Repair rpr lip full thickness vermilion only at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$403.52
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.
$1,152.90
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.
$177.86 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 | $177.86 | ↓ -56% |
| CHC | Medicaid|All Plans | $177.86 | ↓ -56% |
| Wellpoint | Medicaid|All Plans | $187.22 | ↓ -54% |
| UNITED | Medicaid|All Other Plans | $190.96 | ↓ -53% |
| UNITED | Medicaid|STAR | $256.49 | ↓ -36% |
| BCBS-TX | Commercial|Exchange | $331.29 | ↓ -18% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $424.05 | ↑ +5% |
| HUMANA | Medicare|All Plans | $510.07 | ↑ +26% |
| KELSEY | Medicare|All Plans | $510.07 | ↑ +26% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $510.07 | ↑ +26% |
| BCBS | Medicare|All Plans | $510.07 | ↑ +26% |
| AETNA | Medicare|All Plans | $520.27 | ↑ +29% |
| UNITED | Medicare|All Plans | $520.27 | ↑ +29% |
| AMERIVANTAGE | Medicare|All Plans | $525.37 | ↑ +30% |
| DEVOTED | Medicare|All Plans | $545.77 | ↑ +35% |
| SCANHealth | Medicare|All Plans | $545.77 | ↑ +35% |
| UNITED | Medicaid|STARPLUS | $584.13 | ↑ +45% |
| BCBS-TX | Commercial|Blue Premier | $640.49 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $691.74 | ↑ +71% |
| Coventry | Commercial|PPO | $749.39 | ↑ +86% |
| First Health | Commercial|All Plans | $749.39 | ↑ +86% |
| Bright Health | Commercial|All Plans | $756.33 | ↑ +87% |
| BCBS-TX | Commercial|HMO | $759.76 | ↑ +88% |
| Wellpoint | Commercial|Exchange | $765.11 | ↑ +90% |
| Community Health Choice | Commercial|Exchange | $765.11 | ↑ +90% |
| Ambetter | Commercial|All Plans | $765.11 | ↑ +90% |
| Aetna | Commercial|PPO | $783.98 | ↑ +94% |
| Healthsmart | Commercial|PPO | $807.03 | ↑ +100% |
| Cigna | Commercial|Transplant | $807.03 | ↑ +100% |
| BCBS-TX | Commercial|PPO | $848.10 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $864.68 | ↑ +114% |
| Aetna | Commercial|Transplant | $876.21 | ↑ +117% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↑ +206% |
| Aetna | Commercial|HMO | $1,488.00 | ↑ +269% |
| United | Commercial|Exchange | $1,676.00 | ↑ +315% |
| Humana | Commercial|PPO | $2,025.00 | ↑ +402% |
| Humana | Commercial|HMO | $2,025.00 | ↑ +402% |
| United | Commercial|Charter | $2,474.00 | ↑ +513% |
| United | Commercial|PPO | $2,749.00 | ↑ +581% |
| United | Commercial|HMO | $2,749.00 | ↑ +581% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +708% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +791% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +1202% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +2138% |
Visitor-reported prices
Comments
Repair rpr lip full thickness vermilion only at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $183.48 – $768.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,715.58 | $187.22 – $2,144.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,987.08 | $71.00 – $2,980.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,562.95 | $71.00 – $1,953.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,715.58 | $187.22 – $2,144.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,987.08 | $85.00 – $2,980.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,987.08 | $187.22 – $2,980.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,562.95 | $71.00 – $2,344.42 |