Nm imaging hepatobiliary system w/pharmacologic intervention at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,864.45
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.
?
What you pay up front if you don't use insurance.
$5,327.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$386.94 with TCHP vs $3,995.25 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $386.94 | ↓ -79% |
| CHC | Medicaid|All Plans | $386.94 | ↓ -79% |
| Wellpoint | Medicaid|All Plans | $407.30 | ↓ -78% |
| UNITED | Medicaid|All Other Plans | $415.45 | ↓ -78% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $539.14 | ↓ -71% |
| HUMANA | Medicare|All Plans | $539.14 | ↓ -71% |
| BCBS | Medicare|All Plans | $539.14 | ↓ -71% |
| KELSEY | Medicare|All Plans | $539.14 | ↓ -71% |
| AETNA | Medicare|All Plans | $549.92 | ↓ -71% |
| UNITED | Medicare|All Plans | $549.92 | ↓ -71% |
| AMERIVANTAGE | Medicare|All Plans | $555.31 | ↓ -70% |
| UNITED | Medicaid|STAR | $558.00 | ↓ -70% |
| DEVOTED | Medicare|All Plans | $576.88 | ↓ -69% |
| SCANHealth | Medicare|All Plans | $576.88 | ↓ -69% |
| BCBS-TX | Commercial|Exchange | $589.45 | ↓ -68% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $610.35 | ↓ -67% |
| Community Health Choice | Commercial|Exchange | $808.71 | ↓ -57% |
| Wellpoint | Commercial|Exchange | $808.71 | ↓ -57% |
| Ambetter | Commercial|All Plans | $808.71 | ↓ -57% |
| Bright Health | Commercial|All Plans | $818.35 | ↓ -56% |
| BCBS-TX | Commercial|Blue Premier | $1,070.21 | ↓ -43% |
| BCBS-TX | Commercial|HMO | $1,254.15 | ↓ -33% |
| UNITED | Medicaid|STARPLUS | $1,270.78 | ↓ -32% |
| BCBS-TX | Commercial|PPO | $1,408.83 | ↓ -24% |
| Cigna | Commercial|Surefit | $1,704.64 | ↓ -9% |
| United | Commercial|Exchange | $1,723.00 | ↓ -8% |
| Cigna | Commercial|HMO | $1,864.45 | ↑ +0% |
| Cigna | Commercial|PPO | $2,184.07 | ↑ +17% |
| United | Commercial|Charter | $2,544.00 | ↑ +36% |
| United | Commercial|PPO | $2,827.00 | ↑ +52% |
| United | Commercial|HMO | $2,827.00 | ↑ +52% |
| Aetna-Kelsey Care | Commercial|HMO | $3,142.93 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $3,196.20 | ↑ +71% |
| First Health | Commercial|All Plans | $3,462.55 | ↑ +86% |
| Coventry | Commercial|PPO | $3,462.55 | ↑ +86% |
| Aetna | Commercial|HMO | $3,622.36 | ↑ +94% |
| Healthsmart | Commercial|PPO | $3,728.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,728.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,995.25 | ↑ +114% |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $4,407.12 | $399.15 – $2,217.03 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,968.94 | $405.27 – $2,953.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,968.31 | $390.26 – $2,460.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,968.94 | $417.58 – $2,953.41 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,968.94 | $390.26 – $2,953.41 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,968.31 | $390.26 – $2,952.47 |