Shuntogram nonvascular supervision & interpretation 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

$145.95

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.

$417.00

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.

$77.77 with TCHP vs $375.30 with BCBS-TX — 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 $77.77 ↓ -47%
CHC Medicaid|All Plans $77.77 ↓ -47%
Wellpoint Medicaid|All Plans $81.86 ↓ -44%
UNITED Medicaid|All Other Plans $83.50 ↓ -43%
CIGNA-HEALTHSPRING Medicare|All Plans $106.51 ↓ -27%
KELSEY Medicare|All Plans $106.51 ↓ -27%
HUMANA Medicare|All Plans $106.51 ↓ -27%
BCBS Medicare|All Plans $106.51 ↓ -27%
UNITED Medicare|All Plans $108.64 ↓ -26%
AETNA Medicare|All Plans $108.64 ↓ -26%
AMERIVANTAGE Medicare|All Plans $109.71 ↓ -25%
UNITED Medicaid|STAR $112.15 ↓ -23%
SCANHealth Medicare|All Plans $113.97 ↓ -22%
DEVOTED Medicare|All Plans $113.97 ↓ -22%
United Commercial|Exchange $140.00 ↓ -4%
BCBS-TX Commercial|Exchange $158.03 ↑ +8%
Ambetter Commercial|All Plans $159.76 ↑ +9%
Community Health Choice Commercial|Exchange $159.76 ↑ +9%
Wellpoint Commercial|Exchange $159.77 ↑ +9%
BCBS - TX Commercial|MyBlue Health Exchange $163.64 ↑ +12%
Bright Health Commercial|All Plans $182.06 ↑ +25%
Cigna Commercial|Surefit $187.49 ↑ +28%
Cigna Commercial|HMO $206.49 ↑ +41%
United Commercial|Charter $209.00 ↑ +43%
Aetna-Kelsey Care Commercial|HMO $221.43 ↑ +52%
Cigna Lifesource Commercial|Transplant $225.18 ↑ +54%
United Commercial|HMO $230.00 ↑ +58%
United Commercial|PPO $230.00 ↑ +58%
Coventry Commercial|PPO $243.95 ↑ +67%
First Health Commercial|All Plans $243.95 ↑ +67%
Cigna Commercial|PPO $253.36 ↑ +74%
Aetna Commercial|HMO $255.21 ↑ +75%
UNITED Medicaid|STARPLUS $255.40 ↑ +75%
Cigna Commercial|Transplant $262.71 ↑ +80%
Healthsmart Commercial|PPO $262.71 ↑ +80%
MultiPlan Commercial|All Plans $281.48 ↑ +93%
BCBS-TX Commercial|Blue Premier $286.92 ↑ +97%
BCBS-TX Commercial|HMO $336.24 ↑ +130%
BCBS-TX Commercial|PPO $375.30 ↑ +157%

Visitor-reported prices

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Shuntogram nonvascular supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $80.22 – $354.28
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $697.07 $81.86 – $871.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $375.67 $77.33 – $563.51
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $316.80 $81.86 – $396.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $697.07 $81.86 – $871.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $375.67 $87.59 – $563.51
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $375.67 $81.86 – $563.51
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $316.80 $81.86 – $475.20

All Texas hospitals for this procedure →