_afb id by dna probe rflx ast at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$52.85
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.
$151.00
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.
$14.44 with Renaissance vs $151.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $14.44 | ↓ -73% |
| TCHP | Medicaid|STARKIDS | $16.84 | ↓ -68% |
| Wellpoint | Medicaid|STARKIDS | $16.84 | ↓ -68% |
| Wellpoint | Medicaid|CHIP | $16.84 | ↓ -68% |
| TCHP | Medicaid|All Other Plans | $16.84 | ↓ -68% |
| Wellpoint | Medicaid|All Other Plans | $16.84 | ↓ -68% |
| UHC | Medicaid|STARKIDS | $17.18 | ↓ -67% |
| UHC | Medicaid|CHIP | $17.18 | ↓ -67% |
| UNITED | Medicaid|All Other Plans | $17.18 | ↓ -67% |
| BCBS | Medicaid|All Plans | $17.68 | ↓ -67% |
| CHC | Medicaid|All Other Plans | $19.37 | ↓ -63% |
| HUMANA | Medicare|TRANSPLANT | $20.05 | ↓ -62% |
| SELECTCARE | Medicare|All Plans | $20.05 | ↓ -62% |
| BCBS | Medicare|All Plans | $20.05 | ↓ -62% |
| CIGNA HEALTHSPRING | Medicare|HMO | $20.05 | ↓ -62% |
| HUMANA | Medicare|All Other Plans | $20.05 | ↓ -62% |
| CIGNA HEALTHSPRING | Medicare|PPO | $20.25 | ↓ -62% |
| AETNA | Medicare|All Plans | $20.45 | ↓ -61% |
| UHC-SecureHorizons | Medicare|All Plans | $20.45 | ↓ -61% |
| Amerivantage | Medicare|All Plans | $20.65 | ↓ -61% |
| DEVOTED | Medicare|All Plans | $21.45 | ↓ -59% |
| SCANHealth | Medicare|All Plans | $21.45 | ↓ -59% |
| KINDRED | Medicare|All Plans | $22.05 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $22.57 | ↓ -57% |
| TCHP | Medicaid|STAR | $22.57 | ↓ -57% |
| UNITED | Medicaid|STAR | $23.07 | ↓ -56% |
| KELSEY | Medicare|All Plans | $24.76 | ↓ -53% |
| CHC | Medicaid|STAR | $25.93 | ↓ -51% |
| KelseyCare | Commercial|Exchange | $27.07 | ↓ -49% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $29.27 | ↓ -45% |
| Community Health Choice | Commercial|Exchange | $30.07 | ↓ -43% |
| Community Health Choice | Commercial|All Other Plans | $30.07 | ↓ -43% |
| Wellpoint | Commercial|Exchange | $30.07 | ↓ -43% |
| Superior Health Plan | Commercial|All Plans | $30.07 | ↓ -43% |
| Aetna | Commercial|Exchange | $30.88 | ↓ -42% |
| Bright Health | Commercial|All Plans | $33.08 | ↓ -37% |
| United | Commercial|Charter | $37.14 | ↓ -30% |
| United | Commercial|HMO | $37.14 | ↓ -30% |
| United | Commercial|Exchange | $37.14 | ↓ -30% |
| United | Commercial|PPO | $37.14 | ↓ -30% |
| BCBS-TX | Commercial|Exchange | $38.10 | ↓ -28% |
| OPTUM | Medicare|All Plans | $40.77 | ↓ -23% |
| Cigna | Commercial|Surefit | $47.91 | ↓ -9% |
| UNITED | Medicaid|STARPLUS | $52.54 | ↓ -1% |
| UHC | Medicaid|STARPLUS | $52.54 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $52.85 | ↑ +0% |
| Cigna | Commercial|HMO | $52.86 | ↑ +0% |
| OPTUM | Medicaid|STAR | $54.64 | ↑ +3% |
| NX Health | Commercial|PPO | $65.16 | ↑ +23% |
| BCBS-TX | Commercial|Blue Premier | $65.36 | ↑ +24% |
| United | Commercial|Optum | $70.97 | ↑ +34% |
| Cigna | Commercial|PPO | $72.29 | ↑ +37% |
| TEXASTRUECHOICE | Medicaid|CHIP | $83.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $83.05 | ↑ +57% |
| CHC | Medicaid|HMO | $83.05 | ↑ +57% |
| BCBS-TX | Commercial|HMO | $87.82 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $90.60 | ↑ +71% |
| First Health | Commercial|All Plans | $98.15 | ↑ +86% |
| Coventry | Commercial|PPO | $98.15 | ↑ +86% |
| Humana | Commercial|Transplant | $98.15 | ↑ +86% |
| Aetna | Commercial|HMO | $102.68 | ↑ +94% |
| BCBS-TX | Commercial|PPO | $102.86 | ↑ +95% |
| Interlink | Commercial|Transplant | $105.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $105.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $105.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $113.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $124.76 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $128.35 | ↑ +143% |
| MHealth Network | Commercial|PPO | $151.00 | ↑ +186% |
Visitor-reported prices
Comments
_afb id by dna probe rflx ast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $292.41 | $12.00 – $161.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $292.41 | $8.00 – $166.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $292.41 | $12.00 – $193.43 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $307.03 | $10.00 – $166.69 |