Splint dorsal bloc wh med perf 3.2mm lf polyflex ii 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

$230.79

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.

$659.40

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.

$106.29 with BCBS-TX vs $379.58 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 →

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
BCBS-TX Commercial|Exchange $106.29 ↓ -54%
BCBS-TX Commercial|Blue Premier $111.35 ↓ -52%
United Commercial|Exchange $121.47 ↓ -47%
BCBS - TX Commercial|MyBlue Health Exchange $131.59 ↓ -43%
BCBS-TX Commercial|HMO $136.65 ↓ -41%
United Commercial|Charter $141.71 ↓ -39%
Cigna Commercial|HMO $151.83 ↓ -34%
BCBS-TX Commercial|PPO $151.83 ↓ -34%
Cigna Commercial|Surefit $151.83 ↓ -34%
Cigna Commercial|PPO $151.83 ↓ -34%
United Commercial|PPO $156.90 ↓ -32%
United Commercial|HMO $156.90 ↓ -32%
Humana Commercial|PPO $212.57 ↓ -8%
Humana Commercial|HMO $212.57 ↓ -8%
Cigna Lifesource Commercial|Transplant $303.66 ↑ +32%
PHCS Commercial|All Plans $328.97 ↑ +43%
Coventry Commercial|PPO $328.97 ↑ +43%
First Health Commercial|All Plans $328.97 ↑ +43%
Cigna Commercial|Transplant $354.27 ↑ +54%
Healthsmart Commercial|PPO $354.27 ↑ +54%
MultiPlan Commercial|All Plans $379.58 ↑ +64%

Visitor-reported prices

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Splint dorsal bloc wh med perf 3.2mm lf polyflex ii at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $435.43 – $955.29
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $392.09 $80.71 – $588.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $392.09 $78.42 – $522.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $392.09 $125.86 – $588.14
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $392.09 $202.58 – $588.14
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $392.09 $130.70 – $588.14
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $392.09 $78.42 – $522.79
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $392.09 $98.02 – $588.14

All Texas hospitals for this procedure →