Repair lip full thkns >one-half vert height/cmplx at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$399.74
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.
$1,142.10
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.
$399.61 with TCHP vs $9,029.00 with Cigna — 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 | $399.61 | ↓ -0% |
| CHC | Medicaid|All Plans | $399.61 | ↓ -0% |
| Wellpoint | Medicaid|All Plans | $420.64 | ↑ +5% |
| UNITED | Medicaid|All Other Plans | $429.05 | ↑ +7% |
| UNITED | Medicaid|STAR | $576.28 | ↑ +44% |
| Cigna Lifesource | Commercial|Transplant | $685.26 | ↑ +71% |
| First Health | Commercial|All Plans | $742.37 | ↑ +86% |
| Coventry | Commercial|PPO | $742.37 | ↑ +86% |
| Aetna | Commercial|PPO | $776.63 | ↑ +94% |
| Cigna | Commercial|Transplant | $799.47 | ↑ +100% |
| Healthsmart | Commercial|PPO | $799.47 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $856.58 | ↑ +114% |
| Aetna | Commercial|Transplant | $868.00 | ↑ +117% |
| BCBS-TX | Commercial|Exchange | $1,012.01 | ↑ +153% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↑ +208% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,295.37 | ↑ +224% |
| UNITED | Medicaid|STARPLUS | $1,312.40 | ↑ +228% |
| BCBS | Medicare|All Plans | $1,483.68 | ↑ +271% |
| HUMANA | Medicare|All Plans | $1,483.68 | ↑ +271% |
| KELSEY | Medicare|All Plans | $1,483.68 | ↑ +271% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $1,483.68 | ↑ +271% |
| Aetna | Commercial|HMO | $1,488.00 | ↑ +272% |
| UNITED | Medicare|All Plans | $1,513.35 | ↑ +279% |
| AETNA | Medicare|All Plans | $1,513.35 | ↑ +279% |
| AMERIVANTAGE | Medicare|All Plans | $1,528.19 | ↑ +282% |
| SCANHealth | Medicare|All Plans | $1,587.54 | ↑ +297% |
| DEVOTED | Medicare|All Plans | $1,587.54 | ↑ +297% |
| BCBS-TX | Commercial|Blue Premier | $1,956.54 | ↑ +389% |
| Humana | Commercial|PPO | $2,025.00 | ↑ +407% |
| Humana | Commercial|HMO | $2,025.00 | ↑ +407% |
| Ambetter | Commercial|All Plans | $2,225.52 | ↑ +457% |
| Community Health Choice | Commercial|Exchange | $2,225.52 | ↑ +457% |
| Wellpoint | Commercial|Exchange | $2,225.52 | ↑ +457% |
| Bright Health | Commercial|All Plans | $2,262.17 | ↑ +466% |
| United | Commercial|Exchange | $2,303.00 | ↑ +476% |
| BCBS-TX | Commercial|HMO | $2,320.86 | ↑ +481% |
| BCBS-TX | Commercial|PPO | $2,590.73 | ↑ +548% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +716% |
| United | Commercial|Charter | $3,400.00 | ↑ +751% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +799% |
| United | Commercial|HMO | $3,778.00 | ↑ +845% |
| United | Commercial|PPO | $3,778.00 | ↑ +845% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +1214% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +2159% |
Visitor-reported prices
Comments
Repair lip full thkns >one-half vert height/cmplx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $412.23 – $2,347.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,928.07 | $420.64 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,810.85 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,847.06 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,928.07 | $420.64 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,810.85 | $85.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,810.85 | $420.64 – $3,777.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,847.06 | $71.00 – $3,777.93 |