Shoulder MRI (without contrast) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$4,105.50
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.
$11,730.00
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.
$198.70 with CHC vs $8,797.50 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 →
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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 |
|---|---|---|---|
| CHC | Medicaid|All Plans | $198.70 | ↓ -95% |
| TCHP | Medicaid|All Plans | $198.70 | ↓ -95% |
| Wellpoint | Medicaid|All Plans | $209.16 | ↓ -95% |
| UNITED | Medicaid|All Other Plans | $213.34 | ↓ -95% |
| BCBS | Medicare|All Plans | $242.11 | ↓ -94% |
| KELSEY | Medicare|All Plans | $242.11 | ↓ -94% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $242.11 | ↓ -94% |
| HUMANA | Medicare|All Plans | $242.11 | ↓ -94% |
| UNITED | Medicare|All Plans | $246.95 | ↓ -94% |
| AETNA | Medicare|All Plans | $246.95 | ↓ -94% |
| AMERIVANTAGE | Medicare|All Plans | $249.37 | ↓ -94% |
| SCANHealth | Medicare|All Plans | $259.06 | ↓ -94% |
| DEVOTED | Medicare|All Plans | $259.06 | ↓ -94% |
| UNITED | Medicaid|STAR | $286.55 | ↓ -93% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $340.24 | ↓ -92% |
| Wellpoint | Commercial|Exchange | $363.17 | ↓ -91% |
| Community Health Choice | Commercial|Exchange | $363.17 | ↓ -91% |
| Ambetter | Commercial|All Plans | $363.17 | ↓ -91% |
| Bright Health | Commercial|All Plans | $384.80 | ↓ -91% |
| BCBS-TX | Commercial|Exchange | $396.17 | ↓ -90% |
| UNITED | Medicaid|STARPLUS | $652.58 | ↓ -84% |
| BCBS-TX | Commercial|Blue Premier | $722.42 | ↓ -82% |
| BCBS-TX | Commercial|HMO | $901.86 | ↓ -78% |
| BCBS-TX | Commercial|PPO | $1,013.72 | ↓ -75% |
| Cigna | Commercial|Surefit | $1,015.00 | ↓ -75% |
| Aetna | Commercial|Transplant | $1,023.00 | ↓ -75% |
| Humana | Commercial|PPO | $1,050.00 | ↓ -74% |
| Humana | Commercial|HMO | $1,050.00 | ↓ -74% |
| Cigna | Commercial|HMO | $1,119.00 | ↓ -73% |
| Aetna | Commercial|PPO | $1,145.00 | ↓ -72% |
| United | Commercial|Exchange | $1,535.00 | ↓ -63% |
| United | Commercial|Charter | $2,266.00 | ↓ -45% |
| United | Commercial|PPO | $2,518.00 | ↓ -39% |
| United | Commercial|HMO | $2,518.00 | ↓ -39% |
| Cigna | Commercial|PPO | $2,812.00 | ↓ -32% |
| Aetna-Kelsey Care | Commercial|HMO | $6,920.70 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $7,038.00 | ↑ +71% |
| First Health | Commercial|All Plans | $7,624.50 | ↑ +86% |
| Coventry | Commercial|PPO | $7,624.50 | ↑ +86% |
| Aetna | Commercial|HMO | $7,976.40 | ↑ +94% |
| Healthsmart | Commercial|PPO | $8,211.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $8,211.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $8,797.50 | ↑ +114% |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $204.98 – $501.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,788.37 | $209.16 – $2,235.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,311.68 | $314.76 – $3,467.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,311.68 | $209.16 – $2,889.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,788.37 | $209.16 – $2,235.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,311.68 | $223.80 – $3,467.52 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,311.68 | $209.16 – $3,467.52 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,311.68 | $209.16 – $3,467.52 |