Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$235.20
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.
$672.00
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.
$78.23 with BCBS-TX vs $5,160.00 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 →
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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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $78.23 | ↓ -67% |
| TCHP | Medicaid|All Plans | $82.33 | ↓ -65% |
| CHC | Medicaid|All Plans | $82.33 | ↓ -65% |
| Wellpoint | Medicaid|All Plans | $86.66 | ↓ -63% |
| UNITED | Medicaid|All Other Plans | $88.39 | ↓ -62% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $100.13 | ↓ -57% |
| UNITED | Medicaid|STAR | $118.72 | ↓ -50% |
| BCBS-TX | Commercial|Blue Premier | $151.24 | ↓ -36% |
| BCBS-TX | Commercial|HMO | $179.40 | ↓ -24% |
| BCBS-TX | Commercial|PPO | $200.26 | ↓ -15% |
| UNITED | Medicaid|STARPLUS | $270.38 | ↑ +15% |
| Cigna Lifesource | Commercial|Transplant | $403.20 | ↑ +71% |
| Coventry | Commercial|PPO | $436.80 | ↑ +86% |
| First Health | Commercial|All Plans | $436.80 | ↑ +86% |
| PHCS | Commercial|All Plans | $436.80 | ↑ +86% |
| Aetna | Commercial|PPO | $456.96 | ↑ +94% |
| Cigna | Commercial|Transplant | $470.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $470.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $504.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $510.72 | ↑ +117% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +200% |
| KELSEY | Medicare|All Plans | $704.73 | ↑ +200% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $704.73 | ↑ +200% |
| HUMANA | Medicare|All Plans | $704.73 | ↑ +200% |
| UNITED | Medicare|All Plans | $718.82 | ↑ +206% |
| AETNA | Medicare|All Plans | $718.82 | ↑ +206% |
| AMERIVANTAGE | Medicare|All Plans | $725.87 | ↑ +209% |
| DEVOTED | Medicare|All Plans | $754.06 | ↑ +221% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +221% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +342% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +349% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +349% |
| Ambetter | Commercial|All Plans | $1,057.10 | ↑ +349% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +357% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +452% |
| United | Commercial|Exchange | $1,676.00 | ↑ +613% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +693% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +773% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +933% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +933% |
| United | Commercial|Charter | $2,474.00 | ↑ +952% |
| United | Commercial|HMO | $2,749.00 | ↑ +1069% |
| United | Commercial|PPO | $2,749.00 | ↑ +1069% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +2094% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $84.93 – $753.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,705.39 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,645.93 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,705.39 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,705.39 | $86.66 – $2,558.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,645.93 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,705.39 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,705.39 | $71.00 – $2,975.00 |