Prq trluml revsc ch occ ant at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$4,502.75
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.
$12,865.00
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.
$855.53 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 | $855.53 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $918.57 | ↓ -80% |
| UNITED | Medicaid|STAR | $1,233.76 | ↓ -73% |
| Aetna-Kelsey Care | Commercial|HMO | $2,351.00 | ↓ -48% |
| UNITED | Medicaid|STARPLUS | $2,809.72 | ↓ -38% |
| Aetna | Commercial|HMO | $2,835.00 | ↓ -37% |
| Cigna Lifesource | Commercial|Transplant | $7,719.00 | ↑ +71% |
| Coventry | Commercial|PPO | $8,362.25 | ↑ +86% |
| First Health | Commercial|All Plans | $8,362.25 | ↑ +86% |
| Aetna | Commercial|PPO | $8,748.20 | ↑ +94% |
| Healthsmart | Commercial|PPO | $9,005.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $9,005.50 | ↑ +100% |
| United | Commercial|Exchange | $9,113.00 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $9,648.75 | ↑ +114% |
| KELSEY | Medicare|All Plans | $11,358.94 | ↑ +152% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $11,358.94 | ↑ +152% |
| HUMANA | Medicare|All Plans | $11,358.94 | ↑ +152% |
| BCBS | Medicare|All Plans | $11,358.94 | ↑ +152% |
| AETNA | Medicare|All Plans | $11,586.12 | ↑ +157% |
| UNITED | Medicare|All Plans | $11,586.12 | ↑ +157% |
| AMERIVANTAGE | Medicare|All Plans | $11,699.71 | ↑ +160% |
| SCANHealth | Medicare|All Plans | $12,154.07 | ↑ +170% |
| DEVOTED | Medicare|All Plans | $12,154.07 | ↑ +170% |
| United | Commercial|Charter | $13,454.00 | ↑ +199% |
| United | Commercial|PPO | $14,947.00 | ↑ +232% |
| United | Commercial|HMO | $14,947.00 | ↑ +232% |
| Humana | Commercial|HMO | $16,200.00 | ↑ +260% |
| Humana | Commercial|PPO | $16,200.00 | ↑ +260% |
| Bright Health | Commercial|All Plans | $16,797.53 | ↑ +273% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +276% |
| Community Health Choice | Commercial|Exchange | $17,038.41 | ↑ +278% |
| Ambetter | Commercial|All Plans | $17,038.41 | ↑ +278% |
| Wellpoint | Commercial|Exchange | $17,038.41 | ↑ +278% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +314% |
| BCBS-TX | Commercial|Exchange | $19,519.71 | ↑ +334% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $19,618.79 | ↑ +336% |
| BCBS-TX | Commercial|Blue Premier | $31,508.97 | ↑ +600% |
| BCBS-TX | Commercial|HMO | $43,795.48 | ↑ +873% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +941% |
| BCBS-TX | Commercial|PPO | $48,650.64 | ↑ +980% |
Visitor-reported prices
Comments
Prq trluml revsc ch occ ant 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 | $17,474.24 | $4,951.03 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,678.62 | $3,433.02 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $18,978.50 | $3,795.70 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $17,474.24 | $4,659.80 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,678.62 | $5,353.84 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,678.62 | $8,617.29 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $18,978.50 | $6,326.17 – $28,467.76 |