X-ray shoulder 1 view (both sides) at St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
$355.60
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.
$1,016.00
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.
$20.62 with TCHP vs $762.00 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 | $20.62 | ↓ -94% |
| CHC | Medicaid|All Plans | $20.62 | ↓ -94% |
| Wellpoint | Medicaid|All Plans | $21.71 | ↓ -94% |
| UNITED | Medicaid|All Other Plans | $22.14 | ↓ -94% |
| UNITED | Medicaid|STAR | $29.74 | ↓ -92% |
| Cigna | Commercial|Surefit | $44.13 | ↓ -88% |
| Cigna | Commercial|HMO | $48.61 | ↓ -86% |
| Cigna | Commercial|PPO | $59.65 | ↓ -83% |
| UNITED | Medicaid|STARPLUS | $67.74 | ↓ -81% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -75% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -75% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $88.19 | ↓ -75% |
| HUMANA | Medicare|All Plans | $88.19 | ↓ -75% |
| AETNA | Medicare|All Plans | $89.95 | ↓ -75% |
| UNITED | Medicare|All Plans | $89.95 | ↓ -75% |
| AMERIVANTAGE | Medicare|All Plans | $90.84 | ↓ -74% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -73% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -73% |
| BCBS-TX | Commercial|Exchange | $112.53 | ↓ -68% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $116.52 | ↓ -67% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↓ -63% |
| Ambetter | Commercial|All Plans | $132.28 | ↓ -63% |
| Wellpoint | Commercial|Exchange | $132.29 | ↓ -63% |
| Bright Health | Commercial|All Plans | $135.27 | ↓ -62% |
| United | Commercial|Exchange | $140.00 | ↓ -61% |
| BCBS-TX | Commercial|Blue Premier | $204.31 | ↓ -43% |
| United | Commercial|Charter | $209.00 | ↓ -41% |
| United | Commercial|PPO | $230.00 | ↓ -35% |
| United | Commercial|HMO | $230.00 | ↓ -35% |
| BCBS-TX | Commercial|HMO | $239.43 | ↓ -33% |
| BCBS-TX | Commercial|PPO | $268.96 | ↓ -24% |
| Aetna-Kelsey Care | Commercial|HMO | $599.44 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $609.60 | ↑ +71% |
| Coventry | Commercial|PPO | $660.40 | ↑ +86% |
| First Health | Commercial|All Plans | $660.40 | ↑ +86% |
| Aetna | Commercial|HMO | $690.88 | ↑ +94% |
| Healthsmart | Commercial|PPO | $711.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $711.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $762.00 | ↑ +114% |
Visitor-reported prices
Comments
X-ray shoulder 1 view (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $21.28 – $140.47 |
| Adventhealth Rollins Brook | Lampasas | $440.62 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $268.60 | $21.71 – $335.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $399.27 | $82.18 – $598.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $320.82 | $21.71 – $401.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $268.60 | $21.71 – $335.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $399.27 | $23.23 – $598.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $399.27 | $21.71 – $598.90 |