ER Visit (level 1, minor) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$236.60
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.
$676.00
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.
$48.79 with CHC vs $1,085.00 with United — 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 |
|---|---|---|---|
| CHC | Medicaid|All Plans | $48.79 | ↓ -79% |
| TCHP | Medicaid|All Plans | $48.79 | ↓ -79% |
| Wellpoint | Medicaid|All Plans | $51.36 | ↓ -78% |
| UNITED | Medicaid|STAR | $52.39 | ↓ -78% |
| UNITED | Medicaid|STARPLUS | $52.39 | ↓ -78% |
| UNITED | Medicaid|All Other Plans | $52.39 | ↓ -78% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -63% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -63% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $88.19 | ↓ -63% |
| HUMANA | Medicare|All Plans | $88.19 | ↓ -63% |
| UNITED | Medicare|All Plans | $89.95 | ↓ -62% |
| AETNA | Medicare|All Plans | $89.95 | ↓ -62% |
| AMERIVANTAGE | Medicare|All Plans | $90.84 | ↓ -62% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -60% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -60% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $101.65 | ↓ -57% |
| BCBS-TX | Commercial|Exchange | $117.66 | ↓ -50% |
| Bright Health | Commercial|All Plans | $121.31 | ↓ -49% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↓ -44% |
| Ambetter | Commercial|All Plans | $132.28 | ↓ -44% |
| Wellpoint | Commercial|Exchange | $132.29 | ↓ -44% |
| BCBS-TX | Commercial|Blue Premier | $147.59 | ↓ -38% |
| BCBS-TX | Commercial|HMO | $194.94 | ↓ -18% |
| BCBS-TX | Commercial|PPO | $221.39 | ↓ -6% |
| Aetna-Kelsey Care | Commercial|HMO | $266.00 | ↑ +12% |
| Humana | Commercial|PPO | $276.00 | ↑ +17% |
| Humana | Commercial|HMO | $276.00 | ↑ +17% |
| Aetna | Commercial|HMO | $319.00 | ↑ +35% |
| Cigna | Commercial|Surefit | $383.00 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $405.60 | ↑ +71% |
| Cigna | Commercial|HMO | $422.00 | ↑ +78% |
| First Health | Commercial|All Plans | $439.40 | ↑ +86% |
| Coventry | Commercial|PPO | $439.40 | ↑ +86% |
| Aetna | Commercial|PPO | $459.68 | ↑ +94% |
| Cigna | Commercial|Transplant | $473.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $473.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $507.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $513.76 | ↑ +117% |
| United | Commercial|Exchange | $661.00 | ↑ +179% |
| United | Commercial|Charter | $976.00 | ↑ +313% |
| Cigna | Commercial|PPO | $1,060.00 | ↑ +348% |
| United | Commercial|PPO | $1,085.00 | ↑ +359% |
| United | Commercial|HMO | $1,085.00 | ↑ +359% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $50.33 – $77.04 |
| Adventhealth Rollins Brook | Lampasas | $409.49 | $268.04 – $268.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $286.94 | $76.52 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $312.33 | $80.47 – $859.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $312.33 | $161.37 – $600.00 |