Icd reliance df4 ib 64cm at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$10,831.70
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.
$30,947.70
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.
$2,606.54 with BCBS-TX vs $9,309.04 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 | $2,606.54 | ↓ -76% |
| BCBS-TX | Commercial|Blue Premier | $2,730.66 | ↓ -75% |
| United | Commercial|Exchange | $2,978.90 | ↓ -72% |
| Aetna-Kelsey Care | Commercial|HMO | $3,103.02 | ↓ -71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $3,227.14 | ↓ -70% |
| Bright Health | Commercial|All Plans | $3,227.14 | ↓ -70% |
| BCBS-TX | Commercial|HMO | $3,351.26 | ↓ -69% |
| United | Commercial|Charter | $3,475.38 | ↓ -68% |
| Aetna | Commercial|HMO | $3,599.50 | ↓ -67% |
| Aetna | Commercial|PPO | $3,599.50 | ↓ -67% |
| Cigna | Commercial|PPO | $3,723.62 | ↓ -66% |
| BCBS-TX | Commercial|PPO | $3,723.62 | ↓ -66% |
| Cigna | Commercial|HMO | $3,723.62 | ↓ -66% |
| Cigna | Commercial|Surefit | $3,723.62 | ↓ -66% |
| United | Commercial|PPO | $3,847.74 | ↓ -64% |
| United | Commercial|HMO | $3,847.74 | ↓ -64% |
| Aetna | Commercial|Transplant | $4,592.46 | ↓ -58% |
| Humana | Commercial|PPO | $5,213.07 | ↓ -52% |
| Humana | Commercial|HMO | $5,213.07 | ↓ -52% |
| Cigna Lifesource | Commercial|Transplant | $7,447.23 | ↓ -31% |
| Coventry | Commercial|PPO | $8,067.84 | ↓ -26% |
| First Health | Commercial|All Plans | $8,067.84 | ↓ -26% |
| PHCS | Commercial|All Plans | $8,067.84 | ↓ -26% |
| Healthsmart | Commercial|PPO | $8,688.44 | ↓ -20% |
| Cigna | Commercial|Transplant | $8,688.44 | ↓ -20% |
| MultiPlan | Commercial|All Plans | $9,309.04 | ↓ -14% |
Visitor-reported prices
Comments
Icd reliance df4 ib 64cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $6,356.07 | not published |
| Baylor St Luke's Medical Center | Houston | $15,435.00 | $0.21 – $1.00 |
| St. Joseph Health Madison Hospital | Madisonville | $13,776.70 | $1,143.80 – $8,080.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $16,010.67 | $1,303.32 – $7,819.88 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $15,435.00 | $0.21 – $1.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $15,435.00 | $0.21 – $1.00 |
| St. Joseph Health College Station Hospital | College Station | $13,776.70 | $1,795.60 – $7,631.30 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $15,435.00 | $0.21 – $1.00 |