Gi inhouse confirmation at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$141.86
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.
$405.30
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.
$7.53 with TCHP vs $303.98 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 →
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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 | $7.53 | ↓ -95% |
| CHC | Medicaid|All Plans | $7.53 | ↓ -95% |
| Wellpoint | Medicaid|All Plans | $7.93 | ↓ -94% |
| UNITED | Medicaid|All Other Plans | $8.09 | ↓ -94% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $9.44 | ↓ -93% |
| KELSEY | Medicare|All Plans | $9.44 | ↓ -93% |
| HUMANA | Medicare|All Plans | $9.44 | ↓ -93% |
| BCBS | Medicare|All Plans | $9.44 | ↓ -93% |
| UNITED | Medicare|All Plans | $9.63 | ↓ -93% |
| AETNA | Medicare|All Plans | $9.63 | ↓ -93% |
| AMERIVANTAGE | Medicare|All Plans | $9.72 | ↓ -93% |
| SCANHealth | Medicare|All Plans | $10.10 | ↓ -93% |
| DEVOTED | Medicare|All Plans | $10.10 | ↓ -93% |
| UNITED | Medicaid|STAR | $10.86 | ↓ -92% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $13.78 | ↓ -90% |
| Wellpoint | Commercial|Exchange | $14.16 | ↓ -90% |
| Ambetter | Commercial|All Plans | $14.16 | ↓ -90% |
| Community Health Choice | Commercial|Exchange | $14.16 | ↓ -90% |
| Bright Health | Commercial|All Plans | $15.58 | ↓ -89% |
| United | Commercial|Charter | $17.49 | ↓ -88% |
| United | Commercial|HMO | $17.49 | ↓ -88% |
| United | Commercial|Exchange | $17.49 | ↓ -88% |
| United | Commercial|PPO | $17.49 | ↓ -88% |
| BCBS-TX | Commercial|Exchange | $17.94 | ↓ -87% |
| Cigna | Commercial|Surefit | $22.30 | ↓ -84% |
| Cigna | Commercial|HMO | $24.60 | ↓ -83% |
| UNITED | Medicaid|STARPLUS | $24.74 | ↓ -83% |
| BCBS-TX | Commercial|Blue Premier | $30.77 | ↓ -78% |
| Cigna | Commercial|PPO | $33.65 | ↓ -76% |
| BCBS-TX | Commercial|HMO | $41.35 | ↓ -71% |
| BCBS-TX | Commercial|PPO | $48.43 | ↓ -66% |
| Cigna Lifesource | Commercial|Transplant | $243.18 | ↑ +71% |
| Coventry | Commercial|PPO | $263.45 | ↑ +86% |
| First Health | Commercial|All Plans | $263.45 | ↑ +86% |
| Aetna | Commercial|HMO | $275.61 | ↑ +94% |
| Healthsmart | Commercial|PPO | $283.71 | ↑ +100% |
| Cigna | Commercial|Transplant | $283.71 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $303.98 | ↑ +114% |
Visitor-reported prices
Comments
Gi inhouse confirmation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $288.06 | $8.50 – $36.34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $153.28 | $7.93 – $191.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $111.95 | $12.00 – $167.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $111.95 | $7.93 – $139.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $153.28 | $7.93 – $191.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $111.95 | $8.49 – $167.92 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $111.95 | $7.93 – $167.92 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $111.95 | $7.93 – $167.92 |