Aco ccm; ea addl 20 min 99439aco at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$70.00
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.
$200.00
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.
$42.62 with BCBS-TX vs $200.00 with MHealth Network — 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-TX | Commercial|MyBlue Health Exchange | $42.62 | ↓ -39% |
| BCBS-TX | Commercial|Exchange | $49.33 | ↓ -30% |
| OPTUM | Medicare|All Plans | $54.00 | ↓ -23% |
| BCBS-TX | Commercial|Blue Premier | $61.88 | ↓ -12% |
| TCHPCHIP | Medicaid|HMO | $70.00 | ↑ +0% |
| OPTUM | Medicaid|STAR | $72.36 | ↑ +3% |
| United | Commercial|Exchange | $74.00 | ↑ +6% |
| BCBS-TX | Commercial|HMO | $81.73 | ↑ +17% |
| BCBS-TX | Commercial|PPO | $92.82 | ↑ +33% |
| United | Commercial|Optum | $94.00 | ↑ +34% |
| United | Commercial|Charter | $109.00 | ↑ +56% |
| CHC | Medicaid|CHIP | $110.00 | ↑ +57% |
| CHC | Medicaid|HMO | $110.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $110.00 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $120.00 | ↑ +71% |
| United | Commercial|PPO | $122.00 | ↑ +74% |
| United | Commercial|HMO | $122.00 | ↑ +74% |
| Coventry | Commercial|PPO | $130.00 | ↑ +86% |
| Humana | Commercial|Transplant | $130.00 | ↑ +86% |
| First Health | Commercial|All Plans | $130.00 | ↑ +86% |
| Healthsmart | Commercial|PPO | $140.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $140.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $140.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $150.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $165.24 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $170.00 | ↑ +143% |
| MHealth Network | Commercial|PPO | $200.00 | ↑ +186% |
Visitor-reported prices
Comments
Aco ccm; ea addl 20 min 99439aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $70.00 | $34.44 – $200.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $70.00 | $42.62 – $200.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $70.00 | $42.62 – $200.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $70.00 | $42.62 – $200.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $112.38 – $112.38 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $68.30 – $68.30 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $68.30 – $68.30 |
| HCA HOUSTON CONROE | CONROE | not published | $68.30 – $68.30 |