Ortho hnd/fngr 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
$157.66
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.
$450.45
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.
$94.60 with BCBS-TX vs $337.84 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 | $94.60 | ↓ -40% |
| BCBS-TX | Commercial|Blue Premier | $99.10 | ↓ -37% |
| United | Commercial|Exchange | $108.11 | ↓ -31% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $117.12 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $121.63 | ↓ -23% |
| United | Commercial|Charter | $126.13 | ↓ -20% |
| Cigna | Commercial|HMO | $135.14 | ↓ -14% |
| BCBS-TX | Commercial|PPO | $135.14 | ↓ -14% |
| Cigna | Commercial|Surefit | $135.14 | ↓ -14% |
| Cigna | Commercial|PPO | $135.14 | ↓ -14% |
| United | Commercial|PPO | $139.64 | ↓ -11% |
| United | Commercial|HMO | $139.64 | ↓ -11% |
| Humana | Commercial|PPO | $189.19 | ↑ +20% |
| Humana | Commercial|HMO | $189.19 | ↑ +20% |
| Cigna Lifesource | Commercial|Transplant | $270.27 | ↑ +71% |
| PHCS | Commercial|All Plans | $292.80 | ↑ +86% |
| Coventry | Commercial|PPO | $292.80 | ↑ +86% |
| First Health | Commercial|All Plans | $292.80 | ↑ +86% |
| Cigna | Commercial|Transplant | $315.32 | ↑ +100% |
| Healthsmart | Commercial|PPO | $315.32 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $337.84 | ↑ +114% |
Visitor-reported prices
Comments
Ortho hnd/fngr without jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $298.46 – $654.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $267.60 | $55.08 – $401.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $267.60 | $53.52 – $356.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $267.60 | $85.90 – $401.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $267.60 | $138.26 – $401.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $154.83 | $154.83 – $928.94 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $187.70 | $64.36 – $348.57 |
| St. Luke's Health Memorial Livingston | Livingston | $154.83 | $154.83 – $928.94 |