Ins/rpl pm gen exist sgl lead at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$4,138.47
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.
$11,824.20
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 $17,159.75 with UNITED — 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 | ↓ -70% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -64% |
| Humana | Commercial|PPO | $2,025.00 | ↓ -51% |
| Humana | Commercial|HMO | $2,025.00 | ↓ -51% |
| Cigna | Commercial|Surefit | $3,262.00 | ↓ -21% |
| Cigna | Commercial|HMO | $3,594.00 | ↓ -13% |
| TCHP | Medicaid|All Plans | $5,224.92 | ↑ +26% |
| CHC | Medicaid|All Plans | $5,224.92 | ↑ +26% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +27% |
| Wellpoint | Medicaid|All Plans | $5,499.92 | ↑ +33% |
| UNITED | Medicaid|All Other Plans | $5,609.92 | ↑ +36% |
| BCBS-TX | Commercial|Exchange | $5,731.39 | ↑ +38% |
| Cigna Lifesource | Commercial|Transplant | $7,094.52 | ↑ +71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $7,336.18 | ↑ +77% |
| UNITED | Medicaid|STAR | $7,534.89 | ↑ +82% |
| Coventry | Commercial|PPO | $7,685.73 | ↑ +86% |
| First Health | Commercial|All Plans | $7,685.73 | ↑ +86% |
| Aetna | Commercial|PPO | $8,040.46 | ↑ +94% |
| Cigna | Commercial|Transplant | $8,276.94 | ↑ +100% |
| Healthsmart | Commercial|PPO | $8,276.94 | ↑ +100% |
| KELSEY | Medicare|All Plans | $8,289.39 | ↑ +100% |
| BCBS | Medicare|All Plans | $8,289.39 | ↑ +100% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $8,289.39 | ↑ +100% |
| HUMANA | Medicare|All Plans | $8,289.39 | ↑ +100% |
| AETNA | Medicare|All Plans | $8,455.18 | ↑ +104% |
| UNITED | Medicare|All Plans | $8,455.18 | ↑ +104% |
| AMERIVANTAGE | Medicare|All Plans | $8,538.07 | ↑ +106% |
| United | Commercial|Exchange | $8,773.00 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $8,868.15 | ↑ +114% |
| SCANHealth | Medicare|All Plans | $8,869.65 | ↑ +114% |
| DEVOTED | Medicare|All Plans | $8,869.65 | ↑ +114% |
| Aetna | Commercial|Transplant | $8,986.40 | ↑ +117% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +118% |
| BCBS-TX | Commercial|Blue Premier | $11,080.68 | ↑ +168% |
| Community Health Choice | Commercial|Exchange | $12,434.08 | ↑ +200% |
| Ambetter | Commercial|All Plans | $12,434.08 | ↑ +200% |
| Wellpoint | Commercial|Exchange | $12,434.09 | ↑ +200% |
| United | Commercial|Charter | $12,952.00 | ↑ +213% |
| BCBS-TX | Commercial|HMO | $13,143.98 | ↑ +218% |
| Bright Health | Commercial|All Plans | $13,643.65 | ↑ +230% |
| United | Commercial|HMO | $14,390.00 | ↑ +248% |
| United | Commercial|PPO | $14,390.00 | ↑ +248% |
| BCBS-TX | Commercial|PPO | $14,672.35 | ↑ +255% |
| UNITED | Medicaid|STARPLUS | $17,159.75 | ↑ +315% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $40,241.31 | $5,389.92 – $13,296.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,030.18 | $2,763.00 – $21,045.99 |