Revasc intra lithotrip-ather 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

$13,792.12

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.

$39,406.03

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.

$1,732.00 with Aetna-Kelsey Care vs $29,554.53 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 →

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
Aetna-Kelsey Care Commercial|HMO $1,732.00 ↓ -87%
Aetna Commercial|HMO $2,089.00 ↓ -85%
TCHP Medicaid|All Plans $2,620.51 ↓ -81%
UNITED Medicaid|All Other Plans $2,813.60 ↓ -80%
Cigna Commercial|Surefit $3,309.00 ↓ -76%
Cigna Commercial|HMO $3,646.00 ↓ -74%
UNITED Medicaid|STAR $3,779.04 ↓ -73%
United Commercial|Exchange $4,969.00 ↓ -64%
United Commercial|Charter $7,337.00 ↓ -47%
BCBS-TX Commercial|Exchange $7,431.36 ↓ -46%
United Commercial|PPO $8,150.00 ↓ -41%
United Commercial|HMO $8,150.00 ↓ -41%
UNITED Medicaid|STARPLUS $8,606.28 ↓ -38%
Cigna Commercial|PPO $9,158.00 ↓ -34%
BCBS - TX Commercial|MyBlue Health Exchange $9,512.14 ↓ -31%
BCBS-TX Commercial|Blue Premier $14,367.30 ↑ +4%
BCBS-TX Commercial|HMO $17,042.59 ↑ +24%
KELSEY Medicare|All Plans $17,985.81 ↑ +30%
CIGNA-HEALTHSPRING Medicare|All Plans $17,985.81 ↑ +30%
HUMANA Medicare|All Plans $17,985.81 ↑ +30%
BCBS Medicare|All Plans $17,985.81 ↑ +30%
UNITED Medicare|All Plans $18,345.53 ↑ +33%
AETNA Medicare|All Plans $18,345.53 ↑ +33%
AMERIVANTAGE Medicare|All Plans $18,525.38 ↑ +34%
BCBS-TX Commercial|PPO $19,024.28 ↑ +38%
DEVOTED Medicare|All Plans $19,244.82 ↑ +40%
SCANHealth Medicare|All Plans $19,244.82 ↑ +40%
Cigna Lifesource Commercial|Transplant $23,643.62 ↑ +71%
First Health Commercial|All Plans $25,613.92 ↑ +86%
Coventry Commercial|PPO $25,613.92 ↑ +86%
Aetna Commercial|PPO $26,796.11 ↑ +94%
Bright Health Commercial|All Plans $26,857.58 ↑ +95%
Ambetter Commercial|All Plans $26,978.72 ↑ +96%
Wellpoint Commercial|Exchange $26,978.72 ↑ +96%
Community Health Choice Commercial|Exchange $26,978.72 ↑ +96%
Cigna Commercial|Transplant $27,584.23 ↑ +100%
Healthsmart Commercial|PPO $27,584.23 ↑ +100%
MultiPlan Commercial|All Plans $29,554.53 ↑ +114%

Visitor-reported prices

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Revasc intra lithotrip-ather at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA $40,068.29 $17,240.76 – $17,240.76
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28,802.66 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,250.53 $3,850.11 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28,802.66 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $27,304.92 $14,096.00 – $43,439.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $19,250.53 $5,388.00 – $43,439.01

All Texas hospitals for this procedure →