Infect ag if pneumocystis carinii at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$78.25
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.
$223.56
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.
$9.56 with TCHP vs $167.67 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 | $9.56 | ↓ -88% |
| CHC | Medicaid|All Plans | $9.56 | ↓ -88% |
| Wellpoint | Medicaid|All Plans | $10.06 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $10.26 | ↓ -87% |
| KELSEY | Medicare|All Plans | $11.98 | ↓ -85% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $11.98 | ↓ -85% |
| BCBS | Medicare|All Plans | $11.98 | ↓ -85% |
| HUMANA | Medicare|All Plans | $11.98 | ↓ -85% |
| UNITED | Medicare|All Plans | $12.22 | ↓ -84% |
| AETNA | Medicare|All Plans | $12.22 | ↓ -84% |
| AMERIVANTAGE | Medicare|All Plans | $12.34 | ↓ -84% |
| SCANHealth | Medicare|All Plans | $12.82 | ↓ -84% |
| DEVOTED | Medicare|All Plans | $12.82 | ↓ -84% |
| UNITED | Medicaid|STAR | $13.78 | ↓ -82% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $17.49 | ↓ -78% |
| Wellpoint | Commercial|Exchange | $17.97 | ↓ -77% |
| Ambetter | Commercial|All Plans | $17.97 | ↓ -77% |
| Community Health Choice | Commercial|Exchange | $17.97 | ↓ -77% |
| Bright Health | Commercial|All Plans | $19.77 | ↓ -75% |
| United | Commercial|Charter | $22.20 | ↓ -72% |
| United | Commercial|HMO | $22.20 | ↓ -72% |
| United | Commercial|Exchange | $22.20 | ↓ -72% |
| United | Commercial|PPO | $22.20 | ↓ -72% |
| BCBS-TX | Commercial|Exchange | $22.76 | ↓ -71% |
| Cigna | Commercial|Surefit | $28.91 | ↓ -63% |
| UNITED | Medicaid|STARPLUS | $31.39 | ↓ -60% |
| Cigna | Commercial|HMO | $31.90 | ↓ -59% |
| BCBS-TX | Commercial|Blue Premier | $39.05 | ↓ -50% |
| Cigna | Commercial|PPO | $43.62 | ↓ -44% |
| BCBS-TX | Commercial|HMO | $52.47 | ↓ -33% |
| BCBS-TX | Commercial|PPO | $61.46 | ↓ -21% |
| Cigna Lifesource | Commercial|Transplant | $134.14 | ↑ +71% |
| First Health | Commercial|All Plans | $145.32 | ↑ +86% |
| Coventry | Commercial|PPO | $145.32 | ↑ +86% |
| Aetna | Commercial|HMO | $152.03 | ↑ +94% |
| Healthsmart | Commercial|PPO | $156.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $156.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $167.67 | ↑ +114% |
Visitor-reported prices
Comments
Infect ag if pneumocystis carinii at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $9.86 – $48.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.04 | $10.00 – $28.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $124.84 | $3.63 – $28.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $121.20 | $10.06 – $28.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.04 | $10.00 – $28.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $124.84 | $10.76 – $28.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $124.84 | $8.00 – $28.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $121.20 | $10.06 – $28.75 |