Epstein barr viral capsid antigen antibody igm 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

$85.40

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.

$244.00

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.

$14.48 with TCHP vs $183.00 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 →

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 $14.48 ↓ -83%
CHC Medicaid|All Plans $14.48 ↓ -83%
Wellpoint Medicaid|All Plans $15.24 ↓ -82%
UNITED Medicaid|All Other Plans $15.54 ↓ -82%
KELSEY Medicare|All Plans $18.14 ↓ -79%
CIGNA-HEALTHSPRING Medicare|All Plans $18.14 ↓ -79%
BCBS Medicare|All Plans $18.14 ↓ -79%
HUMANA Medicare|All Plans $18.14 ↓ -79%
UNITED Medicare|All Plans $18.50 ↓ -78%
AETNA Medicare|All Plans $18.50 ↓ -78%
AMERIVANTAGE Medicare|All Plans $18.68 ↓ -78%
SCANHealth Medicare|All Plans $19.41 ↓ -77%
DEVOTED Medicare|All Plans $19.41 ↓ -77%
UNITED Medicaid|STAR $20.88 ↓ -76%
BCBS - TX Commercial|MyBlue Health Exchange $26.48 ↓ -69%
Wellpoint Commercial|Exchange $27.21 ↓ -68%
Ambetter Commercial|All Plans $27.21 ↓ -68%
Community Health Choice Commercial|Exchange $27.21 ↓ -68%
Bright Health Commercial|All Plans $29.93 ↓ -65%
United Commercial|Charter $33.60 ↓ -61%
United Commercial|HMO $33.60 ↓ -61%
United Commercial|Exchange $33.60 ↓ -61%
United Commercial|PPO $33.60 ↓ -61%
BCBS-TX Commercial|Exchange $34.47 ↓ -60%
Cigna Commercial|Surefit $42.97 ↓ -50%
Cigna Commercial|HMO $47.41 ↓ -44%
UNITED Medicaid|STARPLUS $47.55 ↓ -44%
BCBS-TX Commercial|Blue Premier $59.14 ↓ -31%
Cigna Commercial|PPO $64.81 ↓ -24%
BCBS-TX Commercial|HMO $79.45 ↓ -7%
BCBS-TX Commercial|PPO $93.06 ↑ +9%
Aetna-Kelsey Care Commercial|HMO $143.96 ↑ +69%
Cigna Lifesource Commercial|Transplant $146.40 ↑ +71%
First Health Commercial|All Plans $158.60 ↑ +86%
Coventry Commercial|PPO $158.60 ↑ +86%
Aetna Commercial|HMO $165.92 ↑ +94%
Healthsmart Commercial|PPO $170.80 ↑ +100%
Cigna Commercial|Transplant $170.80 ↑ +100%
MultiPlan Commercial|All Plans $183.00 ↑ +114%

Visitor-reported prices

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Epstein barr viral capsid antigen antibody igm at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $14.94 – $75.26
Adventhealth Rollins Brook Lampasas $236.46 $16.33 – $69.84
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $132.49 $7.20 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $132.49 $2.47 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $117.77 $9.28 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $132.49 $9.40 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $132.49 $9.28 – $43.54
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $132.49 $8.00 – $43.54

All Texas hospitals for this procedure →