Ortho ewh rgd without jnt cstm w/fit&adj at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$360.52
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.
$1,030.05
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.
$100.00 with Cigna vs $669.54 with PHCS — 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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $100.00 | ↓ -72% |
| Cigna | Commercial|PPO | $100.00 | ↓ -72% |
| Cigna | Commercial|HMO | $100.00 | ↓ -72% |
| BCBS-TX | Commercial|Exchange | $216.32 | ↓ -40% |
| BCBS-TX | Commercial|Blue Premier | $226.62 | ↓ -37% |
| United | Commercial|Exchange | $247.22 | ↓ -31% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $267.82 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $278.12 | ↓ -23% |
| United | Commercial|Charter | $288.42 | ↓ -20% |
| BCBS-TX | Commercial|PPO | $309.02 | ↓ -14% |
| United | Commercial|HMO | $319.32 | ↓ -11% |
| United | Commercial|PPO | $319.32 | ↓ -11% |
| Humana | Commercial|PPO | $432.63 | ↑ +20% |
| Humana | Commercial|HMO | $432.63 | ↑ +20% |
| Cigna Lifesource | Commercial|Transplant | $444.78 | ↑ +23% |
| Coventry | Commercial|PPO | $481.85 | ↑ +34% |
| First Health | Commercial|All Plans | $481.85 | ↑ +34% |
| Cigna | Commercial|Transplant | $518.91 | ↑ +44% |
| Healthsmart | Commercial|PPO | $518.91 | ↑ +44% |
| MultiPlan | Commercial|All Plans | $555.98 | ↑ +54% |
| PHCS | Commercial|All Plans | $669.54 | ↑ +86% |
Visitor-reported prices
Comments
Ortho ewh rgd without jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $771.47 – $1,692.50 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $881.50 | $249.76 – $1,175.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $881.50 | $181.44 – $1,322.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $881.50 | $176.30 – $1,175.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $881.50 | $235.07 – $1,175.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $881.50 | $282.96 – $1,322.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $881.50 | $455.44 – $1,322.24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $881.50 | $293.83 – $1,322.24 |