Prq trluml c athrc 1 art&/br at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$4,221.35
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.
$12,061.00
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.
$802.06 with TCHP vs $48,650.64 with BCBS-TX — 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 | $802.06 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $861.16 | ↓ -80% |
| UNITED | Medicaid|STAR | $1,156.65 | ↓ -73% |
| Aetna-Kelsey Care | Commercial|HMO | $2,403.00 | ↓ -43% |
| UNITED | Medicaid|STARPLUS | $2,634.13 | ↓ -38% |
| Aetna | Commercial|HMO | $2,900.00 | ↓ -31% |
| Cigna Lifesource | Commercial|Transplant | $7,236.60 | ↑ +71% |
| Coventry | Commercial|PPO | $7,839.65 | ↑ +86% |
| First Health | Commercial|All Plans | $7,839.65 | ↑ +86% |
| Aetna | Commercial|PPO | $8,201.48 | ↑ +94% |
| Cigna | Commercial|Transplant | $8,442.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $8,442.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $9,045.75 | ↑ +114% |
| United | Commercial|Exchange | $9,113.00 | ↑ +116% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $11,358.94 | ↑ +169% |
| HUMANA | Medicare|All Plans | $11,358.94 | ↑ +169% |
| BCBS | Medicare|All Plans | $11,358.94 | ↑ +169% |
| KELSEY | Medicare|All Plans | $11,358.94 | ↑ +169% |
| UNITED | Medicare|All Plans | $11,586.12 | ↑ +174% |
| AETNA | Medicare|All Plans | $11,586.12 | ↑ +174% |
| AMERIVANTAGE | Medicare|All Plans | $11,699.71 | ↑ +177% |
| SCANHealth | Medicare|All Plans | $12,154.07 | ↑ +188% |
| DEVOTED | Medicare|All Plans | $12,154.07 | ↑ +188% |
| United | Commercial|Charter | $13,454.00 | ↑ +219% |
| United | Commercial|PPO | $14,947.00 | ↑ +254% |
| United | Commercial|HMO | $14,947.00 | ↑ +254% |
| Humana | Commercial|HMO | $16,200.00 | ↑ +284% |
| Humana | Commercial|PPO | $16,200.00 | ↑ +284% |
| Bright Health | Commercial|All Plans | $16,797.53 | ↑ +298% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +301% |
| Community Health Choice | Commercial|Exchange | $17,038.41 | ↑ +304% |
| Ambetter | Commercial|All Plans | $17,038.41 | ↑ +304% |
| Wellpoint | Commercial|Exchange | $17,038.41 | ↑ +304% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +342% |
| BCBS-TX | Commercial|Exchange | $19,519.71 | ↑ +362% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $19,618.79 | ↑ +365% |
| BCBS-TX | Commercial|Blue Premier | $31,508.97 | ↑ +646% |
| BCBS-TX | Commercial|HMO | $43,795.48 | ↑ +937% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +1010% |
| BCBS-TX | Commercial|PPO | $48,650.64 | ↑ +1052% |
Visitor-reported prices
Comments
Prq trluml c athrc 1 art&/br at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $21,897.74 – $21,897.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,770.25 | $4,184.91 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,509.68 | $2,780.74 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,866.36 | $2,573.27 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,770.25 | $3,938.73 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $13,509.68 | $4,336.61 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $13,509.68 | $6,980.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,866.36 | $4,288.79 – $27,252.71 |