Macroscopic exam arthropod at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$13.23
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.
$37.80
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.
$3.41 with TCHP vs $28.35 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $3.41 | ↓ -74% |
| CHC | Medicaid|All Plans | $3.41 | ↓ -74% |
| Wellpoint | Medicaid|All Plans | $3.59 | ↓ -73% |
| UNITED | Medicaid|All Other Plans | $3.66 | ↓ -72% |
| KELSEY | Medicare|All Plans | $4.27 | ↓ -68% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $4.27 | ↓ -68% |
| BCBS | Medicare|All Plans | $4.27 | ↓ -68% |
| HUMANA | Medicare|All Plans | $4.27 | ↓ -68% |
| UNITED | Medicare|All Plans | $4.36 | ↓ -67% |
| AETNA | Medicare|All Plans | $4.36 | ↓ -67% |
| AMERIVANTAGE | Medicare|All Plans | $4.40 | ↓ -67% |
| SCANHealth | Medicare|All Plans | $4.57 | ↓ -65% |
| DEVOTED | Medicare|All Plans | $4.57 | ↓ -65% |
| UNITED | Medicaid|STAR | $4.92 | ↓ -63% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $6.23 | ↓ -53% |
| Ambetter | Commercial|All Plans | $6.40 | ↓ -52% |
| Community Health Choice | Commercial|Exchange | $6.40 | ↓ -52% |
| Wellpoint | Commercial|Exchange | $6.41 | ↓ -52% |
| Bright Health | Commercial|All Plans | $7.05 | ↓ -47% |
| United | Commercial|Charter | $7.91 | ↓ -40% |
| United | Commercial|HMO | $7.91 | ↓ -40% |
| United | Commercial|Exchange | $7.91 | ↓ -40% |
| United | Commercial|PPO | $7.91 | ↓ -40% |
| BCBS-TX | Commercial|Exchange | $8.11 | ↓ -39% |
| Cigna | Commercial|Surefit | $9.91 | ↓ -25% |
| Cigna | Commercial|HMO | $10.93 | ↓ -17% |
| UNITED | Medicaid|STARPLUS | $11.20 | ↓ -15% |
| BCBS-TX | Commercial|Blue Premier | $13.92 | ↑ +5% |
| Cigna | Commercial|PPO | $14.96 | ↑ +13% |
| BCBS-TX | Commercial|HMO | $18.70 | ↑ +41% |
| BCBS-TX | Commercial|PPO | $21.91 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $22.68 | ↑ +71% |
| First Health | Commercial|All Plans | $24.57 | ↑ +86% |
| Coventry | Commercial|PPO | $24.57 | ↑ +86% |
| Aetna | Commercial|HMO | $25.71 | ↑ +94% |
| Healthsmart | Commercial|PPO | $26.46 | ↑ +100% |
| Cigna | Commercial|Transplant | $26.46 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $28.35 | ↑ +114% |
Visitor-reported prices
Comments
Macroscopic exam arthropod at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $3.52 – $18.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $45.36 | $3.59 – $56.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48.44 | $6.26 – $72.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $45.36 | $3.59 – $56.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $45.36 | $3.59 – $56.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $48.44 | $3.84 – $72.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $48.44 | $3.59 – $72.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $45.36 | $3.59 – $68.04 |