Perq nl/pl lithotrp cplx>2cm at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$2,976.12
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.
$8,503.20
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.
$1,732.00 with Aetna-Kelsey Care vs $30,902.00 with Cigna — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,732.00 | ↓ -42% |
| Aetna | Commercial|HMO | $2,089.00 | ↓ -30% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -18% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -18% |
| CHC | Medicaid|All Plans | $3,156.16 | ↑ +6% |
| TCHP | Medicaid|All Plans | $3,156.16 | ↑ +6% |
| Wellpoint | Medicaid|All Plans | $3,322.27 | ↑ +12% |
| UNITED | Medicaid|All Other Plans | $3,388.72 | ↑ +14% |
| United | Commercial|Exchange | $4,078.00 | ↑ +37% |
| UNITED | Medicaid|STAR | $4,551.51 | ↑ +53% |
| Cigna Lifesource | Commercial|Transplant | $5,101.92 | ↑ +71% |
| PHCS | Commercial|All Plans | $5,527.08 | ↑ +86% |
| Coventry | Commercial|PPO | $5,527.08 | ↑ +86% |
| First Health | Commercial|All Plans | $5,527.08 | ↑ +86% |
| Aetna | Commercial|PPO | $5,782.18 | ↑ +94% |
| Cigna | Commercial|Transplant | $5,952.24 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,952.24 | ↑ +100% |
| United | Commercial|Charter | $6,021.00 | ↑ +102% |
| BCBS-TX | Commercial|Exchange | $6,050.95 | ↑ +103% |
| MultiPlan | Commercial|All Plans | $6,377.40 | ↑ +114% |
| Aetna | Commercial|Transplant | $6,462.44 | ↑ +117% |
| United | Commercial|HMO | $6,690.00 | ↑ +125% |
| United | Commercial|PPO | $6,690.00 | ↑ +125% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $7,745.21 | ↑ +160% |
| HUMANA | Medicare|All Plans | $9,262.13 | ↑ +211% |
| BCBS | Medicare|All Plans | $9,262.13 | ↑ +211% |
| KELSEY | Medicare|All Plans | $9,262.13 | ↑ +211% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $9,262.13 | ↑ +211% |
| AETNA | Medicare|All Plans | $9,447.37 | ↑ +217% |
| UNITED | Medicare|All Plans | $9,447.37 | ↑ +217% |
| AMERIVANTAGE | Medicare|All Plans | $9,539.99 | ↑ +221% |
| DEVOTED | Medicare|All Plans | $9,910.48 | ↑ +233% |
| SCANHealth | Medicare|All Plans | $9,910.48 | ↑ +233% |
| UNITED | Medicaid|STARPLUS | $10,365.48 | ↑ +248% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +275% |
| BCBS-TX | Commercial|Blue Premier | $11,698.50 | ↑ +293% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +313% |
| Bright Health | Commercial|All Plans | $13,801.57 | ↑ +364% |
| BCBS-TX | Commercial|HMO | $13,876.84 | ↑ +366% |
| Community Health Choice | Commercial|Exchange | $13,893.19 | ↑ +367% |
| Ambetter | Commercial|All Plans | $13,893.19 | ↑ +367% |
| Wellpoint | Commercial|Exchange | $13,893.20 | ↑ +367% |
| BCBS-TX | Commercial|PPO | $15,490.43 | ↑ +420% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +938% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $3,255.82 – $14,038.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,114.58 | $3,322.27 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,232.63 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,976.07 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,114.58 | $3,322.27 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,232.63 | $85.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,232.63 | $3,322.27 – $22,821.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,976.07 | $71.00 – $22,821.27 |