Diagnostic Mammogram (both breasts) at Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
$1,762.95
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.
$3,525.90
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.
$104.89 with Bcbs vs $476.67 with Bcbs — 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 | Medicare Managed Care - Hmo | $104.89 | ↓ -94% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $106.46 | ↓ -94% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $106.99 | ↓ -94% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $108.04 | ↓ -94% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $110.13 | ↓ -94% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $112.23 | ↓ -94% |
| Procare Advantage | Medicare Managed Care - Hmo | $115.38 | ↓ -93% |
| Community Health Choice | Silver & Gold Exchange | $170.97 | ↓ -90% |
| Optum Health | Transplant Medicare Managed Care Plan | $204.54 | ↓ -88% |
| Molina Healthcare | Exchange | $209.78 | ↓ -88% |
| Aetna | New Business Discount Other Commercial Plan | $429.26 | ↓ -76% |
| Aetna | Hmo/Pos/Ppo | $442.34 | ↓ -75% |
| Bcbs | All Commercial Plans | $476.67 | ↓ -73% |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $680.75 | $148.00 – $1,945.00 |
| Adventhealth Rollins Brook | Lampasas | $981.60 | $463.42 – $463.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $340.20 | $96.39 – $481.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $340.20 | $70.02 – $510.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $340.20 | $68.04 – $425.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $340.20 | $90.72 – $481.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $340.20 | $109.20 – $510.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $340.20 | $175.77 – $510.30 |