Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance 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

$832.65

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.

$2,379.00

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.

$249.72 with TCHP vs $5,160.00 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 $249.72 ↓ -70%
CHC Medicaid|All Plans $249.72 ↓ -70%
Wellpoint Medicaid|All Plans $262.86 ↓ -68%
UNITED Medicaid|All Other Plans $268.12 ↓ -68%
UNITED Medicaid|STAR $360.12 ↓ -57%
BCBS-TX Commercial|Exchange $468.79 ↓ -44%
BCBS - TX Commercial|MyBlue Health Exchange $600.05 ↓ -28%
BCBS Medicare|All Plans $693.64 ↓ -17%
KELSEY Medicare|All Plans $693.64 ↓ -17%
CIGNA-HEALTHSPRING Medicare|All Plans $693.64 ↓ -17%
HUMANA Medicare|All Plans $693.64 ↓ -17%
UNITED Medicare|All Plans $707.51 ↓ -15%
AETNA Medicare|All Plans $707.51 ↓ -15%
AMERIVANTAGE Medicare|All Plans $714.45 ↓ -14%
SCANHealth Medicare|All Plans $742.19 ↓ -11%
DEVOTED Medicare|All Plans $742.19 ↓ -11%
Aetna-Kelsey Care Commercial|HMO $807.00 ↓ -3%
UNITED Medicaid|STARPLUS $820.12 ↓ -2%
BCBS-TX Commercial|Blue Premier $906.32 ↑ +9%
Aetna Commercial|HMO $972.00 ↑ +17%
Wellpoint Commercial|Exchange $1,040.46 ↑ +25%
Community Health Choice Commercial|Exchange $1,040.46 ↑ +25%
Ambetter Commercial|All Plans $1,040.46 ↑ +25%
Bright Health Commercial|All Plans $1,061.91 ↑ +28%
BCBS-TX Commercial|HMO $1,075.09 ↑ +29%
BCBS-TX Commercial|PPO $1,200.10 ↑ +44%
Cigna Lifesource Commercial|Transplant $1,427.40 ↑ +71%
First Health Commercial|All Plans $1,546.35 ↑ +86%
Coventry Commercial|PPO $1,546.35 ↑ +86%
Aetna Commercial|PPO $1,617.72 ↑ +94%
Cigna Commercial|Transplant $1,665.30 ↑ +100%
Healthsmart Commercial|PPO $1,665.30 ↑ +100%
United Commercial|Exchange $1,676.00 ↑ +101%
MultiPlan Commercial|All Plans $1,784.25 ↑ +114%
Cigna Commercial|Surefit $1,864.00 ↑ +124%
Cigna Commercial|HMO $2,054.00 ↑ +147%
United Commercial|Charter $2,474.00 ↑ +197%
United Commercial|PPO $2,749.00 ↑ +230%
United Commercial|HMO $2,749.00 ↑ +230%
Cigna Commercial|PPO $5,160.00 ↑ +520%

Visitor-reported prices

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Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $257.60 – $1,087.59
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,692.88 $262.86 – $3,693.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,010.48 $207.99 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,030.57 $262.86 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,692.88 $262.86 – $3,693.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,010.48 $281.26 – $2,975.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,010.48 $262.86 – $2,501.00
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,030.57 $262.86 – $2,975.00

All Texas hospitals for this procedure →