Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
$5,871.00
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.
?
What you pay up front if you don't use insurance.
$11,742.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,244.42 with Bcbs vs $7,542.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,244.42 | ↓ -79% |
| Bcbs | Medicare Managed Care - Hmo | $1,659.12 | ↓ -72% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,684.01 | ↓ -71% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,692.31 | ↓ -71% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,708.90 | ↓ -71% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $1,742.08 | ↓ -70% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $1,775.26 | ↓ -70% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,825.04 | ↓ -69% |
| Community Health Choice | Silver & Gold Exchange | $2,704.37 | ↓ -54% |
| Optum Health | Transplant Medicare Managed Care Plan | $3,235.29 | ↓ -45% |
| Molina Healthcare | Exchange | $3,318.25 | ↓ -43% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↓ -34% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +25% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +28% |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,803.15 | $2,162.43 – $8,009.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,799.78 | $509.94 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,351.81 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,351.81 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,799.78 | $479.94 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,351.81 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,351.81 | $698.44 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,351.81 | $71.00 – $4,016.35 |