Fragmenting of kidney stone at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$7,211.82
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.
?
What you pay up front if you don't use insurance.
$20,605.20
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,085.76 with TCHP vs $30,902.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $1,085.76 | ↓ -85% |
| CHC | Medicaid|All Plans | $1,085.76 | ↓ -85% |
| Wellpoint | Medicaid|All Plans | $1,142.90 | ↓ -84% |
| UNITED | Medicaid|All Other Plans | $1,165.76 | ↓ -84% |
| UNITED | Medicaid|STAR | $1,565.77 | ↓ -78% |
| BCBS-TX | Commercial|Exchange | $2,263.91 | ↓ -69% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -66% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -66% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,897.80 | ↓ -60% |
| Aetna-Kelsey Care | Commercial|HMO | $3,228.00 | ↓ -55% |
| HUMANA | Medicare|All Plans | $3,454.56 | ↓ -52% |
| KELSEY | Medicare|All Plans | $3,454.56 | ↓ -52% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,454.56 | ↓ -52% |
| BCBS | Medicare|All Plans | $3,454.56 | ↓ -52% |
| UNITED | Medicare|All Plans | $3,523.65 | ↓ -51% |
| AETNA | Medicare|All Plans | $3,523.65 | ↓ -51% |
| AMERIVANTAGE | Medicare|All Plans | $3,558.20 | ↓ -51% |
| UNITED | Medicaid|STARPLUS | $3,565.85 | ↓ -51% |
| DEVOTED | Medicare|All Plans | $3,696.38 | ↓ -49% |
| SCANHealth | Medicare|All Plans | $3,696.38 | ↓ -49% |
| Aetna | Commercial|HMO | $3,894.00 | ↓ -46% |
| BCBS-TX | Commercial|Blue Premier | $4,376.88 | ↓ -39% |
| United | Commercial|Exchange | $4,853.00 | ↓ -33% |
| Bright Health | Commercial|All Plans | $5,141.58 | ↓ -29% |
| Wellpoint | Commercial|Exchange | $5,181.84 | ↓ -28% |
| Ambetter | Commercial|All Plans | $5,181.84 | ↓ -28% |
| Community Health Choice | Commercial|Exchange | $5,181.84 | ↓ -28% |
| BCBS-TX | Commercial|HMO | $5,191.89 | ↓ -28% |
| BCBS-TX | Commercial|PPO | $5,795.60 | ↓ -20% |
| United | Commercial|Charter | $7,164.00 | ↓ -1% |
| United | Commercial|HMO | $7,961.00 | ↑ +10% |
| United | Commercial|PPO | $7,961.00 | ↑ +10% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +55% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $12,363.12 | ↑ +71% |
| Coventry | Commercial|PPO | $13,393.38 | ↑ +86% |
| First Health | Commercial|All Plans | $13,393.38 | ↑ +86% |
| PHCS | Commercial|All Plans | $13,393.38 | ↑ +86% |
| Aetna | Commercial|PPO | $14,011.54 | ↑ +94% |
| Healthsmart | Commercial|PPO | $14,423.64 | ↑ +100% |
| Cigna | Commercial|Transplant | $14,423.64 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $15,453.90 | ↑ +114% |
| Aetna | Commercial|Transplant | $15,659.96 | ↑ +117% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +328% |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1,120.04 – $5,252.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,091.90 | $1,142.90 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,835.46 | $71.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,092.17 | $71.00 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,091.90 | $1,142.90 – $12,306.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,835.46 | $85.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,835.46 | $1,142.90 – $10,696.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,092.17 | $71.00 – $10,982.00 |