Ghs lac repair mouth.ant tong 2.5cm/less at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$104.27
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.
$297.90
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.
$19.82 with TCHP vs $7,221.00 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $19.82 | ↓ -81% |
| CHC | Medicaid|All Plans | $19.82 | ↓ -81% |
| Wellpoint | Medicaid|All Plans | $20.86 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $21.28 | ↓ -80% |
| UNITED | Medicaid|STAR | $28.57 | ↓ -73% |
| UNITED | Medicaid|STARPLUS | $65.07 | ↓ -38% |
| BCBS-TX | Commercial|Exchange | $81.77 | ↓ -22% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $104.67 | ↑ +0% |
| BCBS-TX | Commercial|Blue Premier | $158.09 | ↑ +52% |
| Cigna Lifesource | Commercial|Transplant | $178.74 | ↑ +71% |
| BCBS-TX | Commercial|HMO | $187.53 | ↑ +80% |
| Coventry | Commercial|PPO | $193.64 | ↑ +86% |
| First Health | Commercial|All Plans | $193.64 | ↑ +86% |
| Aetna | Commercial|PPO | $202.58 | ↑ +94% |
| Healthsmart | Commercial|PPO | $208.53 | ↑ +100% |
| Cigna | Commercial|Transplant | $208.53 | ↑ +100% |
| BCBS-TX | Commercial|PPO | $209.34 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $223.43 | ↑ +114% |
| Aetna | Commercial|Transplant | $226.41 | ↑ +117% |
| HUMANA | Medicare|All Plans | $399.69 | ↑ +283% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $399.69 | ↑ +283% |
| KELSEY | Medicare|All Plans | $399.69 | ↑ +283% |
| BCBS | Medicare|All Plans | $399.69 | ↑ +283% |
| UNITED | Medicare|All Plans | $407.68 | ↑ +291% |
| AETNA | Medicare|All Plans | $407.68 | ↑ +291% |
| AMERIVANTAGE | Medicare|All Plans | $411.68 | ↑ +295% |
| DEVOTED | Medicare|All Plans | $427.67 | ↑ +310% |
| SCANHealth | Medicare|All Plans | $427.67 | ↑ +310% |
| Bright Health | Commercial|All Plans | $453.87 | ↑ +335% |
| Ambetter | Commercial|All Plans | $599.53 | ↑ +475% |
| Community Health Choice | Commercial|Exchange | $599.53 | ↑ +475% |
| Wellpoint | Commercial|Exchange | $599.54 | ↑ +475% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +932% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +1145% |
| United | Commercial|Exchange | $1,676.00 | ↑ +1507% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +1609% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +1609% |
| United | Commercial|Charter | $2,474.00 | ↑ +2273% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +2402% |
| United | Commercial|PPO | $2,749.00 | ↑ +2536% |
| United | Commercial|HMO | $2,749.00 | ↑ +2536% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +2657% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +4873% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +6825% |
Visitor-reported prices
Comments
Ghs lac repair mouth.ant tong 2.5cm/less at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $189.71 – $189.71 |
| Adventhealth Rollins Brook | Lampasas | $816.85 | $136.29 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $586.06 | $166.05 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $489.67 | $71.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $408.99 | $71.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $586.06 | $156.28 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $489.67 | $85.00 – $987.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $489.67 | $252.99 – $987.04 |