Lab draw <3 yrs scalp vein 36405 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$81.90
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.
$234.00
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.
$15.57 with TCHP vs $2,430.00 with Humana — 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $15.57 | ↓ -81% |
| CHC | Medicaid|All Plans | $15.57 | ↓ -81% |
| Wellpoint | Medicaid|All Plans | $16.38 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $16.71 | ↓ -80% |
| UNITED | Medicaid|STAR | $22.45 | ↓ -73% |
| UNITED | Medicaid|STARPLUS | $51.11 | ↓ -38% |
| Cigna | Commercial|HMO | $100.00 | ↑ +22% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +22% |
| Cigna | Commercial|PPO | $100.00 | ↑ +22% |
| Cigna Lifesource | Commercial|Transplant | $140.40 | ↑ +71% |
| Coventry | Commercial|PPO | $152.10 | ↑ +86% |
| First Health | Commercial|All Plans | $152.10 | ↑ +86% |
| PHCS | Commercial|All Plans | $152.10 | ↑ +86% |
| Aetna | Commercial|PPO | $159.12 | ↑ +94% |
| Healthsmart | Commercial|PPO | $163.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $163.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $175.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $177.84 | ↑ +117% |
| United | Commercial|Exchange | $661.00 | ↑ +707% |
| United | Commercial|Charter | $976.00 | ↑ +1092% |
| United | Commercial|HMO | $1,085.00 | ↑ +1225% |
| United | Commercial|PPO | $1,085.00 | ↑ +1225% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +2867% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +2867% |
Visitor-reported prices
Comments
Lab draw <3 yrs scalp vein 36405 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $117.60 | not published |
| St. Joseph Health Madison Hospital | Madisonville | $47.43 | $34.53 – $271.00 |
| St. Joseph Health College Station Hospital | College Station | $47.43 | $21.68 – $271.00 |
| St. Joseph Health Grimes Hospital | Navasota | $47.43 | $98.27 – $300.81 |
| Covenant Medical Center | Lubbock | $117.60 | $158.45 – $158.45 |
| St. Joseph Health Burleson Hospital | Caldwell | $47.43 | $59.62 – $271.00 |
| Covenant Hospital Plainview | Plainview | $120.96 | not published |
| Covenant Hospital Levelland | Levelland | $120.96 | not published |