Rmvl icd gen w/rplc icd gen sgl lead sys at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$12,739.86
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.
$36,399.60
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.
$1,233.00 with Aetna-Kelsey Care vs $50,475.55 with UNITED — 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 | $1,233.00 | ↓ -90% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -88% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -81% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -81% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -74% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -71% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -28% |
| United | Commercial|Exchange | $11,817.00 | ↓ -7% |
| CHC | Medicaid|All Plans | $15,369.16 | ↑ +21% |
| TCHP | Medicaid|All Plans | $15,369.16 | ↑ +21% |
| Wellpoint | Medicaid|All Plans | $16,178.06 | ↑ +27% |
| UNITED | Medicaid|All Other Plans | $16,501.62 | ↑ +30% |
| BCBS-TX | Commercial|Exchange | $17,034.67 | ↑ +34% |
| United | Commercial|Charter | $17,447.00 | ↑ +37% |
| United | Commercial|HMO | $19,384.00 | ↑ +52% |
| United | Commercial|PPO | $19,384.00 | ↑ +52% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $21,804.37 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $21,839.76 | ↑ +71% |
| UNITED | Medicaid|STAR | $22,163.94 | ↑ +74% |
| BCBS | Medicare|All Plans | $22,482.55 | ↑ +76% |
| HUMANA | Medicare|All Plans | $22,482.55 | ↑ +76% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $22,482.55 | ↑ +76% |
| KELSEY | Medicare|All Plans | $22,482.55 | ↑ +76% |
| UNITED | Medicare|All Plans | $22,932.20 | ↑ +80% |
| AETNA | Medicare|All Plans | $22,932.20 | ↑ +80% |
| AMERIVANTAGE | Medicare|All Plans | $23,157.03 | ↑ +82% |
| Coventry | Commercial|PPO | $23,659.74 | ↑ +86% |
| PHCS | Commercial|All Plans | $23,659.74 | ↑ +86% |
| First Health | Commercial|All Plans | $23,659.74 | ↑ +86% |
| SCANHealth | Medicare|All Plans | $24,056.33 | ↑ +89% |
| DEVOTED | Medicare|All Plans | $24,056.33 | ↑ +89% |
| Aetna | Commercial|PPO | $24,751.73 | ↑ +94% |
| Cigna | Commercial|Transplant | $25,479.72 | ↑ +100% |
| Healthsmart | Commercial|PPO | $25,479.72 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $27,299.70 | ↑ +114% |
| Aetna | Commercial|Transplant | $27,663.70 | ↑ +117% |
| BCBS-TX | Commercial|Blue Premier | $32,933.69 | ↑ +159% |
| Community Health Choice | Commercial|Exchange | $33,723.82 | ↑ +165% |
| Ambetter | Commercial|All Plans | $33,723.82 | ↑ +165% |
| Wellpoint | Commercial|Exchange | $33,723.83 | ↑ +165% |
| Bright Health | Commercial|All Plans | $38,562.79 | ↑ +203% |
| BCBS-TX | Commercial|HMO | $39,066.17 | ↑ +207% |
| BCBS-TX | Commercial|PPO | $43,608.75 | ↑ +242% |
| UNITED | Medicaid|STARPLUS | $50,475.55 | ↑ +296% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | $96,526.14 | $15,854.50 – $39,520.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38,067.53 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46,872.23 | $9,647.87 – $70,308.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38,067.53 | $16,178.06 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $46,872.23 | $15,811.00 – $70,308.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $46,872.23 | $13,462.00 – $70,308.34 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $28,337.36 | $15,811.00 – $58,392.49 |