Dup scan/ue art/graft/bilat/comp 93930 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,389.50
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.
$3,970.00
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.
$186.33 with TCHP vs $2,977.50 with MultiPlan — 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 | $186.33 | ↓ -87% |
| CHC | Medicaid|All Plans | $186.33 | ↓ -87% |
| Wellpoint | Medicaid|All Plans | $196.14 | ↓ -86% |
| UNITED | Medicaid|All Other Plans | $200.06 | ↓ -86% |
| KELSEY | Medicare|All Plans | $242.11 | ↓ -83% |
| BCBS | Medicare|All Plans | $242.11 | ↓ -83% |
| HUMANA | Medicare|All Plans | $242.11 | ↓ -83% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $242.11 | ↓ -83% |
| United | Commercial|Exchange | $245.00 | ↓ -82% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $246.77 | ↓ -82% |
| UNITED | Medicare|All Plans | $246.95 | ↓ -82% |
| AETNA | Medicare|All Plans | $246.95 | ↓ -82% |
| AMERIVANTAGE | Medicare|All Plans | $249.37 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $259.06 | ↓ -81% |
| DEVOTED | Medicare|All Plans | $259.06 | ↓ -81% |
| UNITED | Medicaid|STAR | $268.71 | ↓ -81% |
| BCBS-TX | Commercial|Exchange | $285.64 | ↓ -79% |
| BCBS-TX | Commercial|Blue Premier | $358.32 | ↓ -74% |
| United | Commercial|Charter | $361.00 | ↓ -74% |
| Ambetter | Commercial|All Plans | $363.17 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $363.17 | ↓ -74% |
| Community Health Choice | Commercial|Exchange | $363.17 | ↓ -74% |
| Bright Health | Commercial|All Plans | $384.80 | ↓ -72% |
| United | Commercial|HMO | $401.00 | ↓ -71% |
| United | Commercial|PPO | $401.00 | ↓ -71% |
| BCBS-TX | Commercial|HMO | $473.26 | ↓ -66% |
| Cigna | Commercial|Surefit | $503.32 | ↓ -64% |
| BCBS-TX | Commercial|PPO | $537.48 | ↓ -61% |
| Cigna | Commercial|HMO | $554.33 | ↓ -60% |
| UNITED | Medicaid|STARPLUS | $611.96 | ↓ -56% |
| Cigna | Commercial|PPO | $680.14 | ↓ -51% |
| Cigna Lifesource | Commercial|Transplant | $2,382.00 | ↑ +71% |
| Coventry | Commercial|PPO | $2,580.50 | ↑ +86% |
| First Health | Commercial|All Plans | $2,580.50 | ↑ +86% |
| Healthsmart | Commercial|PPO | $2,779.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,779.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,977.50 | ↑ +114% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $192.22 – $575.53 |
| Adventhealth Rollins Brook | Lampasas | $2,124.64 | $650.73 – $650.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $904.78 | $186.23 – $1,357.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $838.98 | $197.14 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $904.78 | $210.94 – $1,357.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $904.78 | $197.14 – $1,357.17 |