Ablt trurl prst8 tis trnsdcr at Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
$22,412.00
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.
$44,824.00
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.
$7,316.00 with Aetna vs $26,507.16 with Molina Healthcare — 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 |
|---|---|---|---|
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↓ -67% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↓ -66% |
| Unitedhealthcare | All Commercial Plans | $9,799.00 | ↓ -56% |
| Bcbs | Medicare Managed Care - Hmo | $13,253.58 | ↓ -41% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $13,452.38 | ↓ -40% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $13,518.65 | ↓ -40% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $13,651.19 | ↓ -39% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $13,916.26 | ↓ -38% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $14,181.33 | ↓ -37% |
| Procare Advantage | Medicare Managed Care - Hmo | $14,578.94 | ↓ -35% |
| Community Health Choice | Silver & Gold Exchange | $21,603.33 | ↓ -4% |
| Optum Health | Transplant Medicare Managed Care Plan | $25,844.48 | ↑ +15% |
| Bcbs | All Commercial Plans | $26,504.54 | ↑ +18% |
| Molina Healthcare | Exchange | $26,507.16 | ↑ +18% |
Visitor-reported prices
Comments
Ablt trurl prst8 tis trnsdcr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $11,368.35 | $100.00 – $32,481.00 |
| Baylor St Luke's Medical Center | Houston | $11,368.35 | $100.00 – $32,481.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $11,368.35 | $100.00 – $32,481.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $11,368.35 | $100.00 – $32,481.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $11,368.35 | $100.00 – $32,481.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $22,412.00 | $7,316.00 – $26,507.16 |
| Houston Methodist Cypress Hospital | Cypress | $22,412.00 | $7,316.00 – $25,844.48 |
| Houston Methodist Willowbrook Hospital | Houston | $22,412.00 | $7,316.00 – $25,844.48 |