Ortho hnd/fngr w/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
$165.75
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.
$473.55
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.
$86.44 with BCBS-TX vs $308.70 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 | $86.44 | ↓ -48% |
| BCBS-TX | Commercial|Blue Premier | $90.56 | ↓ -45% |
| United | Commercial|Exchange | $98.79 | ↓ -40% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $107.02 | ↓ -35% |
| BCBS-TX | Commercial|HMO | $111.14 | ↓ -33% |
| United | Commercial|Charter | $115.25 | ↓ -30% |
| Cigna | Commercial|HMO | $123.48 | ↓ -26% |
| BCBS-TX | Commercial|PPO | $123.48 | ↓ -26% |
| Cigna | Commercial|Surefit | $123.48 | ↓ -26% |
| Cigna | Commercial|PPO | $123.48 | ↓ -26% |
| United | Commercial|PPO | $127.60 | ↓ -23% |
| United | Commercial|HMO | $127.60 | ↓ -23% |
| Humana | Commercial|PPO | $172.88 | ↑ +4% |
| Humana | Commercial|HMO | $172.88 | ↑ +4% |
| Cigna Lifesource | Commercial|Transplant | $246.96 | ↑ +49% |
| PHCS | Commercial|All Plans | $267.54 | ↑ +61% |
| Coventry | Commercial|PPO | $267.54 | ↑ +61% |
| First Health | Commercial|All Plans | $267.54 | ↑ +61% |
| Cigna | Commercial|Transplant | $288.12 | ↑ +74% |
| Healthsmart | Commercial|PPO | $288.12 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $308.70 | ↑ +86% |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $353.92 – $776.45 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $214.04 | $73.39 – $397.49 |
| HCA HOUSTON TOMBALL | HOUSTON | $554.00 | $353.92 – $776.45 |
| Texas Health Hospital Mansfield | Mansfield | $1,797.95 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $249.12 | $280.15 – $280.15 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $1,797.95 | not published |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $249.12 | $280.15 – $280.15 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $249.12 | $280.15 – $280.15 |