Proctosigmoidoscopy w/fb remove 45307 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,331.51
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.
$3,804.30
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.
$807.00 with Aetna-Kelsey Care vs $5,160.00 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 | $807.00 | ↓ -39% |
| CHC | Medicaid|All Plans | $892.93 | ↓ -33% |
| TCHP | Medicaid|All Plans | $892.93 | ↓ -33% |
| Wellpoint | Medicaid|All Plans | $939.93 | ↓ -29% |
| UNITED | Medicaid|All Other Plans | $958.73 | ↓ -28% |
| Aetna | Commercial|HMO | $972.00 | ↓ -27% |
| UNITED | Medicaid|STAR | $1,287.70 | ↓ -3% |
| Humana | Commercial|HMO | $1,345.00 | ↑ +1% |
| Humana | Commercial|PPO | $1,345.00 | ↑ +1% |
| BCBS-TX | Commercial|Exchange | $1,758.14 | ↑ +32% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +40% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +54% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,250.41 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $2,282.58 | ↑ +71% |
| First Health | Commercial|All Plans | $2,472.80 | ↑ +86% |
| Coventry | Commercial|PPO | $2,472.80 | ↑ +86% |
| Aetna | Commercial|PPO | $2,586.93 | ↑ +94% |
| Healthsmart | Commercial|PPO | $2,663.01 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,663.01 | ↑ +100% |
| HUMANA | Medicare|All Plans | $2,746.83 | ↑ +106% |
| BCBS | Medicare|All Plans | $2,746.83 | ↑ +106% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $2,746.83 | ↑ +106% |
| KELSEY | Medicare|All Plans | $2,746.83 | ↑ +106% |
| AETNA | Medicare|All Plans | $2,801.77 | ↑ +110% |
| UNITED | Medicare|All Plans | $2,801.77 | ↑ +110% |
| AMERIVANTAGE | Medicare|All Plans | $2,829.23 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $2,853.23 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,891.27 | ↑ +117% |
| UNITED | Medicaid|STARPLUS | $2,932.58 | ↑ +120% |
| DEVOTED | Medicare|All Plans | $2,939.11 | ↑ +121% |
| SCANHealth | Medicare|All Plans | $2,939.11 | ↑ +121% |
| United | Commercial|Exchange | $3,137.00 | ↑ +136% |
| BCBS-TX | Commercial|Blue Premier | $3,399.06 | ↑ +155% |
| BCBS-TX | Commercial|HMO | $4,031.99 | ↑ +203% |
| Bright Health | Commercial|All Plans | $4,085.45 | ↑ +207% |
| Community Health Choice | Commercial|Exchange | $4,120.24 | ↑ +209% |
| Ambetter | Commercial|All Plans | $4,120.24 | ↑ +209% |
| Wellpoint | Commercial|Exchange | $4,120.25 | ↑ +209% |
| PHCS | Commercial|All Plans | $4,487.00 | ↑ +237% |
| BCBS-TX | Commercial|PPO | $4,500.83 | ↑ +238% |
| United | Commercial|Charter | $4,631.00 | ↑ +248% |
| United | Commercial|HMO | $5,145.00 | ↑ +286% |
| United | Commercial|PPO | $5,145.00 | ↑ +286% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +288% |
Visitor-reported prices
Comments
Proctosigmoidoscopy w/fb remove 45307 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $921.13 – $4,078.87 |
| Covenant Children's Hospital | Lubbock | $3,237.36 | $1,000.00 – $4,993.10 |
| Covenant Medical Center | Lubbock | $3,237.36 | $1,000.00 – $4,121.53 |
| Covenant Hospital Plainview | Plainview | $2,979.06 | $1,000.00 – $4,348.59 |
| Texas Health Hospital Mansfield | Mansfield | $28,080.34 | $2,475.45 – $5,576.62 |
| Covenant Hospital Levelland | Levelland | $2,971.50 | $1,000.00 – $7,044.00 |
| Covenant Specialty Hospital | Lubbock | $3,237.36 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $2,930.23 – $6,108.74 |