Emg 2 ext w-w/o paraspinal area 95861 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$240.35
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.
$686.70
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.
$100.00 with Cigna vs $515.03 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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $100.00 | ↓ -58% |
| Cigna | Commercial|PPO | $100.00 | ↓ -58% |
| Cigna | Commercial|HMO | $100.00 | ↓ -58% |
| HUMANA | Medicare|All Plans | $129.11 | ↓ -46% |
| KELSEY | Medicare|All Plans | $129.11 | ↓ -46% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $129.11 | ↓ -46% |
| BCBS | Medicare|All Plans | $129.11 | ↓ -46% |
| AETNA | Medicare|All Plans | $131.69 | ↓ -45% |
| UNITED | Medicare|All Plans | $131.69 | ↓ -45% |
| AMERIVANTAGE | Medicare|All Plans | $132.98 | ↓ -45% |
| DEVOTED | Medicare|All Plans | $138.15 | ↓ -43% |
| SCANHealth | Medicare|All Plans | $138.15 | ↓ -43% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $159.18 | ↓ -34% |
| BCBS-TX | Commercial|Exchange | $184.26 | ↓ -23% |
| Bright Health | Commercial|All Plans | $188.56 | ↓ -22% |
| Community Health Choice | Commercial|Exchange | $193.67 | ↓ -19% |
| Wellpoint | Commercial|Exchange | $193.67 | ↓ -19% |
| Ambetter | Commercial|All Plans | $193.67 | ↓ -19% |
| United | Commercial|Exchange | $217.00 | ↓ -10% |
| BCBS-TX | Commercial|Blue Premier | $231.14 | ↓ -4% |
| BCBS-TX | Commercial|HMO | $305.28 | ↑ +27% |
| United | Commercial|Charter | $322.00 | ↑ +34% |
| BCBS-TX | Commercial|PPO | $346.72 | ↑ +44% |
| United | Commercial|HMO | $355.00 | ↑ +48% |
| United | Commercial|PPO | $355.00 | ↑ +48% |
| Cigna Lifesource | Commercial|Transplant | $412.02 | ↑ +71% |
| First Health | Commercial|All Plans | $446.36 | ↑ +86% |
| Coventry | Commercial|PPO | $446.36 | ↑ +86% |
| Healthsmart | Commercial|PPO | $480.69 | ↑ +100% |
| Cigna | Commercial|Transplant | $480.69 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $515.03 | ↑ +114% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $1,944.55 | $255.13 – $854.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $649.80 | $133.75 – $974.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $497.74 | $99.55 – $622.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $649.80 | $126.97 – $974.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $649.80 | $316.45 – $974.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $497.74 | $126.97 – $746.60 |