X-ray scapula complete (both sides) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$222.71
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.
$636.30
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.
$22.86 with TCHP vs $477.00 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 | $22.86 | ↓ -90% |
| CHC | Medicaid|All Plans | $22.86 | ↓ -90% |
| Wellpoint | Medicaid|All Plans | $24.06 | ↓ -89% |
| UNITED | Medicaid|All Other Plans | $24.54 | ↓ -89% |
| UNITED | Medicaid|STAR | $32.96 | ↓ -85% |
| Cigna | Commercial|Surefit | $47.30 | ↓ -79% |
| Cigna | Commercial|HMO | $52.09 | ↓ -77% |
| Cigna | Commercial|PPO | $63.92 | ↓ -71% |
| UNITED | Medicaid|STARPLUS | $75.07 | ↓ -66% |
| HUMANA | Medicare|All Plans | $106.51 | ↓ -52% |
| KELSEY | Medicare|All Plans | $106.51 | ↓ -52% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $106.51 | ↓ -52% |
| BCBS | Medicare|All Plans | $106.51 | ↓ -52% |
| UNITED | Medicare|All Plans | $108.64 | ↓ -51% |
| AETNA | Medicare|All Plans | $108.64 | ↓ -51% |
| AMERIVANTAGE | Medicare|All Plans | $109.71 | ↓ -51% |
| DEVOTED | Medicare|All Plans | $113.97 | ↓ -49% |
| SCANHealth | Medicare|All Plans | $113.97 | ↓ -49% |
| United | Commercial|Exchange | $140.00 | ↓ -37% |
| BCBS-TX | Commercial|Exchange | $158.03 | ↓ -29% |
| Ambetter | Commercial|All Plans | $159.76 | ↓ -28% |
| Community Health Choice | Commercial|Exchange | $159.76 | ↓ -28% |
| Wellpoint | Commercial|Exchange | $159.77 | ↓ -28% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $163.64 | ↓ -27% |
| Bright Health | Commercial|All Plans | $182.06 | ↓ -18% |
| United | Commercial|Charter | $209.00 | ↓ -6% |
| United | Commercial|PPO | $230.00 | ↑ +3% |
| United | Commercial|HMO | $230.00 | ↑ +3% |
| BCBS-TX | Commercial|Blue Premier | $286.92 | ↑ +29% |
| BCBS-TX | Commercial|HMO | $336.24 | ↑ +51% |
| Aetna-Kelsey Care | Commercial|HMO | $375.24 | ↑ +68% |
| BCBS-TX | Commercial|PPO | $377.71 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $381.60 | ↑ +71% |
| Coventry | Commercial|PPO | $413.40 | ↑ +86% |
| First Health | Commercial|All Plans | $413.40 | ↑ +86% |
| Aetna | Commercial|HMO | $432.48 | ↑ +94% |
| Healthsmart | Commercial|PPO | $445.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $445.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $477.00 | ↑ +114% |
Visitor-reported prices
Comments
X-ray scapula complete (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $23.58 – $197.26 |
| Adventhealth Rollins Brook | Lampasas | $540.58 | $431.51 – $431.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $223.85 | $24.06 – $279.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $276.52 | $56.92 – $414.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $311.92 | $24.06 – $389.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $223.85 | $24.06 – $279.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $276.52 | $25.74 – $414.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $276.52 | $24.06 – $414.77 |