Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$991.90
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.
$2,834.00
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.
$174.32 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 | $174.32 | ↓ -82% |
| CHC | Medicaid|All Plans | $184.37 | ↓ -81% |
| TCHP | Medicaid|All Plans | $184.37 | ↓ -81% |
| Wellpoint | Medicaid|All Plans | $194.07 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $197.95 | ↓ -80% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $223.12 | ↓ -78% |
| UNITED | Medicaid|STAR | $265.88 | ↓ -73% |
| BCBS-TX | Commercial|Blue Premier | $337.01 | ↓ -66% |
| BCBS-TX | Commercial|HMO | $399.76 | ↓ -60% |
| BCBS-TX | Commercial|PPO | $446.25 | ↓ -55% |
| UNITED | Medicaid|STARPLUS | $605.50 | ↓ -39% |
| BCBS | Medicare|All Plans | $704.73 | ↓ -29% |
| HUMANA | Medicare|All Plans | $704.73 | ↓ -29% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $704.73 | ↓ -29% |
| KELSEY | Medicare|All Plans | $704.73 | ↓ -29% |
| UNITED | Medicare|All Plans | $718.82 | ↓ -28% |
| AETNA | Medicare|All Plans | $718.82 | ↓ -28% |
| AMERIVANTAGE | Medicare|All Plans | $725.87 | ↓ -27% |
| DEVOTED | Medicare|All Plans | $754.06 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $754.06 | ↓ -24% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -19% |
| Aetna | Commercial|HMO | $972.00 | ↓ -2% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +5% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +7% |
| Ambetter | Commercial|All Plans | $1,057.10 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +7% |
| United | Commercial|Exchange | $1,676.00 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $1,700.40 | ↑ +71% |
| First Health | Commercial|All Plans | $1,842.10 | ↑ +86% |
| Coventry | Commercial|PPO | $1,842.10 | ↑ +86% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +88% |
| Aetna | Commercial|PPO | $1,927.12 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,983.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,983.80 | ↑ +100% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $2,125.50 | ↑ +114% |
| United | Commercial|Charter | $2,474.00 | ↑ +149% |
| United | Commercial|PPO | $2,749.00 | ↑ +177% |
| United | Commercial|HMO | $2,749.00 | ↑ +177% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +420% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $190.19 – $1,678.07 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,081.52 | $194.07 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $859.75 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $908.69 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,081.52 | $194.07 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $859.75 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $859.75 | $194.07 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $908.69 | $71.00 – $2,975.00 |