Oth resp proc, group at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$166.95
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.
$477.00
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.
$18.41 with BCBS - TX vs $1,604.00 with United — 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|MyBlue Health Exchange | $18.41 | ↓ -89% |
| BCBS-TX | Commercial|Exchange | $21.31 | ↓ -87% |
| BCBS-TX | Commercial|Blue Premier | $26.73 | ↓ -84% |
| BCBS-TX | Commercial|HMO | $35.31 | ↓ -79% |
| HUMANA | Medicare|All Plans | $39.31 | ↓ -76% |
| BCBS | Medicare|All Plans | $39.31 | ↓ -76% |
| KELSEY | Medicare|All Plans | $39.31 | ↓ -76% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $39.31 | ↓ -76% |
| BCBS-TX | Commercial|PPO | $40.10 | ↓ -76% |
| AETNA | Medicare|All Plans | $40.10 | ↓ -76% |
| UNITED | Medicare|All Plans | $40.10 | ↓ -76% |
| AMERIVANTAGE | Medicare|All Plans | $40.49 | ↓ -76% |
| DEVOTED | Medicare|All Plans | $42.06 | ↓ -75% |
| SCANHealth | Medicare|All Plans | $42.06 | ↓ -75% |
| Bright Health | Commercial|All Plans | $56.61 | ↓ -66% |
| Ambetter | Commercial|All Plans | $58.97 | ↓ -65% |
| Community Health Choice | Commercial|Exchange | $58.97 | ↓ -65% |
| Wellpoint | Commercial|Exchange | $58.97 | ↓ -65% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -40% |
| Cigna | Commercial|PPO | $100.00 | ↓ -40% |
| Cigna | Commercial|HMO | $100.00 | ↓ -40% |
| Cigna Lifesource | Commercial|Transplant | $286.20 | ↑ +71% |
| First Health | Commercial|All Plans | $310.05 | ↑ +86% |
| Coventry | Commercial|PPO | $310.05 | ↑ +86% |
| Cigna | Commercial|Transplant | $333.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $333.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $357.75 | ↑ +114% |
| United | Commercial|Exchange | $978.00 | ↑ +486% |
| United | Commercial|Charter | $1,443.00 | ↑ +764% |
| United | Commercial|PPO | $1,604.00 | ↑ +861% |
| United | Commercial|HMO | $1,604.00 | ↑ +861% |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $29.51 – $121.17 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $29.51 – $121.17 |
| Covenant Children's Hospital | Lubbock | $102.48 | $43.00 – $43.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $75.86 | $29.51 – $121.17 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $29.51 – $121.17 |
| St. Joseph Health Madison Hospital | Madisonville | $44.80 | $25.09 – $670.00 |
| St. Joseph Health College Station Hospital | College Station | $44.80 | $25.09 – $670.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $13.23 | $5.67 – $26.29 |