Pt evaluation moderate complexity patient/family at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$271.60
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.
$776.00
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.
$100.00 with Cigna vs $582.00 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 |
|---|---|---|---|
| Cigna | Commercial|PPO | $100.00 | ↓ -63% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -63% |
| Cigna | Commercial|HMO | $100.00 | ↓ -63% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $126.28 | ↓ -54% |
| BCBS-TX | Commercial|Exchange | $146.17 | ↓ -46% |
| BCBS-TX | Commercial|Blue Premier | $183.36 | ↓ -32% |
| BCBS-TX | Commercial|HMO | $242.17 | ↓ -11% |
| BCBS-TX | Commercial|PPO | $275.04 | ↑ +1% |
| United | Commercial|Exchange | $293.00 | ↑ +8% |
| United | Commercial|Charter | $434.00 | ↑ +60% |
| Cigna Lifesource | Commercial|Transplant | $465.60 | ↑ +71% |
| United | Commercial|PPO | $480.00 | ↑ +77% |
| United | Commercial|HMO | $480.00 | ↑ +77% |
| First Health | Commercial|All Plans | $504.40 | ↑ +86% |
| Coventry | Commercial|PPO | $504.40 | ↑ +86% |
| Cigna | Commercial|Transplant | $543.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $543.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $582.00 | ↑ +114% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $84.58 – $298.07 |
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $285.10 | $80.78 – $403.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $332.36 | $68.41 – $498.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $352.31 | $70.46 – $440.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $285.10 | $76.03 – $403.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $332.36 | $106.69 – $498.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $332.36 | $155.00 – $498.55 |