Ultrasound retroperitoneal limited 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

$473.55

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.

$1,353.00

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.

$56.82 with TCHP vs $1,014.75 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 →

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 $56.82 ↓ -88%
CHC Medicaid|All Plans $56.82 ↓ -88%
Wellpoint Medicaid|All Plans $59.81 ↓ -87%
UNITED Medicaid|All Other Plans $61.01 ↓ -87%
UNITED Medicaid|STAR $81.94 ↓ -83%
Cigna Commercial|Surefit $95.79 ↓ -80%
Cigna Commercial|HMO $105.49 ↓ -78%
HUMANA Medicare|All Plans $106.51 ↓ -78%
BCBS Medicare|All Plans $106.51 ↓ -78%
KELSEY Medicare|All Plans $106.51 ↓ -78%
CIGNA-HEALTHSPRING Medicare|All Plans $106.51 ↓ -78%
AETNA Medicare|All Plans $108.64 ↓ -77%
UNITED Medicare|All Plans $108.64 ↓ -77%
AMERIVANTAGE Medicare|All Plans $109.71 ↓ -77%
DEVOTED Medicare|All Plans $113.97 ↓ -76%
SCANHealth Medicare|All Plans $113.97 ↓ -76%
Cigna Commercial|PPO $129.44 ↓ -73%
BCBS-TX Commercial|Exchange $158.03 ↓ -67%
Community Health Choice Commercial|Exchange $159.76 ↓ -66%
Ambetter Commercial|All Plans $159.76 ↓ -66%
Wellpoint Commercial|Exchange $159.77 ↓ -66%
BCBS - TX Commercial|MyBlue Health Exchange $163.64 ↓ -65%
Bright Health Commercial|All Plans $182.06 ↓ -62%
UNITED Medicaid|STARPLUS $186.61 ↓ -61%
BCBS-TX Commercial|Blue Premier $286.92 ↓ -39%
BCBS-TX Commercial|HMO $336.24 ↓ -29%
United Commercial|Exchange $362.00 ↓ -24%
BCBS-TX Commercial|PPO $377.71 ↓ -20%
United Commercial|Charter $533.00 ↑ +13%
United Commercial|PPO $592.00 ↑ +25%
United Commercial|HMO $592.00 ↑ +25%
Aetna-Kelsey Care Commercial|HMO $798.27 ↑ +69%
Cigna Lifesource Commercial|Transplant $811.80 ↑ +71%
Coventry Commercial|PPO $879.45 ↑ +86%
First Health Commercial|All Plans $879.45 ↑ +86%
Aetna Commercial|HMO $920.04 ↑ +94%
Healthsmart Commercial|PPO $947.10 ↑ +100%
Cigna Commercial|Transplant $947.10 ↑ +100%
MultiPlan Commercial|All Plans $1,014.75 ↑ +114%

Visitor-reported prices

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Ultrasound retroperitoneal limited at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA $3,924.65 $58.61 – $197.26
Adventhealth Rollins Brook Lampasas $1,068.52 $431.51 – $431.51
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $518.80 $59.81 – $648.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $537.62 $110.66 – $806.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $460.28 $59.81 – $575.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $518.80 $59.81 – $648.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $537.62 $64.00 – $806.43
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $537.62 $59.81 – $806.43

All Texas hospitals for this procedure →