Low cost skin substitute app at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$288.05
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.
$823.00
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.
$54.73 with TCHP vs $5,160.00 with Cigna — 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 | $54.73 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $58.77 | ↓ -80% |
| UNITED | Medicaid|STAR | $78.93 | ↓ -73% |
| UNITED | Medicaid|STARPLUS | $179.75 | ↓ -38% |
| BCBS-TX | Commercial|Exchange | $372.77 | ↑ +29% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $477.14 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $493.80 | ↑ +71% |
| Coventry | Commercial|PPO | $534.95 | ↑ +86% |
| First Health | Commercial|All Plans | $534.95 | ↑ +86% |
| Aetna | Commercial|PPO | $559.64 | ↑ +94% |
| Cigna | Commercial|Transplant | $576.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $576.10 | ↑ +100% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $613.12 | ↑ +113% |
| HUMANA | Medicare|All Plans | $613.12 | ↑ +113% |
| BCBS | Medicare|All Plans | $613.12 | ↑ +113% |
| KELSEY | Medicare|All Plans | $613.12 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $617.25 | ↑ +114% |
| AETNA | Medicare|All Plans | $625.38 | ↑ +117% |
| UNITED | Medicare|All Plans | $625.38 | ↑ +117% |
| Aetna | Commercial|Transplant | $625.48 | ↑ +117% |
| AMERIVANTAGE | Medicare|All Plans | $631.51 | ↑ +119% |
| DEVOTED | Medicare|All Plans | $656.04 | ↑ +128% |
| SCANHealth | Medicare|All Plans | $656.04 | ↑ +128% |
| BCBS-TX | Commercial|Blue Premier | $720.68 | ↑ +150% |
| BCBS-TX | Commercial|HMO | $854.87 | ↑ +197% |
| Bright Health | Commercial|All Plans | $875.84 | ↑ +204% |
| Wellpoint | Commercial|Exchange | $919.68 | ↑ +219% |
| Community Health Choice | Commercial|Exchange | $919.68 | ↑ +219% |
| Ambetter | Commercial|All Plans | $919.68 | ↑ +219% |
| BCBS-TX | Commercial|PPO | $954.28 | ↑ +231% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +274% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +351% |
| United | Commercial|Exchange | $1,676.00 | ↑ +482% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +547% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +613% |
| United | Commercial|Charter | $2,474.00 | ↑ +759% |
| United | Commercial|PPO | $2,749.00 | ↑ +854% |
| United | Commercial|HMO | $2,749.00 | ↑ +854% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +1691% |
Visitor-reported prices
Comments
Low cost skin substitute app at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $864.81 – $864.81 |
| Covenant Children's Hospital | Lubbock | $818.58 | $507.58 – $4,524.00 |
| Baylor St Luke's Medical Center | Houston | $518.00 | $100.00 – $1,480.00 |
| St. Joseph Health Madison Hospital | Madisonville | $140.88 | $102.56 – $805.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $393.75 | $525.00 – $2,362.50 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $518.00 | $90.00 – $1,480.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $518.00 | $90.00 – $1,480.00 |
| St. Joseph Health College Station Hospital | College Station | $140.88 | $442.75 – $805.00 |