Declotting thrombolytic agent implanted vas access device 36 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

$276.26

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.

$789.30

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.

$23.55 with BCBS-TX vs $2,749.00 with United — 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
BCBS-TX Commercial|Exchange $23.55 ↓ -91%
CHC Medicaid|All Plans $24.98 ↓ -91%
TCHP Medicaid|All Plans $24.98 ↓ -91%
Wellpoint Medicaid|All Plans $26.30 ↓ -90%
UNITED Medicaid|All Other Plans $26.83 ↓ -90%
BCBS - TX Commercial|MyBlue Health Exchange $30.14 ↓ -89%
UNITED Medicaid|STAR $36.03 ↓ -87%
BCBS-TX Commercial|Blue Premier $45.53 ↓ -84%
BCBS-TX Commercial|HMO $54.01 ↓ -80%
BCBS-TX Commercial|PPO $60.29 ↓ -78%
UNITED Medicaid|STARPLUS $82.06 ↓ -70%
Cigna Commercial|Surefit $140.00 ↓ -49%
Cigna Commercial|HMO $154.00 ↓ -44%
HUMANA Medicare|All Plans $332.23 ↑ +20%
KELSEY Medicare|All Plans $332.23 ↑ +20%
CIGNA-HEALTHSPRING Medicare|All Plans $332.23 ↑ +20%
BCBS Medicare|All Plans $332.23 ↑ +20%
UNITED Medicare|All Plans $338.87 ↑ +23%
AETNA Medicare|All Plans $338.87 ↑ +23%
AMERIVANTAGE Medicare|All Plans $342.20 ↑ +24%
DEVOTED Medicare|All Plans $355.49 ↑ +29%
SCANHealth Medicare|All Plans $355.49 ↑ +29%
Cigna Commercial|PPO $387.00 ↑ +40%
Cigna Lifesource Commercial|Transplant $473.40 ↑ +71%
Wellpoint Commercial|Exchange $498.35 ↑ +80%
Community Health Choice Commercial|Exchange $498.35 ↑ +80%
Ambetter Commercial|All Plans $498.35 ↑ +80%
First Health Commercial|All Plans $512.85 ↑ +86%
PHCS Commercial|All Plans $512.85 ↑ +86%
Coventry Commercial|PPO $512.85 ↑ +86%
Bright Health Commercial|All Plans $533.21 ↑ +93%
Aetna Commercial|PPO $536.52 ↑ +94%
Cigna Commercial|Transplant $552.30 ↑ +100%
Healthsmart Commercial|PPO $552.30 ↑ +100%
MultiPlan Commercial|All Plans $591.75 ↑ +114%
Aetna Commercial|Transplant $599.64 ↑ +117%
Aetna-Kelsey Care Commercial|HMO $807.00 ↑ +192%
Aetna Commercial|HMO $972.00 ↑ +252%
United Commercial|Exchange $1,676.00 ↑ +507%
Humana Commercial|PPO $2,430.00 ↑ +780%
Humana Commercial|HMO $2,430.00 ↑ +780%
United Commercial|Charter $2,474.00 ↑ +796%
United Commercial|HMO $2,749.00 ↑ +895%
United Commercial|PPO $2,749.00 ↑ +895%

Visitor-reported prices

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Declotting thrombolytic agent implanted vas access device 36 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $25.77 – $226.71
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $635.93 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $693.86 $28.14 – $1,040.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $492.66 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $635.93 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $693.86 $28.14 – $1,040.80
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $693.86 $26.30 – $1,040.80
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $492.66 $26.30 – $838.97

All Texas hospitals for this procedure →