Epidrm a-grft face/nck/hf/g 15115 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

$572.36

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.

$1,635.30

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.

$673.56 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 →

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
TCHP Medicaid|All Plans $673.56 ↑ +18%
CHC Medicaid|All Plans $673.56 ↑ +18%
Wellpoint Medicaid|All Plans $709.01 ↑ +24%
UNITED Medicaid|All Other Plans $723.19 ↑ +26%
UNITED Medicaid|STAR $971.34 ↑ +70%
Cigna Lifesource Commercial|Transplant $981.18 ↑ +71%
First Health Commercial|All Plans $1,062.95 ↑ +86%
Coventry Commercial|PPO $1,062.95 ↑ +86%
Aetna-Kelsey Care Commercial|HMO $1,076.00 ↑ +88%
Aetna Commercial|PPO $1,112.01 ↑ +94%
Healthsmart Commercial|PPO $1,144.71 ↑ +100%
Cigna Commercial|Transplant $1,144.71 ↑ +100%
BCBS-TX Commercial|Exchange $1,217.06 ↑ +113%
MultiPlan Commercial|All Plans $1,226.48 ↑ +114%
Aetna Commercial|Transplant $1,242.83 ↑ +117%
Aetna Commercial|HMO $1,298.00 ↑ +127%
BCBS - TX Commercial|MyBlue Health Exchange $1,557.83 ↑ +172%
Humana Commercial|PPO $1,782.00 ↑ +211%
Humana Commercial|HMO $1,782.00 ↑ +211%
BCBS Medicare|All Plans $1,832.19 ↑ +220%
HUMANA Medicare|All Plans $1,832.19 ↑ +220%
CIGNA-HEALTHSPRING Medicare|All Plans $1,832.19 ↑ +220%
KELSEY Medicare|All Plans $1,832.19 ↑ +220%
UNITED Medicare|All Plans $1,868.83 ↑ +227%
AETNA Medicare|All Plans $1,868.83 ↑ +227%
AMERIVANTAGE Medicare|All Plans $1,887.16 ↑ +230%
DEVOTED Medicare|All Plans $1,960.44 ↑ +243%
SCANHealth Medicare|All Plans $1,960.44 ↑ +243%
UNITED Medicaid|STARPLUS $2,212.11 ↑ +286%
United Commercial|Exchange $2,303.00 ↑ +302%
BCBS-TX Commercial|Blue Premier $2,352.97 ↑ +311%
Cigna Commercial|Surefit $2,609.00 ↑ +356%
Community Health Choice Commercial|Exchange $2,748.28 ↑ +380%
Ambetter Commercial|All Plans $2,748.28 ↑ +380%
Wellpoint Commercial|Exchange $2,748.29 ↑ +380%
BCBS-TX Commercial|HMO $2,791.11 ↑ +388%
Bright Health Commercial|All Plans $2,864.28 ↑ +400%
Cigna Commercial|HMO $2,875.00 ↑ +402%
BCBS-TX Commercial|PPO $3,115.66 ↑ +444%
United Commercial|Charter $3,400.00 ↑ +494%
United Commercial|PPO $3,778.00 ↑ +560%
United Commercial|HMO $3,778.00 ↑ +560%
PHCS Commercial|All Plans $5,185.00 ↑ +806%
Cigna Commercial|PPO $7,221.00 ↑ +1162%

Visitor-reported prices

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Epidrm a-grft face/nck/hf/g 15115 at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $694.83 – $2,823.57
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,357.46 $709.01 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $2,141.41 $71.00 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $3,212.11 $71.00 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,357.46 $709.01 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $2,141.41 $85.00 – $4,517.58
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $2,141.41 $709.01 – $4,517.58
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $3,212.11 $71.00 – $4,818.17

All Texas hospitals for this procedure →