Drainage mouth roof lesion at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$211.68
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.
$604.80
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.
$83.20 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 | $83.20 | ↓ -61% |
| CHC | Medicaid|All Plans | $83.20 | ↓ -61% |
| Wellpoint | Medicaid|All Plans | $87.58 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $89.33 | ↓ -58% |
| UNITED | Medicaid|STAR | $119.98 | ↓ -43% |
| BCBS-TX | Commercial|Exchange | $152.73 | ↓ -28% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $195.49 | ↓ -8% |
| BCBS | Medicare|All Plans | $232.60 | ↑ +10% |
| HUMANA | Medicare|All Plans | $232.60 | ↑ +10% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $232.60 | ↑ +10% |
| KELSEY | Medicare|All Plans | $232.60 | ↑ +10% |
| UNITED | Medicare|All Plans | $237.25 | ↑ +12% |
| AETNA | Medicare|All Plans | $237.25 | ↑ +12% |
| AMERIVANTAGE | Medicare|All Plans | $239.58 | ↑ +13% |
| DEVOTED | Medicare|All Plans | $248.88 | ↑ +18% |
| SCANHealth | Medicare|All Plans | $248.88 | ↑ +18% |
| UNITED | Medicaid|STARPLUS | $273.25 | ↑ +29% |
| BCBS-TX | Commercial|Blue Premier | $295.28 | ↑ +39% |
| Wellpoint | Commercial|Exchange | $348.90 | ↑ +65% |
| Community Health Choice | Commercial|Exchange | $348.90 | ↑ +65% |
| Ambetter | Commercial|All Plans | $348.90 | ↑ +65% |
| BCBS-TX | Commercial|HMO | $350.26 | ↑ +65% |
| Bright Health | Commercial|All Plans | $353.79 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $362.88 | ↑ +71% |
| BCBS-TX | Commercial|PPO | $390.99 | ↑ +85% |
| First Health | Commercial|All Plans | $393.12 | ↑ +86% |
| Coventry | Commercial|PPO | $393.12 | ↑ +86% |
| Aetna | Commercial|PPO | $411.27 | ↑ +94% |
| Healthsmart | Commercial|PPO | $423.36 | ↑ +100% |
| Cigna | Commercial|Transplant | $423.36 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $453.60 | ↑ +114% |
| Aetna | Commercial|Transplant | $459.65 | ↑ +117% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +408% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +513% |
| United | Commercial|Exchange | $1,676.00 | ↑ +692% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +742% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +742% |
| United | Commercial|Charter | $2,474.00 | ↑ +1069% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +1133% |
| United | Commercial|PPO | $2,749.00 | ↑ +1199% |
| United | Commercial|HMO | $2,749.00 | ↑ +1199% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +1258% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +2349% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +3311% |
Visitor-reported prices
Comments
Drainage mouth roof lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $85.83 – $354.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $641.66 | $87.58 – $802.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $613.99 | $71.00 – $920.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $601.96 | $71.00 – $752.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $641.66 | $87.58 – $802.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $613.99 | $85.00 – $920.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $613.99 | $87.58 – $920.98 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $601.96 | $71.00 – $902.93 |