Debr musc/fascia 20sq cm/< 11043 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$2,892.05
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.
$8,263.00
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.
$205.96 with TCHP vs $7,221.00 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $205.96 | ↓ -93% |
| CHC | Medicaid|All Plans | $205.96 | ↓ -93% |
| Wellpoint | Medicaid|All Plans | $216.80 | ↓ -93% |
| UNITED | Medicaid|All Other Plans | $221.14 | ↓ -92% |
| UNITED | Medicaid|STAR | $297.02 | ↓ -90% |
| BCBS-TX | Commercial|Exchange | $372.77 | ↓ -87% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $477.14 | ↓ -84% |
| BCBS | Medicare|All Plans | $613.12 | ↓ -79% |
| KELSEY | Medicare|All Plans | $613.12 | ↓ -79% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $613.12 | ↓ -79% |
| HUMANA | Medicare|All Plans | $613.12 | ↓ -79% |
| UNITED | Medicare|All Plans | $625.38 | ↓ -78% |
| AETNA | Medicare|All Plans | $625.38 | ↓ -78% |
| AMERIVANTAGE | Medicare|All Plans | $631.51 | ↓ -78% |
| DEVOTED | Medicare|All Plans | $656.04 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $656.04 | ↓ -77% |
| UNITED | Medicaid|STARPLUS | $676.42 | ↓ -77% |
| BCBS-TX | Commercial|Blue Premier | $720.68 | ↓ -75% |
| BCBS-TX | Commercial|HMO | $854.87 | ↓ -70% |
| Bright Health | Commercial|All Plans | $875.84 | ↓ -70% |
| Community Health Choice | Commercial|Exchange | $919.68 | ↓ -68% |
| Ambetter | Commercial|All Plans | $919.68 | ↓ -68% |
| Wellpoint | Commercial|Exchange | $919.68 | ↓ -68% |
| BCBS-TX | Commercial|PPO | $954.28 | ↓ -67% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -63% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -55% |
| United | Commercial|Exchange | $1,676.00 | ↓ -42% |
| Humana | Commercial|HMO | $1,782.00 | ↓ -38% |
| Humana | Commercial|PPO | $1,782.00 | ↓ -38% |
| United | Commercial|Charter | $2,474.00 | ↓ -14% |
| Cigna | Commercial|Surefit | $2,609.00 | ↓ -10% |
| United | Commercial|HMO | $2,749.00 | ↓ -5% |
| United | Commercial|PPO | $2,749.00 | ↓ -5% |
| Cigna | Commercial|HMO | $2,875.00 | ↓ -1% |
| Cigna Lifesource | Commercial|Transplant | $4,957.80 | ↑ +71% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +79% |
| First Health | Commercial|All Plans | $5,370.95 | ↑ +86% |
| Coventry | Commercial|PPO | $5,370.95 | ↑ +86% |
| Aetna | Commercial|PPO | $5,618.84 | ↑ +94% |
| Cigna | Commercial|Transplant | $5,784.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,784.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $6,197.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $6,279.88 | ↑ +117% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +150% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $232.63 – $864.81 |
| Adventhealth Rollins Brook | Lampasas | $1,415.06 | $621.28 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,353.12 | $262.63 – $1,691.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,283.06 | $71.00 – $1,924.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,523.50 | $71.00 – $1,904.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,353.12 | $262.63 – $1,691.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,283.06 | $85.00 – $1,924.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,283.06 | $262.63 – $1,924.60 |