Insertion subcutaneous cardiac rhythm monitor at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$2,322.81
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.
$6,636.60
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.
$807.00 with Aetna-Kelsey Care vs $17,971.86 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 | $807.00 | ↓ -65% |
| Aetna | Commercial|HMO | $972.00 | ↓ -58% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +42% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $3,981.96 | ↑ +71% |
| First Health | Commercial|All Plans | $4,313.79 | ↑ +86% |
| Coventry | Commercial|PPO | $4,313.79 | ↑ +86% |
| Aetna | Commercial|PPO | $4,512.89 | ↑ +94% |
| Healthsmart | Commercial|PPO | $4,645.62 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,645.62 | ↑ +100% |
| United | Commercial|Exchange | $4,969.00 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $4,977.45 | ↑ +114% |
| CHC | Medicaid|All Plans | $5,472.20 | ↑ +136% |
| TCHP | Medicaid|All Plans | $5,472.20 | ↑ +136% |
| BCBS-TX | Commercial|Exchange | $5,731.39 | ↑ +147% |
| Wellpoint | Medicaid|All Plans | $5,760.21 | ↑ +148% |
| UNITED | Medicaid|All Other Plans | $5,875.41 | ↑ +153% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $7,336.18 | ↑ +216% |
| United | Commercial|Charter | $7,337.00 | ↑ +216% |
| UNITED | Medicaid|STAR | $7,891.49 | ↑ +240% |
| United | Commercial|HMO | $8,150.00 | ↑ +251% |
| United | Commercial|PPO | $8,150.00 | ↑ +251% |
| BCBS | Medicare|All Plans | $8,289.39 | ↑ +257% |
| HUMANA | Medicare|All Plans | $8,289.39 | ↑ +257% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $8,289.39 | ↑ +257% |
| KELSEY | Medicare|All Plans | $8,289.39 | ↑ +257% |
| UNITED | Medicare|All Plans | $8,455.18 | ↑ +264% |
| AETNA | Medicare|All Plans | $8,455.18 | ↑ +264% |
| AMERIVANTAGE | Medicare|All Plans | $8,538.07 | ↑ +268% |
| DEVOTED | Medicare|All Plans | $8,869.65 | ↑ +282% |
| SCANHealth | Medicare|All Plans | $8,869.65 | ↑ +282% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +294% |
| BCBS-TX | Commercial|Blue Premier | $11,080.68 | ↑ +377% |
| Community Health Choice | Commercial|Exchange | $12,434.08 | ↑ +435% |
| Ambetter | Commercial|All Plans | $12,434.08 | ↑ +435% |
| Wellpoint | Commercial|Exchange | $12,434.09 | ↑ +435% |
| BCBS-TX | Commercial|HMO | $13,143.98 | ↑ +466% |
| Bright Health | Commercial|All Plans | $13,643.65 | ↑ +487% |
| BCBS-TX | Commercial|PPO | $14,672.35 | ↑ +532% |
| UNITED | Medicaid|STARPLUS | $17,971.86 | ↑ +674% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $40,241.31 | $5,645.01 – $13,296.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,520.42 | $5,112.25 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,985.87 | $71.00 – $22,478.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,760.60 | $71.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,520.42 | $5,254.26 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,985.87 | $85.00 – $22,478.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,985.87 | $5,760.21 – $22,478.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,760.60 | $71.00 – $22,140.90 |