Ultrasound breast unilateral limited (both sides) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,101.10
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.
$3,146.00
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.
$80.94 with TCHP vs $1,572.75 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 →
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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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $80.94 | ↓ -93% |
| CHC | Medicaid|All Plans | $80.94 | ↓ -93% |
| Wellpoint | Medicaid|All Plans | $85.20 | ↓ -92% |
| UNITED | Medicaid|All Other Plans | $86.90 | ↓ -92% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $88.19 | ↓ -92% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -92% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -92% |
| HUMANA | Medicare|All Plans | $88.19 | ↓ -92% |
| AETNA | Medicare|All Plans | $89.95 | ↓ -92% |
| UNITED | Medicare|All Plans | $89.95 | ↓ -92% |
| AMERIVANTAGE | Medicare|All Plans | $90.84 | ↓ -92% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -91% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -91% |
| BCBS-TX | Commercial|Exchange | $112.53 | ↓ -90% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $116.52 | ↓ -89% |
| UNITED | Medicaid|STAR | $116.72 | ↓ -89% |
| Ambetter | Commercial|All Plans | $132.28 | ↓ -88% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↓ -88% |
| Wellpoint | Commercial|Exchange | $132.29 | ↓ -88% |
| Bright Health | Commercial|All Plans | $135.27 | ↓ -88% |
| Cigna | Commercial|Surefit | $166.41 | ↓ -85% |
| Cigna | Commercial|HMO | $183.28 | ↓ -83% |
| BCBS-TX | Commercial|Blue Premier | $204.31 | ↓ -81% |
| Cigna | Commercial|PPO | $224.88 | ↓ -80% |
| BCBS-TX | Commercial|HMO | $239.43 | ↓ -78% |
| UNITED | Medicaid|STARPLUS | $265.82 | ↓ -76% |
| BCBS-TX | Commercial|PPO | $268.96 | ↓ -76% |
| United | Commercial|Exchange | $362.00 | ↓ -67% |
| United | Commercial|Charter | $533.00 | ↓ -52% |
| United | Commercial|PPO | $592.00 | ↓ -46% |
| United | Commercial|HMO | $592.00 | ↓ -46% |
| Aetna-Kelsey Care | Commercial|HMO | $1,237.23 | ↑ +12% |
| Cigna Lifesource | Commercial|Transplant | $1,258.20 | ↑ +14% |
| First Health | Commercial|All Plans | $1,363.05 | ↑ +24% |
| Coventry | Commercial|PPO | $1,363.05 | ↑ +24% |
| Aetna | Commercial|HMO | $1,425.96 | ↑ +30% |
| Healthsmart | Commercial|PPO | $1,467.90 | ↑ +33% |
| Cigna | Commercial|Transplant | $1,467.90 | ↑ +33% |
| MultiPlan | Commercial|All Plans | $1,572.75 | ↑ +43% |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $83.50 – $314.42 |
| Adventhealth Rollins Brook | Lampasas | $688.16 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $346.19 | $83.05 – $432.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $346.09 | $71.24 – $519.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $346.09 | $83.05 – $432.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $346.19 | $83.05 – $432.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $346.09 | $83.05 – $519.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $346.09 | $85.20 – $519.14 |