Knee MRI (with contrast) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$5,275.90
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.
$15,074.00
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.
$307.27 with CHC vs $11,305.50 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 | $307.27 | ↓ -94% |
| TCHP | Medicaid|All Plans | $307.27 | ↓ -94% |
| Wellpoint | Medicaid|All Plans | $323.44 | ↓ -94% |
| UNITED | Medicaid|All Other Plans | $329.91 | ↓ -94% |
| UNITED | Medicaid|STAR | $443.11 | ↓ -92% |
| BCBS | Medicare|All Plans | $791.34 | ↓ -85% |
| HUMANA | Medicare|All Plans | $791.34 | ↓ -85% |
| KELSEY | Medicare|All Plans | $791.34 | ↓ -85% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $791.34 | ↓ -85% |
| AETNA | Medicare|All Plans | $807.17 | ↓ -85% |
| UNITED | Medicare|All Plans | $807.17 | ↓ -85% |
| AMERIVANTAGE | Medicare|All Plans | $815.08 | ↓ -85% |
| DEVOTED | Medicare|All Plans | $846.73 | ↓ -84% |
| SCANHealth | Medicare|All Plans | $846.73 | ↓ -84% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $994.00 | ↓ -81% |
| UNITED | Medicaid|STARPLUS | $1,009.13 | ↓ -81% |
| Cigna | Commercial|Surefit | $1,015.00 | ↓ -81% |
| Aetna | Commercial|Transplant | $1,023.00 | ↓ -81% |
| Humana | Commercial|HMO | $1,050.00 | ↓ -80% |
| Humana | Commercial|PPO | $1,050.00 | ↓ -80% |
| Cigna | Commercial|HMO | $1,119.00 | ↓ -79% |
| Aetna | Commercial|PPO | $1,145.00 | ↓ -78% |
| BCBS-TX | Commercial|Exchange | $1,157.39 | ↓ -78% |
| Ambetter | Commercial|All Plans | $1,187.01 | ↓ -78% |
| Community Health Choice | Commercial|Exchange | $1,187.01 | ↓ -78% |
| Wellpoint | Commercial|Exchange | $1,187.01 | ↓ -78% |
| Bright Health | Commercial|All Plans | $1,196.41 | ↓ -77% |
| United | Commercial|Exchange | $1,535.00 | ↓ -71% |
| BCBS-TX | Commercial|Blue Premier | $2,110.54 | ↓ -60% |
| United | Commercial|Charter | $2,266.00 | ↓ -57% |
| United | Commercial|HMO | $2,518.00 | ↓ -52% |
| United | Commercial|PPO | $2,518.00 | ↓ -52% |
| BCBS-TX | Commercial|HMO | $2,634.77 | ↓ -50% |
| Cigna | Commercial|PPO | $2,812.00 | ↓ -47% |
| BCBS-TX | Commercial|PPO | $2,961.57 | ↓ -44% |
| Aetna-Kelsey Care | Commercial|HMO | $8,893.66 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $9,044.40 | ↑ +71% |
| First Health | Commercial|All Plans | $9,798.10 | ↑ +86% |
| Coventry | Commercial|PPO | $9,798.10 | ↑ +86% |
| Aetna | Commercial|HMO | $10,250.32 | ↑ +94% |
| Cigna | Commercial|Transplant | $10,551.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $10,551.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $11,305.50 | ↑ +114% |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $316.97 – $1,463.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,394.58 | $323.44 – $2,993.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,201.09 | $453.06 – $3,301.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,551.43 | $323.44 – $3,189.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,394.58 | $323.44 – $2,993.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,201.09 | $346.08 – $3,301.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,201.09 | $323.44 – $3,301.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,551.43 | $323.44 – $3,827.15 |