Mastectomy partial at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,707.62
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.
$4,878.90
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.
$915.48 with CHC vs $9,029.00 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 |
|---|---|---|---|
| CHC | Medicaid|All Plans | $915.48 | ↓ -46% |
| TCHP | Medicaid|All Plans | $915.48 | ↓ -46% |
| Wellpoint | Medicaid|All Plans | $963.66 | ↓ -44% |
| UNITED | Medicaid|All Other Plans | $982.93 | ↓ -42% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -28% |
| UNITED | Medicaid|STAR | $1,320.21 | ↓ -23% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -13% |
| Humana | Commercial|HMO | $2,025.00 | ↑ +19% |
| Humana | Commercial|PPO | $2,025.00 | ↑ +19% |
| BCBS-TX | Commercial|Exchange | $2,272.16 | ↑ +33% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,908.37 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $2,927.34 | ↑ +71% |
| UNITED | Medicaid|STARPLUS | $3,006.62 | ↑ +76% |
| United | Commercial|Exchange | $3,137.00 | ↑ +84% |
| First Health | Commercial|All Plans | $3,171.29 | ↑ +86% |
| Coventry | Commercial|PPO | $3,171.29 | ↑ +86% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +91% |
| Aetna | Commercial|PPO | $3,317.66 | ↑ +94% |
| Cigna | Commercial|Transplant | $3,415.23 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,415.23 | ↑ +100% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $3,659.18 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,707.97 | ↑ +117% |
| KELSEY | Medicare|All Plans | $3,835.48 | ↑ +125% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,835.48 | ↑ +125% |
| HUMANA | Medicare|All Plans | $3,835.48 | ↑ +125% |
| BCBS | Medicare|All Plans | $3,835.48 | ↑ +125% |
| UNITED | Medicare|All Plans | $3,912.19 | ↑ +129% |
| AETNA | Medicare|All Plans | $3,912.19 | ↑ +129% |
| AMERIVANTAGE | Medicare|All Plans | $3,950.54 | ↑ +131% |
| DEVOTED | Medicare|All Plans | $4,103.96 | ↑ +140% |
| SCANHealth | Medicare|All Plans | $4,103.96 | ↑ +140% |
| BCBS-TX | Commercial|Blue Premier | $4,392.85 | ↑ +157% |
| United | Commercial|Charter | $4,631.00 | ↑ +171% |
| United | Commercial|PPO | $5,145.00 | ↑ +201% |
| United | Commercial|HMO | $5,145.00 | ↑ +201% |
| BCBS-TX | Commercial|HMO | $5,210.83 | ↑ +205% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +208% |
| Bright Health | Commercial|All Plans | $5,280.71 | ↑ +209% |
| Wellpoint | Commercial|Exchange | $5,753.22 | ↑ +237% |
| Community Health Choice | Commercial|Exchange | $5,753.22 | ↑ +237% |
| Ambetter | Commercial|All Plans | $5,753.22 | ↑ +237% |
| BCBS-TX | Commercial|PPO | $5,816.74 | ↑ +241% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +429% |
Visitor-reported prices
Comments
Mastectomy partial at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $944.39 – $5,271.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,306.52 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,127.80 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,306.52 | $85.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,306.52 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,127.80 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $4,306.52 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $4,306.52 | $71.00 – $9,442.65 |