Xcapsl ctrc rmvl cplx wo ecp 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

$2,816.80

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.

$8,048.00

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.

$807.44 with CHC vs $12,381.00 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 →

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
CHC Medicaid|All Plans $807.44 ↓ -71%
TCHP Medicaid|All Plans $807.44 ↓ -71%
Wellpoint Medicaid|All Plans $849.94 ↓ -70%
UNITED Medicaid|All Other Plans $866.94 ↓ -69%
UNITED Medicaid|STAR $1,164.42 ↓ -59%
BCBS-TX Commercial|Exchange $1,516.40 ↓ -46%
Aetna-Kelsey Care Commercial|HMO $1,732.00 ↓ -39%
BCBS - TX Commercial|MyBlue Health Exchange $1,940.99 ↓ -31%
Aetna Commercial|HMO $2,089.00 ↓ -26%
BCBS Medicare|All Plans $2,284.42 ↓ -19%
KELSEY Medicare|All Plans $2,284.42 ↓ -19%
CIGNA-HEALTHSPRING Medicare|All Plans $2,284.42 ↓ -19%
HUMANA Medicare|All Plans $2,284.42 ↓ -19%
AETNA Medicare|All Plans $2,330.11 ↓ -17%
UNITED Medicare|All Plans $2,330.11 ↓ -17%
AMERIVANTAGE Medicare|All Plans $2,352.95 ↓ -16%
SCANHealth Medicare|All Plans $2,444.33 ↓ -13%
DEVOTED Medicare|All Plans $2,444.33 ↓ -13%
UNITED Medicaid|STARPLUS $2,651.81 ↓ -6%
BCBS-TX Commercial|Blue Premier $2,931.70 ↑ +4%
United Commercial|Exchange $3,137.00 ↑ +11%
Wellpoint Commercial|Exchange $3,426.63 ↑ +22%
Ambetter Commercial|All Plans $3,426.63 ↑ +22%
Community Health Choice Commercial|Exchange $3,426.63 ↑ +22%
Bright Health Commercial|All Plans $3,472.75 ↑ +23%
BCBS-TX Commercial|HMO $3,477.60 ↑ +23%
BCBS-TX Commercial|PPO $3,881.97 ↑ +38%
Humana Commercial|HMO $4,000.00 ↑ +42%
Humana Commercial|PPO $4,000.00 ↑ +42%
Cigna Commercial|Surefit $4,473.00 ↑ +59%
United Commercial|Charter $4,631.00 ↑ +64%
Cigna Lifesource Commercial|Transplant $4,828.80 ↑ +71%
Cigna Commercial|HMO $4,929.00 ↑ +75%
United Commercial|HMO $5,145.00 ↑ +83%
United Commercial|PPO $5,145.00 ↑ +83%
First Health Commercial|All Plans $5,231.20 ↑ +86%
Coventry Commercial|PPO $5,231.20 ↑ +86%
Aetna Commercial|PPO $5,472.64 ↑ +94%
Healthsmart Commercial|PPO $5,633.60 ↑ +100%
Cigna Commercial|Transplant $5,633.60 ↑ +100%
MultiPlan Commercial|All Plans $6,036.00 ↑ +114%
Aetna Commercial|Transplant $6,116.48 ↑ +117%
PHCS Commercial|All Plans $8,158.00 ↑ +190%
Cigna Commercial|PPO $12,381.00 ↑ +340%

Visitor-reported prices

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Xcapsl ctrc rmvl cplx wo ecp at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON SOUTHEAST PASADENA not published $832.94 – $3,518.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $4,403.18 $71.00 – $7,521.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $5,252.39 $71.00 – $7,521.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $4,403.18 $85.00 – $7,521.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $4,403.18 $849.94 – $6,604.78
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $5,252.39 $71.00 – $7,878.58
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $4,403.18 $71.00 – $7,521.00
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $4,403.18 $71.00 – $7,521.00

All Texas hospitals for this procedure →