Whfo nontorsion joint prefab at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$91.88
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.
$262.50
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.
$55.13 with BCBS-TX vs $196.88 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $55.13 | ↓ -40% |
| BCBS-TX | Commercial|Blue Premier | $57.75 | ↓ -37% |
| United | Commercial|Exchange | $63.00 | ↓ -31% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $68.25 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $70.88 | ↓ -23% |
| United | Commercial|Charter | $73.50 | ↓ -20% |
| Cigna | Commercial|HMO | $78.75 | ↓ -14% |
| BCBS-TX | Commercial|PPO | $78.75 | ↓ -14% |
| Cigna | Commercial|Surefit | $78.75 | ↓ -14% |
| Cigna | Commercial|PPO | $78.75 | ↓ -14% |
| United | Commercial|PPO | $81.38 | ↓ -11% |
| United | Commercial|HMO | $81.38 | ↓ -11% |
| Humana | Commercial|PPO | $110.25 | ↑ +20% |
| Humana | Commercial|HMO | $110.25 | ↑ +20% |
| Cigna Lifesource | Commercial|Transplant | $157.50 | ↑ +71% |
| PHCS | Commercial|All Plans | $170.63 | ↑ +86% |
| Coventry | Commercial|PPO | $170.63 | ↑ +86% |
| First Health | Commercial|All Plans | $170.63 | ↑ +86% |
| Cigna | Commercial|Transplant | $183.75 | ↑ +100% |
| Healthsmart | Commercial|PPO | $183.75 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $196.88 | ↑ +114% |
Visitor-reported prices
Comments
Whfo nontorsion joint prefab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $226.36 – $496.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $193.67 | $16.83 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $193.67 | $16.35 – $109.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $193.67 | $26.24 – $122.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $193.67 | $42.24 – $122.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $193.67 | $27.25 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $193.67 | $16.35 – $109.01 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $193.67 | $20.44 – $122.63 |