Upper Endoscopy (EGD, with biopsy) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$1,326.31
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.
$3,789.45
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.
$318.20 with TCHP vs $7,221.00 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 →
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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 | $318.20 | ↓ -76% |
| CHC | Medicaid|All Plans | $318.20 | ↓ -76% |
| Wellpoint | Medicaid|All Plans | $334.95 | ↓ -75% |
| UNITED | Medicaid|All Other Plans | $341.65 | ↓ -74% |
| UNITED | Medicaid|STAR | $458.88 | ↓ -65% |
| BCBS-TX | Commercial|Exchange | $589.44 | ↓ -56% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $754.48 | ↓ -43% |
| KELSEY | Medicare|All Plans | $939.08 | ↓ -29% |
| BCBS | Medicare|All Plans | $939.08 | ↓ -29% |
| HUMANA | Medicare|All Plans | $939.08 | ↓ -29% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $939.08 | ↓ -29% |
| UNITED | Medicare|All Plans | $957.86 | ↓ -28% |
| AETNA | Medicare|All Plans | $957.86 | ↓ -28% |
| AMERIVANTAGE | Medicare|All Plans | $967.25 | ↓ -27% |
| DEVOTED | Medicare|All Plans | $1,004.82 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $1,004.82 | ↓ -24% |
| UNITED | Medicaid|STARPLUS | $1,045.04 | ↓ -21% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -19% |
| BCBS-TX | Commercial|Blue Premier | $1,139.58 | ↓ -14% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -2% |
| BCBS-TX | Commercial|HMO | $1,351.78 | ↑ +2% |
| Bright Health | Commercial|All Plans | $1,353.15 | ↑ +2% |
| Wellpoint | Commercial|Exchange | $1,408.62 | ↑ +6% |
| Ambetter | Commercial|All Plans | $1,408.62 | ↑ +6% |
| Community Health Choice | Commercial|Exchange | $1,408.62 | ↑ +6% |
| BCBS-TX | Commercial|PPO | $1,508.97 | ↑ +14% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +34% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +34% |
| Cigna Lifesource | Commercial|Transplant | $2,273.67 | ↑ +71% |
| United | Commercial|Exchange | $2,303.00 | ↑ +74% |
| First Health | Commercial|All Plans | $2,463.15 | ↑ +86% |
| Coventry | Commercial|PPO | $2,463.15 | ↑ +86% |
| Aetna | Commercial|PPO | $2,576.83 | ↑ +94% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +97% |
| Healthsmart | Commercial|PPO | $2,652.62 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,652.62 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,842.09 | ↑ +114% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +117% |
| Aetna | Commercial|Transplant | $2,879.99 | ↑ +117% |
| United | Commercial|Charter | $3,400.00 | ↑ +156% |
| United | Commercial|HMO | $3,778.00 | ↑ +185% |
| United | Commercial|PPO | $3,778.00 | ↑ +185% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +291% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +444% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $328.25 – $1,367.50 |
| Covenant Children's Hospital | Lubbock | $1,040.34 | $879.87 – $7,034.24 |
| Covenant Medical Center | Lubbock | $1,040.34 | $894.72 – $6,330.82 |
| Covenant Hospital Plainview | Plainview | $957.18 | $883.78 – $2,150.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,408.35 | $829.93 – $2,761.00 |
| Covenant Hospital Levelland | Levelland | $954.66 | $883.78 – $3,168.30 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $8,408.35 | $829.93 – $2,761.00 |
| Covenant Specialty Hospital | Lubbock | $1,040.34 | not published |