Skin split graft addl 100sq cm 15101 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

$638.82

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.

$1,825.20

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.

$100.00 with Cigna vs $5,252.00 with PHCS — 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
Cigna Commercial|HMO $100.00 ↓ -84%
Cigna Commercial|Surefit $100.00 ↓ -84%
Cigna Commercial|PPO $100.00 ↓ -84%
TCHP Medicaid|All Plans $121.38 ↓ -81%
UNITED Medicaid|All Other Plans $130.32 ↓ -80%
UNITED Medicaid|STAR $175.04 ↓ -73%
UNITED Medicaid|STARPLUS $398.63 ↓ -38%
Cigna Lifesource Commercial|Transplant $1,095.12 ↑ +71%
First Health Commercial|All Plans $1,186.38 ↑ +86%
Coventry Commercial|PPO $1,186.38 ↑ +86%
Aetna-Kelsey Care Commercial|HMO $1,233.00 ↑ +93%
Aetna Commercial|PPO $1,241.14 ↑ +94%
Cigna Commercial|Transplant $1,277.64 ↑ +100%
Healthsmart Commercial|PPO $1,277.64 ↑ +100%
MultiPlan Commercial|All Plans $1,368.90 ↑ +114%
Aetna Commercial|Transplant $1,387.16 ↑ +117%
Aetna Commercial|HMO $1,488.00 ↑ +133%
United Commercial|Exchange $1,676.00 ↑ +162%
Humana Commercial|PPO $2,025.00 ↑ +217%
Humana Commercial|HMO $2,025.00 ↑ +217%
United Commercial|Charter $2,474.00 ↑ +287%
United Commercial|PPO $2,749.00 ↑ +330%
United Commercial|HMO $2,749.00 ↑ +330%
PHCS Commercial|All Plans $5,252.00 ↑ +722%

Visitor-reported prices

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Skin split graft addl 100sq cm 15101 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $2,711.32 $71.00 – $4,066.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,711.32 $71.00 – $3,389.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $2,711.32 $85.00 – $4,066.97
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $2,711.32 $1,400.85 – $4,066.97
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,711.32 $71.00 – $4,066.97
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $2,711.32 $71.00 – $3,841.03
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $2,711.32 $71.00 – $4,066.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100 $2,711.32 $71.00 – $4,066.97

All Texas hospitals for this procedure →