Tib/per revasc stent & ather 37231 at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$9,313.15
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.
$26,609.00
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.
$1,528.00 with Aetna-Kelsey Care vs $30,604.74 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 →
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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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -84% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -80% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -74% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -74% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -64% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -61% |
| United | Commercial|Exchange | $5,560.00 | ↓ -40% |
| United | Commercial|Charter | $8,210.00 | ↓ -12% |
| CHC | Medicaid|All Plans | $8,216.33 | ↓ -12% |
| TCHP | Medicaid|All Plans | $8,216.33 | ↓ -12% |
| Wellpoint | Medicaid|All Plans | $8,648.77 | ↓ -7% |
| UNITED | Medicaid|All Other Plans | $8,821.75 | ↓ -5% |
| United | Commercial|HMO | $9,121.00 | ↓ -2% |
| United | Commercial|PPO | $9,121.00 | ↓ -2% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -2% |
| UNITED | Medicaid|STAR | $11,848.81 | ↑ +27% |
| BCBS-TX | Commercial|Exchange | $11,954.98 | ↑ +28% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $15,302.37 | ↑ +64% |
| Cigna Lifesource | Commercial|Transplant | $15,965.40 | ↑ +71% |
| First Health | Commercial|All Plans | $17,295.85 | ↑ +86% |
| Coventry | Commercial|PPO | $17,295.85 | ↑ +86% |
| PHCS | Commercial|All Plans | $17,295.85 | ↑ +86% |
| BCBS | Medicare|All Plans | $17,985.81 | ↑ +93% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $17,985.81 | ↑ +93% |
| HUMANA | Medicare|All Plans | $17,985.81 | ↑ +93% |
| KELSEY | Medicare|All Plans | $17,985.81 | ↑ +93% |
| Aetna | Commercial|PPO | $18,094.12 | ↑ +94% |
| AETNA | Medicare|All Plans | $18,345.53 | ↑ +97% |
| UNITED | Medicare|All Plans | $18,345.53 | ↑ +97% |
| AMERIVANTAGE | Medicare|All Plans | $18,525.38 | ↑ +99% |
| Healthsmart | Commercial|PPO | $18,626.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $18,626.30 | ↑ +100% |
| SCANHealth | Medicare|All Plans | $19,244.82 | ↑ +107% |
| DEVOTED | Medicare|All Plans | $19,244.82 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $19,956.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $20,222.84 | ↑ +117% |
| BCBS-TX | Commercial|Blue Premier | $23,112.96 | ↑ +148% |
| Bright Health | Commercial|All Plans | $26,857.58 | ↑ +188% |
| Community Health Choice | Commercial|Exchange | $26,978.72 | ↑ +190% |
| Wellpoint | Commercial|Exchange | $26,978.72 | ↑ +190% |
| Ambetter | Commercial|All Plans | $26,978.72 | ↑ +190% |
| UNITED | Medicaid|STARPLUS | $26,984.16 | ↑ +190% |
| BCBS-TX | Commercial|HMO | $27,416.75 | ↑ +194% |
| BCBS-TX | Commercial|PPO | $30,604.74 | ↑ +229% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $8,475.79 – $27,735.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $33,770.88 | $6,299.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $31,077.17 | $71.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,299.50 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $33,770.88 | $7,038.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $31,077.17 | $85.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $31,077.17 | $16,056.54 – $46,615.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $31,299.50 | $71.00 – $46,949.26 |