Brachytx, ns, non-hdrir-192 at Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
$159.50
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.
$319.00
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.
$290.29 with Bcbs vs $1,817.40 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 |
|---|---|---|---|
| Bcbs | All Commercial Plans | $290.29 | ↑ +82% |
| Bcbs | Medicare Managed Care - Hmo | $908.70 | ↑ +470% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $922.33 | ↑ +478% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $926.87 | ↑ +481% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $935.96 | ↑ +487% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $954.14 | ↑ +498% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $972.31 | ↑ +510% |
| Procare Advantage | Medicare Managed Care - Hmo | $999.57 | ↑ +527% |
| Community Health Choice | Silver & Gold Exchange | $1,481.18 | ↑ +829% |
| Optum Health | Transplant Medicare Managed Care Plan | $1,771.96 | ↑ +1011% |
| Molina Healthcare | Exchange | $1,817.40 | ↑ +1039% |
Visitor-reported prices
Comments
Brachytx, ns, non-hdrir-192 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $88.29 | $89.96 – $89.96 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $88.29 | $89.96 – $89.96 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $159.50 | $290.29 – $1,817.40 |
| Houston Methodist Cypress Hospital | Cypress | $159.50 | $290.29 – $1,771.96 |
| Houston Methodist Willowbrook Hospital | Houston | $159.50 | $290.29 – $1,771.96 |
| Houston Methodist Continuing Care Hospital | Katy | $159.50 | not published |
| Houston Methodist Hospital | Houston | $159.50 | $290.29 – $3,634.80 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $159.50 | $113.98 – $1,771.96 |