Aco med nutria tx/group, ea 30 min 97804aco at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$17.50
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.
$50.00
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.
$11.54 with Renaissance vs $117.00 with United — 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $11.54 | ↓ -34% |
| OPTUM | Medicare|All Plans | $13.50 | ↓ -23% |
| KELSEY | Medicare|All Plans | $15.70 | ↓ -10% |
| CIGNA HEALTHSPRING | Medicare|HMO | $16.03 | ↓ -8% |
| SELECTCARE | Medicare|All Plans | $16.03 | ↓ -8% |
| HUMANA | Medicare|All Other Plans | $16.03 | ↓ -8% |
| BCBS | Medicare|All Plans | $16.03 | ↓ -8% |
| CIGNA HEALTHSPRING | Medicare|PPO | $16.19 | ↓ -7% |
| UHC-SecureHorizons | Medicare|All Plans | $16.35 | ↓ -7% |
| AETNA | Medicare|All Plans | $16.35 | ↓ -7% |
| Amerivantage | Medicare|All Plans | $16.51 | ↓ -6% |
| HUMANA | Medicare|TRANSPLANT | $16.77 | ↓ -4% |
| DEVOTED | Medicare|All Plans | $17.15 | ↓ -2% |
| SCANHealth | Medicare|All Plans | $17.15 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $17.50 | ↑ +0% |
| KINDRED | Medicare|All Plans | $17.63 | ↑ +1% |
| OPTUM | Medicaid|STAR | $18.09 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $21.64 | ↑ +24% |
| United | Commercial|Optum | $23.50 | ↑ +34% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $23.68 | ↑ +35% |
| Community Health Choice | Commercial|All Other Plans | $24.05 | ↑ +37% |
| Superior Health Plan | Commercial|All Plans | $24.05 | ↑ +37% |
| Wellpoint | Commercial|Exchange | $24.05 | ↑ +37% |
| Community Health Choice | Commercial|Exchange | $24.05 | ↑ +37% |
| Aetna | Commercial|Exchange | $24.69 | ↑ +41% |
| BCBS-TX | Commercial|Exchange | $27.41 | ↑ +57% |
| CHC | Medicaid|CHIP | $27.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $27.50 | ↑ +57% |
| CHC | Medicaid|HMO | $27.50 | ↑ +57% |
| Bright Health | Commercial|All Plans | $27.70 | ↑ +58% |
| Cigna Lifesource | Commercial|Transplant | $30.00 | ↑ +71% |
| First Health | Commercial|All Plans | $32.50 | ↑ +86% |
| Humana | Commercial|Transplant | $32.50 | ↑ +86% |
| Coventry | Commercial|PPO | $32.50 | ↑ +86% |
| BCBS-TX | Commercial|Blue Premier | $34.39 | ↑ +97% |
| Healthsmart | Commercial|PPO | $35.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $35.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $35.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $37.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $41.31 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $42.50 | ↑ +143% |
| BCBS-TX | Commercial|HMO | $45.42 | ↑ +160% |
| BCBS-TX | Commercial|PPO | $50.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $50.00 | ↑ +186% |
| Cigna | Commercial|HMO | $50.00 | ↑ +186% |
| Cigna | Commercial|PPO | $50.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $50.00 | ↑ +186% |
| NX Health | Commercial|PPO | $52.10 | ↑ +198% |
| United | Commercial|Exchange | $72.00 | ↑ +311% |
| United | Commercial|Charter | $107.00 | ↑ +511% |
| United | Commercial|PPO | $117.00 | ↑ +569% |
| United | Commercial|HMO | $117.00 | ↑ +569% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $52.33 | $14.83 – $74.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46.14 | $9.50 – $69.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.28 | $8.46 – $52.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $52.33 | $13.95 – $74.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $46.14 | $14.81 – $69.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $46.14 | $23.84 – $69.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $42.28 | $14.09 – $63.42 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $52.33 | $13.95 – $74.13 |