Fibrinolytic plasminogen xcpt antgnc asa at St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$19.53

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$55.80

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.22 with TCHP vs $41.85 with MultiPlan — 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 →

Payer
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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
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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 $5.22 ↓ -73%
CHC Medicaid|All Plans $5.22 ↓ -73%
Wellpoint Medicaid|All Plans $5.49 ↓ -72%
UNITED Medicaid|All Other Plans $5.60 ↓ -71%
BCBS Medicare|All Plans $6.53 ↓ -67%
KELSEY Medicare|All Plans $6.53 ↓ -67%
CIGNA-HEALTHSPRING Medicare|All Plans $6.53 ↓ -67%
HUMANA Medicare|All Plans $6.53 ↓ -67%
AETNA Medicare|All Plans $6.66 ↓ -66%
UNITED Medicare|All Plans $6.66 ↓ -66%
AMERIVANTAGE Medicare|All Plans $6.73 ↓ -66%
DEVOTED Medicare|All Plans $6.99 ↓ -64%
SCANHealth Medicare|All Plans $6.99 ↓ -64%
UNITED Medicaid|STAR $7.52 ↓ -61%
BCBS - TX Commercial|MyBlue Health Exchange $9.53 ↓ -51%
Ambetter Commercial|All Plans $9.79 ↓ -50%
Community Health Choice Commercial|Exchange $9.79 ↓ -50%
Wellpoint Commercial|Exchange $9.80 ↓ -50%
Bright Health Commercial|All Plans $10.77 ↓ -45%
United Commercial|Charter $12.09 ↓ -38%
United Commercial|HMO $12.09 ↓ -38%
United Commercial|Exchange $12.09 ↓ -38%
United Commercial|PPO $12.09 ↓ -38%
BCBS-TX Commercial|Exchange $12.41 ↓ -36%
Cigna Commercial|Surefit $15.71 ↓ -20%
UNITED Medicaid|STARPLUS $17.13 ↓ -12%
Cigna Commercial|HMO $17.33 ↓ -11%
BCBS-TX Commercial|Blue Premier $21.29 ↑ +9%
Cigna Commercial|PPO $23.68 ↑ +21%
BCBS-TX Commercial|HMO $28.60 ↑ +46%
Cigna Lifesource Commercial|Transplant $33.48 ↑ +71%
BCBS-TX Commercial|PPO $33.50 ↑ +72%
First Health Commercial|All Plans $36.27 ↑ +86%
Coventry Commercial|PPO $36.27 ↑ +86%
Aetna Commercial|HMO $37.95 ↑ +94%
Healthsmart Commercial|PPO $39.06 ↑ +100%
Cigna Commercial|Transplant $39.06 ↑ +100%
MultiPlan Commercial|All Plans $41.85 ↑ +114%

Visitor-reported prices

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Fibrinolytic plasminogen xcpt antgnc asa at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $5.38 – $26.50
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $163.27 $5.49 – $204.08
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $102.65 $9.58 – $153.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $77.50 $5.49 – $96.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $163.27 $5.49 – $204.08
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $102.65 $5.87 – $153.97
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $102.65 $5.49 – $153.97
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $77.50 $5.49 – $116.25

All Texas hospitals for this procedure →