Kidney img w/bldflw sgl without rx at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,595.65
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.
$4,559.00
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.
$207.60 with CHC vs $3,419.25 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 →
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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 |
|---|---|---|---|
| CHC | Medicaid|All Plans | $207.60 | ↓ -87% |
| TCHP | Medicaid|All Plans | $207.60 | ↓ -87% |
| Wellpoint | Medicaid|All Plans | $218.53 | ↓ -86% |
| UNITED | Medicaid|All Other Plans | $222.90 | ↓ -86% |
| BCBS-TX | Commercial|Exchange | $272.88 | ↓ -83% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $282.55 | ↓ -82% |
| UNITED | Medicaid|STAR | $299.39 | ↓ -81% |
| BCBS-TX | Commercial|Blue Premier | $495.44 | ↓ -69% |
| BCBS | Medicare|All Plans | $539.14 | ↓ -66% |
| KELSEY | Medicare|All Plans | $539.14 | ↓ -66% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $539.14 | ↓ -66% |
| HUMANA | Medicare|All Plans | $539.14 | ↓ -66% |
| UNITED | Medicare|All Plans | $549.92 | ↓ -66% |
| AETNA | Medicare|All Plans | $549.92 | ↓ -66% |
| AMERIVANTAGE | Medicare|All Plans | $555.31 | ↓ -65% |
| DEVOTED | Medicare|All Plans | $576.88 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $576.88 | ↓ -64% |
| BCBS-TX | Commercial|HMO | $580.59 | ↓ -64% |
| BCBS-TX | Commercial|PPO | $652.20 | ↓ -59% |
| UNITED | Medicaid|STARPLUS | $681.81 | ↓ -57% |
| Community Health Choice | Commercial|Exchange | $808.71 | ↓ -49% |
| Ambetter | Commercial|All Plans | $808.71 | ↓ -49% |
| Wellpoint | Commercial|Exchange | $808.71 | ↓ -49% |
| Bright Health | Commercial|All Plans | $818.35 | ↓ -49% |
| Cigna | Commercial|Surefit | $1,458.88 | ↓ -9% |
| Cigna | Commercial|HMO | $1,595.65 | ↑ +0% |
| United | Commercial|Exchange | $1,723.00 | ↑ +8% |
| Cigna | Commercial|PPO | $1,869.19 | ↑ +17% |
| United | Commercial|Charter | $2,544.00 | ↑ +59% |
| Aetna-Kelsey Care | Commercial|HMO | $2,689.81 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $2,735.40 | ↑ +71% |
| United | Commercial|PPO | $2,827.00 | ↑ +77% |
| United | Commercial|HMO | $2,827.00 | ↑ +77% |
| Coventry | Commercial|PPO | $2,963.35 | ↑ +86% |
| First Health | Commercial|All Plans | $2,963.35 | ↑ +86% |
| Aetna | Commercial|HMO | $3,100.12 | ↑ +94% |
| Healthsmart | Commercial|PPO | $3,191.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,191.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,419.25 | ↑ +114% |
Visitor-reported prices
Comments
Kidney img w/bldflw sgl without rx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $4,061.01 | $214.16 – $1,050.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,468.04 | $212.84 – $1,835.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,465.10 | $301.57 – $2,197.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,398.79 | $212.84 – $1,748.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,468.04 | $212.84 – $1,835.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,465.10 | $227.74 – $2,197.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,465.10 | $212.84 – $2,197.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,398.79 | $212.84 – $2,098.18 |