Prolactin at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$153.65
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.
$439.00
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.
$15.47 with TCHP vs $329.25 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $15.47 | ↓ -90% |
| CHC | Medicaid|All Plans | $15.47 | ↓ -90% |
| Wellpoint | Medicaid|All Plans | $16.28 | ↓ -89% |
| UNITED | Medicaid|All Other Plans | $16.61 | ↓ -89% |
| KELSEY | Medicare|All Plans | $19.38 | ↓ -87% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $19.38 | ↓ -87% |
| BCBS | Medicare|All Plans | $19.38 | ↓ -87% |
| HUMANA | Medicare|All Plans | $19.38 | ↓ -87% |
| UNITED | Medicare|All Plans | $19.77 | ↓ -87% |
| AETNA | Medicare|All Plans | $19.77 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $19.96 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $20.74 | ↓ -87% |
| DEVOTED | Medicare|All Plans | $20.74 | ↓ -87% |
| UNITED | Medicaid|STAR | $22.30 | ↓ -85% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $28.29 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $29.07 | ↓ -81% |
| Ambetter | Commercial|All Plans | $29.07 | ↓ -81% |
| Community Health Choice | Commercial|Exchange | $29.07 | ↓ -81% |
| Bright Health | Commercial|All Plans | $31.98 | ↓ -79% |
| United | Commercial|Charter | $35.88 | ↓ -77% |
| United | Commercial|HMO | $35.88 | ↓ -77% |
| United | Commercial|Exchange | $35.88 | ↓ -77% |
| United | Commercial|PPO | $35.88 | ↓ -77% |
| BCBS-TX | Commercial|Exchange | $36.82 | ↓ -76% |
| Cigna | Commercial|Surefit | $46.26 | ↓ -70% |
| UNITED | Medicaid|STARPLUS | $50.79 | ↓ -67% |
| Cigna | Commercial|HMO | $51.05 | ↓ -67% |
| BCBS-TX | Commercial|Blue Premier | $63.18 | ↓ -59% |
| Cigna | Commercial|PPO | $69.80 | ↓ -55% |
| BCBS-TX | Commercial|HMO | $84.88 | ↓ -45% |
| BCBS-TX | Commercial|PPO | $99.42 | ↓ -35% |
| Cigna Lifesource | Commercial|Transplant | $263.40 | ↑ +71% |
| First Health | Commercial|All Plans | $285.35 | ↑ +86% |
| Coventry | Commercial|PPO | $285.35 | ↑ +86% |
| Aetna | Commercial|HMO | $298.52 | ↑ +94% |
| Healthsmart | Commercial|PPO | $307.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $307.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $329.25 | ↑ +114% |
Visitor-reported prices
Comments
Prolactin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $328.44 | $17.44 – $74.61 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $181.04 | $10.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $171.46 | $10.06 – $73.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $160.92 | $12.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $181.04 | $10.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $171.46 | $12.00 – $73.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $171.46 | $8.00 – $73.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $160.92 | $12.00 – $73.31 |