Removal devitalized tissue non-selective debridement without anesthesia per session at St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$132.30

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$378.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$25.14 with TCHP vs $378.00 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 →

Payer
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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
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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 $25.14 ↓ -81%
UNITED Medicaid|All Other Plans $26.99 ↓ -80%
UNITED Medicaid|STAR $36.26 ↓ -73%
UNITED Medicaid|STARPLUS $82.56 ↓ -38%
Cigna Commercial|HMO $100.00 ↓ -24%
Cigna Commercial|Surefit $100.00 ↓ -24%
Cigna Commercial|PPO $100.00 ↓ -24%
United Commercial|Exchange $175.00 ↑ +32%
BCBS Medicare|All Plans $199.02 ↑ +50%
HUMANA Medicare|All Plans $199.02 ↑ +50%
KELSEY Medicare|All Plans $199.02 ↑ +50%
CIGNA-HEALTHSPRING Medicare|All Plans $199.02 ↑ +50%
AETNA Medicare|All Plans $203.00 ↑ +53%
UNITED Medicare|All Plans $203.00 ↑ +53%
AMERIVANTAGE Medicare|All Plans $204.99 ↑ +55%
SCANHealth Medicare|All Plans $212.95 ↑ +61%
DEVOTED Medicare|All Plans $212.95 ↑ +61%
Cigna Lifesource Commercial|Transplant $226.80 ↑ +71%
First Health Commercial|All Plans $245.70 ↑ +86%
Coventry Commercial|PPO $245.70 ↑ +86%
BCBS - TX Commercial|MyBlue Health Exchange $255.11 ↑ +93%
United Commercial|Charter $258.00 ↑ +95%
Healthsmart Commercial|PPO $264.60 ↑ +100%
Cigna Commercial|Transplant $264.60 ↑ +100%
MultiPlan Commercial|All Plans $283.50 ↑ +114%
United Commercial|HMO $287.00 ↑ +117%
United Commercial|PPO $287.00 ↑ +117%
BCBS-TX Commercial|Exchange $295.29 ↑ +123%
Wellpoint Commercial|Exchange $298.53 ↑ +126%
Ambetter Commercial|All Plans $298.53 ↑ +126%
Community Health Choice Commercial|Exchange $298.53 ↑ +126%
Bright Health Commercial|All Plans $300.30 ↑ +127%
BCBS-TX Commercial|Blue Premier $370.43 ↑ +180%
BCBS-TX Commercial|PPO $378.00 ↑ +186%
BCBS-TX Commercial|HMO $378.00 ↑ +186%

Visitor-reported prices

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Removal devitalized tissue non-selective debridement without anesthesia per session at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA $1,312.68 $366.22 – $408.87
Adventhealth Rollins Brook Lampasas $514.22 $672.71 – $672.71
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $336.29 $95.28 – $495.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $263.09 $54.15 – $495.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $165.67 $33.13 – $495.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $336.29 $89.68 – $495.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $263.09 $84.45 – $495.95
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $263.09 $135.93 – $495.95

All Texas hospitals for this procedure →