.29 | ↑ +17% |
| United | Commercial|Charter | $6,021.00 | ↑ +29% |
| BCBS-TX | Commercial|Blue Premier | $6,135.85 | ↑ +32% |
| United | Commercial|HMO | $6,690.00 | ↑ +44% |
| United | Commercial|PPO | $6,690.00 | ↑ +44% |
| PHCS | Commercial|All Plans | $7,089.00 | ↑ +52% |
| BCBS-TX | Commercial|HMO | $7,278.39 | ↑ +57% |
| Bright Health | Commercial|All Plans | $7,378.07 | ↑ +59% |
| Wellpoint | Commercial|Exchange | $7,637.79 | ↑ +64% |
| Ambetter | Commercial|All Plans | $7,637.79 | ↑ +64% |
| Community Health Choice | Commercial|Exchange | $7,637.79 | ↑ +64% |
| Cigna Lifesource | Commercial|Transplant | $7,971.60 | ↑ +71% |
| BCBS-TX | Commercial|PPO | $8,124.71 | ↑ +75% |
| First Health | Commercial|All Plans | $8,635.90 | ↑ +86% |
| Coventry | Commercial|PPO | $8,635.90 | ↑ +86% |
| Aetna | Commercial|PPO | $9,034.48 | ↑ +94% |
| Cigna | Commercial|Transplant | $9,300.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $9,300.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $9,964.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $10,097.36 | ↑ +117% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +140% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +165% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +565% |
Visitor-reported prices
Comments
Cystouretero 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 SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,914.84 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,440.61 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,914.84 | $85.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,914.84 | $1,689.43 – $12,818.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,440.61 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $6,914.84 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $6,914.84 | $71.00 – $12,818.21 |