Ghs i and d perirectal abscess 46040 at Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
$3,227.00
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.
$6,454.00
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.
$1,202.09 with Bcbs vs $6,337.00 with Phcs — 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 | $1,202.09 | ↓ -63% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,220.13 | ↓ -62% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,226.14 | ↓ -62% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,238.16 | ↓ -62% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $1,262.20 | ↓ -61% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $1,286.24 | ↓ -60% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,322.30 | ↓ -59% |
| Community Health Choice | Silver & Gold Exchange | $1,959.41 | ↓ -39% |
| Bcbs | All Commercial Plans | $2,048.61 | ↓ -37% |
| Optum Health | Transplant Medicare Managed Care Plan | $2,344.08 | ↓ -27% |
| Molina Healthcare | Exchange | $2,404.19 | ↓ -25% |
| Humana | Hmo/Pos | $2,537.60 | ↓ -21% |
| Aetna | New Business Discount Other Commercial Plan | $3,416.00 | ↑ +6% |
| Aetna | Hmo/Pos/Ppo | $3,522.00 | ↑ +9% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↑ +21% |
| Cigna | Network C-24 Hmo/Ppo | $4,004.00 | ↑ +24% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $4,004.00 | ↑ +24% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,239.00 | ↑ +31% |
| Entrust | All Commercial Plans | $4,284.00 | ↑ +33% |
| Phcs | Ppo | $6,337.00 | ↑ +96% |
Visitor-reported prices
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Ghs i and d perirectal abscess 46040 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $830.20 | $640.44 – $2,372.00 |
| Adventhealth Rollins Brook | Lampasas | $6,545.71 | $1,255.28 – $2,991.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,668.87 | $429.26 – $4,586.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,078.12 | $429.26 – $6,117.17 |