Mra, w/o&w/dye, upper extr at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,055.57
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.
$3,015.90
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.
$357.71 with BCBS vs $2,812.00 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $357.71 | ↓ -66% |
| KELSEY | Medicare|All Plans | $357.71 | ↓ -66% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $357.71 | ↓ -66% |
| HUMANA | Medicare|All Plans | $357.71 | ↓ -66% |
| UNITED | Medicare|All Plans | $364.86 | ↓ -65% |
| AETNA | Medicare|All Plans | $364.86 | ↓ -65% |
| AMERIVANTAGE | Medicare|All Plans | $368.44 | ↓ -65% |
| DEVOTED | Medicare|All Plans | $382.75 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $382.75 | ↓ -64% |
| Ambetter | Commercial|All Plans | $536.57 | ↓ -49% |
| Wellpoint | Commercial|Exchange | $536.57 | ↓ -49% |
| Community Health Choice | Commercial|Exchange | $536.57 | ↓ -49% |
| BCBS-TX | Commercial|Exchange | $538.41 | ↓ -49% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $557.50 | ↓ -47% |
| Bright Health | Commercial|All Plans | $615.81 | ↓ -42% |
| Aetna-Kelsey Care | Commercial|HMO | $950.00 | ↓ -10% |
| BCBS-TX | Commercial|Blue Premier | $977.54 | ↓ -7% |
| Cigna | Commercial|Surefit | $1,015.00 | ↓ -4% |
| Aetna | Commercial|Transplant | $1,023.00 | ↓ -3% |
| Humana | Commercial|PPO | $1,050.00 | ↓ -1% |
| Humana | Commercial|HMO | $1,050.00 | ↓ -1% |
| Cigna | Commercial|HMO | $1,119.00 | ↑ +6% |
| Aetna | Commercial|HMO | $1,145.00 | ↑ +8% |
| Aetna | Commercial|PPO | $1,145.00 | ↑ +8% |
| BCBS-TX | Commercial|HMO | $1,145.55 | ↑ +9% |
| BCBS-TX | Commercial|PPO | $1,286.83 | ↑ +22% |
| United | Commercial|Exchange | $1,535.00 | ↑ +45% |
| Cigna Lifesource | Commercial|Transplant | $1,809.54 | ↑ +71% |
| First Health | Commercial|All Plans | $1,960.34 | ↑ +86% |
| Coventry | Commercial|PPO | $1,960.34 | ↑ +86% |
| Cigna | Commercial|Transplant | $2,111.13 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,111.13 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,261.93 | ↑ +114% |
| United | Commercial|Charter | $2,266.00 | ↑ +115% |
| United | Commercial|PPO | $2,518.00 | ↑ +139% |
| United | Commercial|HMO | $2,518.00 | ↑ +139% |
| Cigna | Commercial|PPO | $2,812.00 | ↑ +166% |
Visitor-reported prices
Comments
Mra, w/o&w/dye, upper extr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $672.06 – $699.43 |
| Baylor St Luke's Medical Center | Houston | $712.60 | $458.22 – $2,036.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $687.45 | $400.00 – $4,124.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $712.60 | $538.41 – $2,036.00 |
| St. Luke's Health Memorial Livingston | Livingston | $687.45 | $400.00 – $4,124.70 |