Exchange biliary drg cath at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$2,057.27
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.
$5,877.90
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.
$1,076.00 with Aetna-Kelsey Care vs $20,636.00 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -48% |
| CHC | Medicaid|All Plans | $1,093.96 | ↓ -47% |
| TCHP | Medicaid|All Plans | $1,093.96 | ↓ -47% |
| Wellpoint | Medicaid|All Plans | $1,151.54 | ↓ -44% |
| UNITED | Medicaid|All Other Plans | $1,174.57 | ↓ -43% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -37% |
| UNITED | Medicaid|STAR | $1,577.61 | ↓ -23% |
| BCBS-TX | Commercial|Exchange | $2,332.01 | ↑ +13% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +18% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +18% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,984.97 | ↑ +45% |
| Cigna Lifesource | Commercial|Transplant | $3,526.74 | ↑ +71% |
| BCBS | Medicare|All Plans | $3,534.78 | ↑ +72% |
| KELSEY | Medicare|All Plans | $3,534.78 | ↑ +72% |
| HUMANA | Medicare|All Plans | $3,534.78 | ↑ +72% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,534.78 | ↑ +72% |
| UNITED | Medicaid|STARPLUS | $3,592.80 | ↑ +75% |
| AETNA | Medicare|All Plans | $3,605.48 | ↑ +75% |
| UNITED | Medicare|All Plans | $3,605.48 | ↑ +75% |
| AMERIVANTAGE | Medicare|All Plans | $3,640.82 | ↑ +77% |
| United | Commercial|Exchange | $3,677.00 | ↑ +79% |
| DEVOTED | Medicare|All Plans | $3,782.21 | ↑ +84% |
| SCANHealth | Medicare|All Plans | $3,782.21 | ↑ +84% |
| First Health | Commercial|All Plans | $3,820.64 | ↑ +86% |
| Coventry | Commercial|PPO | $3,820.64 | ↑ +86% |
| Aetna | Commercial|PPO | $3,996.98 | ↑ +94% |
| Cigna | Commercial|Transplant | $4,114.53 | ↑ +100% |
| Healthsmart | Commercial|PPO | $4,114.53 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $4,408.43 | ↑ +114% |
| Aetna | Commercial|Transplant | $4,467.21 | ↑ +117% |
| BCBS-TX | Commercial|Blue Premier | $4,508.54 | ↑ +119% |
| Community Health Choice | Commercial|Exchange | $5,302.17 | ↑ +158% |
| Wellpoint | Commercial|Exchange | $5,302.17 | ↑ +158% |
| Ambetter | Commercial|All Plans | $5,302.17 | ↑ +158% |
| Bright Health | Commercial|All Plans | $5,320.57 | ↑ +159% |
| BCBS-TX | Commercial|HMO | $5,348.06 | ↑ +160% |
| United | Commercial|Charter | $5,428.00 | ↑ +164% |
| BCBS-TX | Commercial|PPO | $5,969.93 | ↑ +190% |
| United | Commercial|HMO | $6,032.00 | ↑ +193% |
| United | Commercial|PPO | $6,032.00 | ↑ +193% |
| Cigna | Commercial|Surefit | $7,455.00 | ↑ +262% |
| Cigna | Commercial|HMO | $8,215.00 | ↑ +299% |
| Cigna | Commercial|PPO | $20,636.00 | ↑ +903% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $6,236.13 | $1,128.51 – $5,410.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,738.58 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,631.78 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,738.58 | $85.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,738.58 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,631.78 | $71.00 – $8,649.00 |