Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$5,896.10
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.
$16,846.00
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.
$2,403.00 with Aetna-Kelsey Care vs $20,126.81 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 | $2,403.00 | ↓ -59% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -59% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -59% |
| Aetna | Commercial|HMO | $2,900.00 | ↓ -51% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -44% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -38% |
| TCHP | Medicaid|All Plans | $6,128.35 | ↑ +4% |
| CHC | Medicaid|All Plans | $6,128.35 | ↑ +4% |
| Wellpoint | Medicaid|All Plans | $6,450.90 | ↑ +9% |
| UNITED | Medicaid|All Other Plans | $6,579.92 | ↑ +12% |
| BCBS-TX | Commercial|Exchange | $7,688.96 | ↑ +30% |
| United | Commercial|Exchange | $8,773.00 | ↑ +49% |
| UNITED | Medicaid|STAR | $8,837.73 | ↑ +50% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +55% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $9,841.86 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $10,107.60 | ↑ +71% |
| BCBS | Medicare|All Plans | $10,482.28 | ↑ +78% |
| KELSEY | Medicare|All Plans | $10,482.28 | ↑ +78% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $10,482.28 | ↑ +78% |
| HUMANA | Medicare|All Plans | $10,482.28 | ↑ +78% |
| AETNA | Medicare|All Plans | $10,691.93 | ↑ +81% |
| UNITED | Medicare|All Plans | $10,691.93 | ↑ +81% |
| AMERIVANTAGE | Medicare|All Plans | $10,796.75 | ↑ +83% |
| Coventry | Commercial|PPO | $10,949.90 | ↑ +86% |
| PHCS | Commercial|All Plans | $10,949.90 | ↑ +86% |
| First Health | Commercial|All Plans | $10,949.90 | ↑ +86% |
| SCANHealth | Medicare|All Plans | $11,216.04 | ↑ +90% |
| DEVOTED | Medicare|All Plans | $11,216.04 | ↑ +90% |
| Aetna | Commercial|PPO | $11,455.28 | ↑ +94% |
| Cigna | Commercial|Transplant | $11,792.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $11,792.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $12,634.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $12,802.96 | ↑ +117% |
| United | Commercial|Charter | $12,952.00 | ↑ +120% |
| United | Commercial|PPO | $14,390.00 | ↑ +144% |
| United | Commercial|HMO | $14,390.00 | ↑ +144% |
| BCBS-TX | Commercial|Blue Premier | $14,865.31 | ↑ +152% |
| Ambetter | Commercial|All Plans | $15,723.42 | ↑ +167% |
| Wellpoint | Commercial|Exchange | $15,723.42 | ↑ +167% |
| Community Health Choice | Commercial|Exchange | $15,723.42 | ↑ +167% |
| Bright Health | Commercial|All Plans | $17,388.36 | ↑ +195% |
| BCBS-TX | Commercial|HMO | $17,633.34 | ↑ +199% |
| BCBS-TX | Commercial|PPO | $19,683.72 | ↑ +234% |
| UNITED | Medicaid|STARPLUS | $20,126.81 | ↑ +241% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $53,985.39 | $6,321.88 – $17,838.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,677.49 | $6,299.00 – $28,346.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $19,320.87 | $3,976.88 – $28,981.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,444.40 | $6,450.90 – $26,805.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,677.49 | $6,450.90 – $28,346.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $19,320.87 | $6,902.46 – $28,981.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $19,320.87 | $6,450.90 – $28,981.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $21,444.40 | $6,450.90 – $32,166.60 |