Ophthalmic mitomycin at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$417.85
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.
$1,193.85
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.
$262.65 with Aetna-Kelsey Care vs $1,166.75 with BCBS-TX — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $262.65 | ↓ -37% |
| Aetna | Commercial|HMO | $310.41 | ↓ -26% |
| United | Commercial|Exchange | $310.41 | ↓ -26% |
| Aetna | Commercial|PPO | $310.41 | ↓ -26% |
| Aetna | Commercial|Transplant | $382.04 | ↓ -9% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $391.31 | ↓ -6% |
| Bright Health | Commercial|All Plans | $393.98 | ↓ -6% |
| United | Commercial|Charter | $405.91 | ↓ -3% |
| Cigna | Commercial|Surefit | $429.79 | ↑ +3% |
| Cigna | Commercial|PPO | $429.79 | ↑ +3% |
| Cigna | Commercial|HMO | $429.79 | ↑ +3% |
| BCBS-TX | Commercial|Exchange | $441.57 | ↑ +6% |
| United | Commercial|HMO | $453.67 | ↑ +9% |
| United | Commercial|PPO | $453.67 | ↑ +9% |
| Humana | Commercial|PPO | $573.05 | ↑ +37% |
| Humana | Commercial|HMO | $573.05 | ↑ +37% |
| Cigna Lifesource | Commercial|Transplant | $716.31 | ↑ +71% |
| BCBS-TX | Commercial|Blue Premier | $761.08 | ↑ +82% |
| Coventry | Commercial|PPO | $776.01 | ↑ +86% |
| First Health | Commercial|All Plans | $776.01 | ↑ +86% |
| Healthsmart | Commercial|PPO | $835.70 | ↑ +100% |
| PHCS | Commercial|All Plans | $835.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $835.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $895.39 | ↑ +114% |
| BCBS-TX | Commercial|HMO | $954.94 | ↑ +129% |
| BCBS-TX | Commercial|PPO | $1,166.75 | ↑ +179% |
Visitor-reported prices
Comments
Ophthalmic mitomycin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $703.64 – $3,059.63 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $339.21 | $145.38 – $710.82 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,382.15 – $1,382.15 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $703.64 – $3,059.63 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $703.64 – $3,059.63 |
| Covenant Children's Hospital | Lubbock | not published | $1,342.66 – $1,433.39 |
| HCA HOUSTON CONROE | CONROE | not published | $703.64 – $3,059.63 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $703.64 – $3,059.63 |