Egd/remov tum/polyp/hot bx forcep 43250 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$688.59
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.
?
What you pay up front if you don't use insurance.
$1,967.40
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.
?
The hospital's undiscounted list price — almost no one pays this.
$536.72 with TCHP vs $7,221.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $536.72 | ↓ -22% |
| CHC | Medicaid|All Plans | $536.72 | ↓ -22% |
| Wellpoint | Medicaid|All Plans | $564.97 | ↓ -18% |
| UNITED | Medicaid|All Other Plans | $576.27 | ↓ -16% |
| UNITED | Medicaid|STAR | $774.01 | ↑ +12% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +56% |
| BCBS-TX | Commercial|Exchange | $1,168.05 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $1,180.44 | ↑ +71% |
| First Health | Commercial|All Plans | $1,278.81 | ↑ +86% |
| Coventry | Commercial|PPO | $1,278.81 | ↑ +86% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +89% |
| Aetna | Commercial|PPO | $1,337.84 | ↑ +94% |
| Healthsmart | Commercial|PPO | $1,377.18 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,377.18 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,475.55 | ↑ +114% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,495.10 | ↑ +117% |
| Aetna | Commercial|Transplant | $1,495.23 | ↑ +117% |
| UNITED | Medicaid|STARPLUS | $1,762.71 | ↑ +156% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +159% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +159% |
| BCBS | Medicare|All Plans | $1,900.06 | ↑ +176% |
| HUMANA | Medicare|All Plans | $1,900.06 | ↑ +176% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $1,900.06 | ↑ +176% |
| KELSEY | Medicare|All Plans | $1,900.06 | ↑ +176% |
| AETNA | Medicare|All Plans | $1,938.06 | ↑ +181% |
| UNITED | Medicare|All Plans | $1,938.06 | ↑ +181% |
| AMERIVANTAGE | Medicare|All Plans | $1,957.06 | ↑ +184% |
| DEVOTED | Medicare|All Plans | $2,033.06 | ↑ +195% |
| SCANHealth | Medicare|All Plans | $2,033.06 | ↑ +195% |
| BCBS-TX | Commercial|Blue Premier | $2,258.23 | ↑ +228% |
| United | Commercial|Exchange | $2,303.00 | ↑ +234% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +279% |
| BCBS-TX | Commercial|HMO | $2,678.73 | ↑ +289% |
| Bright Health | Commercial|All Plans | $2,716.18 | ↑ +294% |
| Community Health Choice | Commercial|Exchange | $2,850.09 | ↑ +314% |
| Wellpoint | Commercial|Exchange | $2,850.09 | ↑ +314% |
| Ambetter | Commercial|All Plans | $2,850.09 | ↑ +314% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +318% |
| BCBS-TX | Commercial|PPO | $2,990.21 | ↑ +334% |
| United | Commercial|Charter | $3,400.00 | ↑ +394% |
| United | Commercial|HMO | $3,778.00 | ↑ +449% |
| United | Commercial|PPO | $3,778.00 | ↑ +449% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +653% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +949% |
Visitor-reported prices
Comments
Egd/remov tum/polyp/hot bx forcep 43250 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $553.67 – $2,709.88 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,946.75 – $3,432.54 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $564.97 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | not published | $564.97 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | not published | $564.97 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | not published | $564.97 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | not published | $564.97 – $4,713.77 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $553.67 – $2,491.84 |