Ins icd gen exist mlt leads at Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
$42,070.00
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.
$84,140.00
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 $65,856.59 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 |
|---|---|---|---|
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↓ -83% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↓ -82% |
| Unitedhealthcare | All Commercial Plans | $7,665.00 | ↓ -82% |
| Bcbs | Medicare Managed Care - Hmo | $31,531.90 | ↓ -25% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $32,004.88 | ↓ -24% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $32,162.54 | ↓ -24% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $32,477.86 | ↓ -23% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $33,108.49 | ↓ -21% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $33,739.13 | ↓ -20% |
| Procare Advantage | Medicare Managed Care - Hmo | $34,685.09 | ↓ -18% |
| Community Health Choice | Silver & Gold Exchange | $51,397.00 | ↑ +22% |
| Optum Health | Transplant Medicare Managed Care Plan | $61,487.20 | ↑ +46% |
| Molina Healthcare | Exchange | $63,063.80 | ↑ +50% |
| Bcbs | All Commercial Plans | $65,856.59 | ↑ +57% |
Visitor-reported prices
Comments
Ins icd gen exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $11,058.25 | $8,530.65 – $31,595.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $31,286.77 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48,453.26 | $9,973.30 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $37,154.56 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $31,286.77 | $18,250.61 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $48,453.26 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $48,453.26 | $13,462.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $37,154.56 | $15,811.00 – $81,499.55 |