Rmvl icd by tv extr 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

$1,561.77

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.

$4,462.20

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.

$296.74 with TCHP vs $9,158.00 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 →

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
TCHP Medicaid|All Plans $296.74 ↓ -81%
UNITED Medicaid|All Other Plans $318.61 ↓ -80%
UNITED Medicaid|STAR $427.93 ↓ -73%
UNITED Medicaid|STARPLUS $974.55 ↓ -38%
Aetna-Kelsey Care Commercial|HMO $1,528.00 ↓ -2%
Aetna Commercial|HMO $1,842.00 ↑ +18%
BCBS-TX Commercial|Exchange $2,238.01 ↑ +43%
Humana Commercial|HMO $2,430.00 ↑ +56%
Humana Commercial|PPO $2,430.00 ↑ +56%
Cigna Lifesource Commercial|Transplant $2,677.32 ↑ +71%
BCBS - TX Commercial|MyBlue Health Exchange $2,864.65 ↑ +83%
Coventry Commercial|PPO $2,900.43 ↑ +86%
PHCS Commercial|All Plans $2,900.43 ↑ +86%
First Health Commercial|All Plans $2,900.43 ↑ +86%
Aetna Commercial|PPO $3,034.30 ↑ +94%
Cigna Commercial|Transplant $3,123.54 ↑ +100%
Healthsmart Commercial|PPO $3,123.54 ↑ +100%
Cigna Commercial|Surefit $3,309.00 ↑ +112%
MultiPlan Commercial|All Plans $3,346.65 ↑ +114%
Aetna Commercial|Transplant $3,391.28 ↑ +117%
KELSEY Medicare|All Plans $3,645.20 ↑ +133%
HUMANA Medicare|All Plans $3,645.20 ↑ +133%
BCBS Medicare|All Plans $3,645.20 ↑ +133%
CIGNA-HEALTHSPRING Medicare|All Plans $3,645.20 ↑ +133%
Cigna Commercial|HMO $3,646.00 ↑ +133%
United Commercial|Exchange $3,677.00 ↑ +135%
UNITED Medicare|All Plans $3,718.10 ↑ +138%
AETNA Medicare|All Plans $3,718.10 ↑ +138%
AMERIVANTAGE Medicare|All Plans $3,754.56 ↑ +140%
DEVOTED Medicare|All Plans $3,900.36 ↑ +150%
SCANHealth Medicare|All Plans $3,900.36 ↑ +150%
BCBS-TX Commercial|Blue Premier $4,326.81 ↑ +177%
BCBS-TX Commercial|HMO $5,132.50 ↑ +229%
United Commercial|Charter $5,428.00 ↑ +248%
Ambetter Commercial|All Plans $5,467.80 ↑ +250%
Wellpoint Commercial|Exchange $5,467.80 ↑ +250%
Community Health Choice Commercial|Exchange $5,467.80 ↑ +250%
BCBS-TX Commercial|PPO $5,729.30 ↑ +267%
Bright Health Commercial|All Plans $5,758.53 ↑ +269%
United Commercial|HMO $6,032.00 ↑ +286%
United Commercial|PPO $6,032.00 ↑ +286%
Cigna Commercial|PPO $9,158.00 ↑ +486%

Visitor-reported prices

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Rmvl icd by tv extr at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA $15,713.23 $5,192.18 – $5,192.18
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $6,981.14 $1,977.99 – $9,728.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $7,631.53 $71.00 – $11,447.29
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $7,314.94 $71.00 – $9,728.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $6,981.14 $1,861.64 – $9,728.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $7,631.53 $85.00 – $11,447.29
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $7,631.53 $3,942.96 – $11,447.29
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $7,314.94 $71.00 – $10,972.40

All Texas hospitals for this procedure →