Expl lap celiotomy w/wo bx 49000 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$986.90
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.
$2,819.70
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.
$603.29 with BCBS-TX vs $9,158.00 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 | $603.29 | ↓ -39% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $772.21 | ↓ -22% |
| BCBS-TX | Commercial|Blue Premier | $1,166.37 | ↑ +18% |
| BCBS-TX | Commercial|HMO | $1,383.55 | ↑ +40% |
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↑ +55% |
| BCBS-TX | Commercial|PPO | $1,544.43 | ↑ +56% |
| Cigna Lifesource | Commercial|Transplant | $1,691.82 | ↑ +71% |
| PHCS | Commercial|All Plans | $1,832.81 | ↑ +86% |
| First Health | Commercial|All Plans | $1,832.81 | ↑ +86% |
| Coventry | Commercial|PPO | $1,832.81 | ↑ +86% |
| Aetna | Commercial|HMO | $1,842.00 | ↑ +87% |
| Aetna | Commercial|PPO | $1,917.40 | ↑ +94% |
| Healthsmart | Commercial|PPO | $1,973.79 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,973.79 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,114.78 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,142.98 | ↑ +117% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +235% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +269% |
| United | Commercial|Exchange | $3,677.00 | ↑ +273% |
| United | Commercial|Charter | $5,428.00 | ↑ +450% |
| United | Commercial|HMO | $6,032.00 | ↑ +511% |
| United | Commercial|PPO | $6,032.00 | ↑ +511% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +828% |
Visitor-reported prices
Comments
Expl lap celiotomy w/wo bx 49000 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $7,376.26 – $7,376.26 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,005.49 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $1,359.42 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $1,544.43 – $7,441.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $1,262.89 – $7,441.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $1,359.42 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | not published | $1,359.42 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | not published | $1,262.89 – $7,441.00 |