Ins pm gen w/exist mlt leads at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$6,063.12
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.
$17,323.20
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.
$1,233.00 with Aetna-Kelsey Care vs $35,161.38 with BCBS-TX — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -80% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -75% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -60% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -60% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -45% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -40% |
| United | Commercial|Exchange | $8,773.00 | ↑ +45% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +51% |
| CHC | Medicaid|All Plans | $9,375.06 | ↑ +55% |
| TCHP | Medicaid|All Plans | $9,375.06 | ↑ +55% |
| Wellpoint | Medicaid|All Plans | $9,868.48 | ↑ +63% |
| UNITED | Medicaid|All Other Plans | $10,065.85 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $10,393.92 | ↑ +71% |
| Coventry | Commercial|PPO | $11,260.08 | ↑ +86% |
| First Health | Commercial|All Plans | $11,260.08 | ↑ +86% |
| PHCS | Commercial|All Plans | $11,260.08 | ↑ +86% |
| Aetna | Commercial|PPO | $11,779.78 | ↑ +94% |
| Cigna | Commercial|Transplant | $12,126.24 | ↑ +100% |
| Healthsmart | Commercial|PPO | $12,126.24 | ↑ +100% |
| United | Commercial|Charter | $12,952.00 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $12,992.40 | ↑ +114% |
| Aetna | Commercial|Transplant | $13,165.64 | ↑ +117% |
| UNITED | Medicaid|STAR | $13,519.82 | ↑ +123% |
| BCBS-TX | Commercial|Exchange | $13,734.92 | ↑ +127% |
| United | Commercial|HMO | $14,390.00 | ↑ +137% |
| United | Commercial|PPO | $14,390.00 | ↑ +137% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $17,580.69 | ↑ +190% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $19,102.06 | ↑ +215% |
| BCBS | Medicare|All Plans | $19,102.06 | ↑ +215% |
| HUMANA | Medicare|All Plans | $19,102.06 | ↑ +215% |
| KELSEY | Medicare|All Plans | $19,102.06 | ↑ +215% |
| UNITED | Medicare|All Plans | $19,484.10 | ↑ +221% |
| AETNA | Medicare|All Plans | $19,484.10 | ↑ +221% |
| AMERIVANTAGE | Medicare|All Plans | $19,675.12 | ↑ +225% |
| DEVOTED | Medicare|All Plans | $20,439.20 | ↑ +237% |
| SCANHealth | Medicare|All Plans | $20,439.20 | ↑ +237% |
| BCBS-TX | Commercial|Blue Premier | $26,554.17 | ↑ +338% |
| Wellpoint | Commercial|Exchange | $28,653.09 | ↑ +373% |
| Ambetter | Commercial|All Plans | $28,653.09 | ↑ +373% |
| Community Health Choice | Commercial|Exchange | $28,653.09 | ↑ +373% |
| UNITED | Medicaid|STARPLUS | $30,789.66 | ↑ +408% |
| Bright Health | Commercial|All Plans | $31,145.15 | ↑ +414% |
| BCBS-TX | Commercial|HMO | $31,498.74 | ↑ +420% |
| BCBS-TX | Commercial|PPO | $35,161.38 | ↑ +480% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $27,480.20 | $9,671.11 – $31,865.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19,886.41 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,353.83 | $2,131.16 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16,463.38 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19,886.41 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,353.83 | $6,277.87 – $48,269.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,353.83 | $9,491.01 – $48,269.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $16,463.38 | $9,868.48 – $48,269.91 |