Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$4,325.48
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.
$12,358.50
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.
$87.98 with BCBS-TX vs $314.22 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $87.98 | ↓ -98% |
| BCBS-TX | Commercial|Blue Premier | $92.17 | ↓ -98% |
| Aetna-Kelsey Care | Commercial|HMO | $104.74 | ↓ -98% |
| Bright Health | Commercial|All Plans | $108.93 | ↓ -97% |
| United | Commercial|Exchange | $108.93 | ↓ -97% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $108.93 | ↓ -97% |
| BCBS-TX | Commercial|HMO | $113.12 | ↓ -97% |
| Aetna | Commercial|HMO | $121.50 | ↓ -97% |
| Aetna | Commercial|PPO | $121.50 | ↓ -97% |
| Cigna | Commercial|HMO | $125.69 | ↓ -97% |
| BCBS-TX | Commercial|PPO | $125.69 | ↓ -97% |
| Cigna | Commercial|Surefit | $125.69 | ↓ -97% |
| Cigna | Commercial|PPO | $125.69 | ↓ -97% |
| United | Commercial|Charter | $129.88 | ↓ -97% |
| United | Commercial|HMO | $146.64 | ↓ -97% |
| United | Commercial|PPO | $146.64 | ↓ -97% |
| Aetna | Commercial|Transplant | $155.02 | ↓ -96% |
| Humana | Commercial|PPO | $175.96 | ↓ -96% |
| Humana | Commercial|HMO | $175.96 | ↓ -96% |
| Cigna Lifesource | Commercial|Transplant | $251.37 | ↓ -94% |
| Coventry | Commercial|PPO | $272.32 | ↓ -94% |
| First Health | Commercial|All Plans | $272.32 | ↓ -94% |
| PHCS | Commercial|All Plans | $272.32 | ↓ -94% |
| Healthsmart | Commercial|PPO | $293.27 | ↓ -93% |
| Cigna | Commercial|Transplant | $293.27 | ↓ -93% |
| MultiPlan | Commercial|All Plans | $314.22 | ↓ -93% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $136.37 – $1,283.63 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $820.00 | $136.37 – $1,283.63 |
| HCA HOUSTON MEDICAL CENTER | Houston | $6,023.00 | $136.37 – $1,283.63 |
| Covenant Children's Hospital | Lubbock | $17,161.20 | $476.62 – $518.02 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,031.00 | $209.78 – $1,283.63 |
| St. Joseph Health Madison Hospital | Madisonville | $2,177.70 | $138.75 – $3,321.90 |
| St. Joseph Health College Station Hospital | College Station | $2,177.70 | $138.75 – $5,587.40 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $9,795.72 | $157.50 – $4,648.77 |