Ins/rpl ldless pm right vent w img & eval at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$7,149.24
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.
$20,426.40
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.
$1,358.36 with TCHP vs $30,604.74 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $1,358.36 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $1,458.45 | ↓ -80% |
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -79% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -74% |
| UNITED | Medicaid|STAR | $1,958.90 | ↓ -73% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -54% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -49% |
| UNITED | Medicaid|STARPLUS | $4,461.13 | ↓ -38% |
| United | Commercial|Exchange | $5,560.00 | ↓ -22% |
| United | Commercial|Charter | $8,210.00 | ↑ +15% |
| United | Commercial|PPO | $9,121.00 | ↑ +28% |
| United | Commercial|HMO | $9,121.00 | ↑ +28% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +28% |
| BCBS-TX | Commercial|Exchange | $11,954.98 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $12,255.84 | ↑ +71% |
| First Health | Commercial|All Plans | $13,277.16 | ↑ +86% |
| Coventry | Commercial|PPO | $13,277.16 | ↑ +86% |
| Aetna | Commercial|PPO | $13,889.96 | ↑ +94% |
| Cigna | Commercial|Transplant | $14,298.48 | ↑ +100% |
| Healthsmart | Commercial|PPO | $14,298.48 | ↑ +100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $15,302.37 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $15,319.80 | ↑ +114% |
| HUMANA | Medicare|All Plans | $19,102.06 | ↑ +167% |
| BCBS | Medicare|All Plans | $19,102.06 | ↑ +167% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $19,102.06 | ↑ +167% |
| KELSEY | Medicare|All Plans | $19,102.06 | ↑ +167% |
| AETNA | Medicare|All Plans | $19,484.10 | ↑ +173% |
| UNITED | Medicare|All Plans | $19,484.10 | ↑ +173% |
| AMERIVANTAGE | Medicare|All Plans | $19,675.12 | ↑ +175% |
| SCANHealth | Medicare|All Plans | $20,439.20 | ↑ +186% |
| DEVOTED | Medicare|All Plans | $20,439.20 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $23,112.96 | ↑ +223% |
| Bright Health | Commercial|All Plans | $26,857.58 | ↑ +276% |
| BCBS-TX | Commercial|HMO | $27,416.75 | ↑ +283% |
| Wellpoint | Commercial|Exchange | $28,653.09 | ↑ +301% |
| Ambetter | Commercial|All Plans | $28,653.09 | ↑ +301% |
| Community Health Choice | Commercial|Exchange | $28,653.09 | ↑ +301% |
| BCBS-TX | Commercial|PPO | $30,604.74 | ↑ +328% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $50,991.05 | $27,735.55 – $27,735.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $29,327.76 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,327.76 | $6,036.63 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $26,661.60 | $5,332.32 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $29,327.76 | $7,820.74 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $29,327.76 | $9,414.21 – $48,269.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $29,327.76 | $15,152.68 – $48,269.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $26,661.60 | $8,887.20 – $48,269.91 |