Revita, per sq cm 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

$10,838.31

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.

$30,966.60

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.

$152.81 with BCBS-TX vs $545.74 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
BCBS-TX Commercial|Exchange $152.81 ↓ -99%
BCBS-TX Commercial|Blue Premier $160.09 ↓ -99%
Aetna-Kelsey Care Commercial|HMO $181.92 ↓ -98%
Bright Health Commercial|All Plans $189.19 ↓ -98%
United Commercial|Exchange $189.19 ↓ -98%
BCBS - TX Commercial|MyBlue Health Exchange $189.19 ↓ -98%
BCBS-TX Commercial|HMO $196.47 ↓ -98%
Aetna Commercial|HMO $211.02 ↓ -98%
Aetna Commercial|PPO $211.02 ↓ -98%
Cigna Commercial|HMO $218.30 ↓ -98%
BCBS-TX Commercial|PPO $218.30 ↓ -98%
Cigna Commercial|Surefit $218.30 ↓ -98%
Cigna Commercial|PPO $218.30 ↓ -98%
United Commercial|Charter $225.58 ↓ -98%
United Commercial|HMO $254.68 ↓ -98%
United Commercial|PPO $254.68 ↓ -98%
Aetna Commercial|Transplant $269.24 ↓ -98%
Humana Commercial|PPO $305.62 ↓ -97%
Humana Commercial|HMO $305.62 ↓ -97%
Cigna Lifesource Commercial|Transplant $436.59 ↓ -96%
Coventry Commercial|PPO $472.98 ↓ -96%
First Health Commercial|All Plans $472.98 ↓ -96%
PHCS Commercial|All Plans $472.98 ↓ -96%
Healthsmart Commercial|PPO $509.36 ↓ -95%
Cigna Commercial|Transplant $509.36 ↓ -95%
MultiPlan Commercial|All Plans $545.74 ↓ -95%

Visitor-reported prices

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Revita, per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $209.78 – $2,637.97
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $389.83 $67.21 – $296.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $389.83 $48.83 – $355.84
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $389.83 $47.45 – $296.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $389.83 $63.26 – $296.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $389.83 $76.15 – $355.84
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $389.83 $122.57 – $355.84
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $389.83 $79.08 – $355.84

All Texas hospitals for this procedure →