Ortho elbow w/lock w/ft&adj at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$224.18
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.
$640.50
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.
$134.51 with BCBS-TX vs $480.38 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $134.51 | ↓ -40% |
| BCBS-TX | Commercial|Blue Premier | $140.91 | ↓ -37% |
| United | Commercial|Exchange | $153.72 | ↓ -31% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $166.53 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $172.94 | ↓ -23% |
| United | Commercial|Charter | $179.34 | ↓ -20% |
| Cigna | Commercial|HMO | $192.15 | ↓ -14% |
| BCBS-TX | Commercial|PPO | $192.15 | ↓ -14% |
| Cigna | Commercial|Surefit | $192.15 | ↓ -14% |
| Cigna | Commercial|PPO | $192.15 | ↓ -14% |
| United | Commercial|PPO | $198.56 | ↓ -11% |
| United | Commercial|HMO | $198.56 | ↓ -11% |
| Humana | Commercial|PPO | $269.01 | ↑ +20% |
| Humana | Commercial|HMO | $269.01 | ↑ +20% |
| Cigna Lifesource | Commercial|Transplant | $384.30 | ↑ +71% |
| PHCS | Commercial|All Plans | $416.33 | ↑ +86% |
| Coventry | Commercial|PPO | $416.33 | ↑ +86% |
| First Health | Commercial|All Plans | $416.33 | ↑ +86% |
| Cigna | Commercial|Transplant | $448.35 | ↑ +100% |
| Healthsmart | Commercial|PPO | $448.35 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $480.38 | ↑ +114% |
Visitor-reported prices
Comments
Ortho elbow w/lock w/ft&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $551.06 – $1,208.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $348.29 | $98.68 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $428.40 | $56.89 – $414.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $428.40 | $55.28 – $368.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $348.29 | $92.88 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $428.40 | $88.73 – $414.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $428.40 | $142.81 – $414.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $428.40 | $92.14 – $414.61 |