ER Visit (level 5, high severity) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,753.15
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.
$5,009.00
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.
$333.10 with TCHP vs $7,146.00 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $333.10 | ↓ -81% |
| CHC | Medicaid|All Plans | $333.10 | ↓ -81% |
| Wellpoint | Medicaid|All Plans | $350.63 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $357.65 | ↓ -80% |
| UNITED | Medicaid|STAR | $480.37 | ↓ -73% |
| BCBS | Medicare|All Plans | $614.09 | ↓ -65% |
| KELSEY | Medicare|All Plans | $614.09 | ↓ -65% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $614.09 | ↓ -65% |
| HUMANA | Medicare|All Plans | $614.09 | ↓ -65% |
| UNITED | Medicare|All Plans | $626.37 | ↓ -64% |
| AETNA | Medicare|All Plans | $626.37 | ↓ -64% |
| AMERIVANTAGE | Medicare|All Plans | $632.51 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $657.08 | ↓ -63% |
| DEVOTED | Medicare|All Plans | $657.08 | ↓ -63% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $736.58 | ↓ -58% |
| BCBS-TX | Commercial|Exchange | $852.62 | ↓ -51% |
| Bright Health | Commercial|All Plans | $873.20 | ↓ -50% |
| Community Health Choice | Commercial|Exchange | $921.13 | ↓ -47% |
| Ambetter | Commercial|All Plans | $921.13 | ↓ -47% |
| Wellpoint | Commercial|Exchange | $921.14 | ↓ -47% |
| BCBS-TX | Commercial|Blue Premier | $1,069.56 | ↓ -39% |
| UNITED | Medicaid|STARPLUS | $1,093.97 | ↓ -38% |
| BCBS-TX | Commercial|HMO | $1,412.63 | ↓ -19% |
| BCBS-TX | Commercial|PPO | $1,604.34 | ↓ -8% |
| United | Commercial|Exchange | $1,725.00 | ↓ -2% |
| Cigna | Commercial|Surefit | $2,116.00 | ↑ +21% |
| Cigna | Commercial|HMO | $2,332.00 | ↑ +33% |
| United | Commercial|Charter | $2,546.00 | ↑ +45% |
| United | Commercial|HMO | $2,829.00 | ↑ +61% |
| United | Commercial|PPO | $2,829.00 | ↑ +61% |
| Cigna Lifesource | Commercial|Transplant | $3,005.40 | ↑ +71% |
| Humana | Commercial|PPO | $3,060.00 | ↑ +75% |
| Humana | Commercial|HMO | $3,060.00 | ↑ +75% |
| Coventry | Commercial|PPO | $3,255.85 | ↑ +86% |
| First Health | Commercial|All Plans | $3,255.85 | ↑ +86% |
| Aetna | Commercial|PPO | $3,406.12 | ↑ +94% |
| Healthsmart | Commercial|PPO | $3,506.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,506.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,756.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,806.84 | ↑ +117% |
| Cigna | Commercial|PPO | $5,857.00 | ↑ +234% |
| Aetna-Kelsey Care | Commercial|HMO | $5,925.00 | ↑ +238% |
| Aetna | Commercial|HMO | $7,146.00 | ↑ +308% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,327.80 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,377.55 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,377.55 | $1,228.40 – $5,475.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,377.55 | $568.33 – $5,475.00 |