Repair of ankle ligament at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,859.45
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.
$5,312.70
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.
$1,076.00 with Aetna-Kelsey Care vs $11,485.34 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -42% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -30% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +40% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +55% |
| TCHP | Medicaid|All Plans | $2,981.28 | ↑ +60% |
| CHC | Medicaid|All Plans | $2,981.28 | ↑ +60% |
| Wellpoint | Medicaid|All Plans | $3,138.19 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $3,187.62 | ↑ +71% |
| UNITED | Medicaid|All Other Plans | $3,200.95 | ↑ +72% |
| Coventry | Commercial|PPO | $3,453.26 | ↑ +86% |
| First Health | Commercial|All Plans | $3,453.26 | ↑ +86% |
| Aetna | Commercial|PPO | $3,612.64 | ↑ +94% |
| United | Commercial|Exchange | $3,677.00 | ↑ +98% |
| Cigna | Commercial|Transplant | $3,718.89 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,718.89 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,984.53 | ↑ +114% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +115% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +115% |
| Aetna | Commercial|Transplant | $4,037.66 | ↑ +117% |
| UNITED | Medicaid|STAR | $4,299.32 | ↑ +131% |
| BCBS-TX | Commercial|Exchange | $4,486.46 | ↑ +141% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +179% |
| United | Commercial|Charter | $5,428.00 | ↑ +192% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $5,742.67 | ↑ +209% |
| United | Commercial|HMO | $6,032.00 | ↑ +224% |
| United | Commercial|PPO | $6,032.00 | ↑ +224% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $7,155.30 | ↑ +285% |
| KELSEY | Medicare|All Plans | $7,155.30 | ↑ +285% |
| HUMANA | Medicare|All Plans | $7,155.30 | ↑ +285% |
| BCBS | Medicare|All Plans | $7,155.30 | ↑ +285% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +288% |
| AETNA | Medicare|All Plans | $7,298.41 | ↑ +293% |
| UNITED | Medicare|All Plans | $7,298.41 | ↑ +293% |
| AMERIVANTAGE | Medicare|All Plans | $7,369.96 | ↑ +296% |
| SCANHealth | Medicare|All Plans | $7,656.17 | ↑ +312% |
| DEVOTED | Medicare|All Plans | $7,656.17 | ↑ +312% |
| BCBS-TX | Commercial|Blue Premier | $8,673.83 | ↑ +366% |
| UNITED | Medicaid|STARPLUS | $9,791.15 | ↑ +427% |
| BCBS-TX | Commercial|HMO | $10,288.95 | ↑ +453% |
| Bright Health | Commercial|All Plans | $10,474.69 | ↑ +463% |
| Community Health Choice | Commercial|Exchange | $10,732.95 | ↑ +477% |
| Wellpoint | Commercial|Exchange | $10,732.95 | ↑ +477% |
| Ambetter | Commercial|All Plans | $10,732.95 | ↑ +477% |
| BCBS-TX | Commercial|PPO | $11,485.34 | ↑ +518% |
Visitor-reported prices
Comments
Repair of ankle ligament at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $3,075.43 – $10,408.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,294.75 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,004.47 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,294.75 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,294.75 | $2,416.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $6,004.47 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $4,294.75 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $4,294.75 | $71.00 – $17,722.46 |