ER Visit (level 4) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,351.35
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.
$3,861.00
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.
$256.76 with CHC vs $5,609.00 with Aetna — 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 | $256.76 | ↓ -81% |
| TCHP | Medicaid|All Plans | $256.76 | ↓ -81% |
| Wellpoint | Medicaid|All Plans | $270.27 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $275.68 | ↓ -80% |
| UNITED | Medicaid|STAR | $370.27 | ↓ -73% |
| BCBS | Medicare|All Plans | $426.51 | ↓ -68% |
| HUMANA | Medicare|All Plans | $426.51 | ↓ -68% |
| KELSEY | Medicare|All Plans | $426.51 | ↓ -68% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $426.51 | ↓ -68% |
| UNITED | Medicare|All Plans | $435.04 | ↓ -68% |
| AETNA | Medicare|All Plans | $435.04 | ↓ -68% |
| AMERIVANTAGE | Medicare|All Plans | $439.31 | ↓ -67% |
| DEVOTED | Medicare|All Plans | $456.37 | ↓ -66% |
| SCANHealth | Medicare|All Plans | $456.37 | ↓ -66% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $513.61 | ↓ -62% |
| BCBS-TX | Commercial|Exchange | $594.53 | ↓ -56% |
| Bright Health | Commercial|All Plans | $608.34 | ↓ -55% |
| Ambetter | Commercial|All Plans | $639.76 | ↓ -53% |
| Community Health Choice | Commercial|Exchange | $639.76 | ↓ -53% |
| Wellpoint | Commercial|Exchange | $639.77 | ↓ -53% |
| BCBS-TX | Commercial|Blue Premier | $745.79 | ↓ -45% |
| UNITED | Medicaid|STARPLUS | $843.25 | ↓ -38% |
| BCBS-TX | Commercial|HMO | $985.01 | ↓ -27% |
| BCBS-TX | Commercial|PPO | $1,118.69 | ↓ -17% |
| United | Commercial|Exchange | $1,333.00 | ↓ -1% |
| Cigna | Commercial|Surefit | $1,862.00 | ↑ +38% |
| United | Commercial|Charter | $1,968.00 | ↑ +46% |
| Cigna | Commercial|HMO | $2,052.00 | ↑ +52% |
| Humana | Commercial|PPO | $2,160.00 | ↑ +60% |
| Humana | Commercial|HMO | $2,160.00 | ↑ +60% |
| United | Commercial|HMO | $2,186.00 | ↑ +62% |
| United | Commercial|PPO | $2,186.00 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $2,316.60 | ↑ +71% |
| Coventry | Commercial|PPO | $2,509.65 | ↑ +86% |
| First Health | Commercial|All Plans | $2,509.65 | ↑ +86% |
| Aetna | Commercial|PPO | $2,625.48 | ↑ +94% |
| Cigna | Commercial|Transplant | $2,702.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,702.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,895.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,934.36 | ↑ +117% |
| Aetna-Kelsey Care | Commercial|HMO | $4,649.00 | ↑ +244% |
| Cigna | Commercial|PPO | $5,154.00 | ↑ +281% |
| Aetna | Commercial|HMO | $5,609.00 | ↑ +315% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,386.19 | $1,354.39 – $1,354.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,273.68 | $360.88 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,601.69 | $329.68 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,676.36 | $335.27 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,273.68 | $339.65 – $3,894.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,601.69 | $398.20 – $4,008.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,601.69 | $827.54 – $3,780.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,676.36 | $398.20 – $3,780.00 |