Ivp w/wo kub w/wo tomography at St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$850.85

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,431.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$128.56 with TCHP vs $1,823.25 with MultiPlan — 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 →

Payer
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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
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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 $128.56 ↓ -85%
CHC Medicaid|All Plans $128.56 ↓ -85%
BCBS-TX Commercial|Exchange $135.16 ↓ -84%
Wellpoint Medicaid|All Plans $135.33 ↓ -84%
UNITED Medicaid|All Other Plans $138.04 ↓ -84%
BCBS - TX Commercial|MyBlue Health Exchange $139.96 ↓ -84%
United Commercial|Exchange $140.00 ↓ -84%
CIGNA-HEALTHSPRING Medicare|All Plans $178.31 ↓ -79%
HUMANA Medicare|All Plans $178.31 ↓ -79%
BCBS Medicare|All Plans $178.31 ↓ -79%
KELSEY Medicare|All Plans $178.31 ↓ -79%
UNITED Medicare|All Plans $181.88 ↓ -79%
AETNA Medicare|All Plans $181.88 ↓ -79%
AMERIVANTAGE Medicare|All Plans $183.66 ↓ -78%
UNITED Medicaid|STAR $185.40 ↓ -78%
SCANHealth Medicare|All Plans $190.79 ↓ -78%
DEVOTED Medicare|All Plans $190.79 ↓ -78%
United Commercial|Charter $209.00 ↓ -75%
United Commercial|HMO $230.00 ↓ -73%
United Commercial|PPO $230.00 ↓ -73%
BCBS-TX Commercial|Blue Premier $245.40 ↓ -71%
Community Health Choice Commercial|Exchange $267.46 ↓ -69%
Ambetter Commercial|All Plans $267.46 ↓ -69%
Wellpoint Commercial|Exchange $267.47 ↓ -69%
BCBS-TX Commercial|HMO $287.58 ↓ -66%
Bright Health Commercial|All Plans $298.72 ↓ -65%
BCBS-TX Commercial|PPO $323.05 ↓ -62%
Cigna Commercial|Surefit $363.52 ↓ -57%
Cigna Commercial|HMO $400.36 ↓ -53%
UNITED Medicaid|STARPLUS $422.23 ↓ -50%
Cigna Commercial|PPO $491.24 ↓ -42%
Aetna-Kelsey Care Commercial|HMO $1,434.29 ↑ +69%
Cigna Lifesource Commercial|Transplant $1,458.60 ↑ +71%
Coventry Commercial|PPO $1,580.15 ↑ +86%
First Health Commercial|All Plans $1,580.15 ↑ +86%
Aetna Commercial|HMO $1,653.08 ↑ +94%
Healthsmart Commercial|PPO $1,701.70 ↑ +100%
Cigna Commercial|Transplant $1,701.70 ↑ +100%
MultiPlan Commercial|All Plans $1,823.25 ↑ +114%

Visitor-reported prices

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Ivp w/wo kub w/wo tomography at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA $4,821.58 $132.62 – $686.90
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $687.80 $135.33 – $859.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $823.10 $169.42 – $1,234.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $683.08 $135.33 – $853.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $687.80 $135.33 – $859.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $823.10 $144.80 – $1,234.66
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $823.10 $135.33 – $1,234.66
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $683.08 $135.33 – $1,024.62

All Texas hospitals for this procedure →