Allograft epieffect 2x3cm-q4186-cost per sq cm at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$877.10
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.
$2,506.00
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.
$226.10 with United vs $1,113.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $226.10 | ↓ -74% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $238.48 | ↓ -73% |
| Aetna-Kelsey Care | Commercial|HMO | $244.86 | ↓ -72% |
| BCBS-TX | Commercial|Exchange | $262.55 | ↓ -70% |
| Aetna | Commercial|PPO | $289.38 | ↓ -67% |
| Aetna | Commercial|HMO | $289.38 | ↓ -67% |
| OPTUM | Medicare|All Plans | $300.51 | ↓ -66% |
| United | Commercial|PPO | $340.41 | ↓ -61% |
| United | Commercial|Charter | $340.41 | ↓ -61% |
| United | Commercial|HMO | $340.41 | ↓ -61% |
| BCBS-TX | Commercial|Blue Premier | $352.25 | ↓ -60% |
| Aetna | Commercial|Transplant | $356.16 | ↓ -59% |
| Bright Health | Commercial|All Plans | $367.29 | ↓ -58% |
| TCHPCHIP | Medicaid|HMO | $389.55 | ↓ -56% |
| Cigna | Commercial|PPO | $400.68 | ↓ -54% |
| Cigna | Commercial|Surefit | $400.68 | ↓ -54% |
| Cigna | Commercial|HMO | $400.68 | ↓ -54% |
| OPTUM | Medicaid|STAR | $402.69 | ↓ -54% |
| BCBS-TX | Commercial|HMO | $448.52 | ↓ -49% |
| BCBS-TX | Commercial|PPO | $498.84 | ↓ -43% |
| United | Commercial|Optum | $523.11 | ↓ -40% |
| Humana | Commercial|HMO | $534.24 | ↓ -39% |
| Humana | Commercial|PPO | $534.24 | ↓ -39% |
| KelseyCare | Commercial|All Other Plans | $545.37 | ↓ -38% |
| CHC | Medicaid|HMO | $612.15 | ↓ -30% |
| CHC | Medicaid|CHIP | $612.15 | ↓ -30% |
| TEXASTRUECHOICE | Medicaid|CHIP | $612.15 | ↓ -30% |
| Independent Med System | Commercial|All Plans | $667.80 | ↓ -24% |
| Cigna Lifesource | Commercial|Transplant | $667.80 | ↓ -24% |
| First Health | Commercial|All Plans | $723.45 | ↓ -18% |
| Coventry | Commercial|PPO | $723.45 | ↓ -18% |
| Humana | Commercial|Transplant | $723.45 | ↓ -18% |
| PHCS | Commercial|All Plans | $779.10 | ↓ -11% |
| Healthsmart | Commercial|PPO | $779.10 | ↓ -11% |
| PHCS Savility | Commercial|PPO | $779.10 | ↓ -11% |
| Cigna | Commercial|Transplant | $779.10 | ↓ -11% |
| Interlink | Commercial|Transplant | $779.10 | ↓ -11% |
| Healthsmart | Commercial|AP3-PPO | $801.36 | ↓ -9% |
| MultiPlan | Commercial|All Plans | $834.75 | ↓ -5% |
| OPTUM | Medicaid|STARPLUS | $919.57 | ↑ +5% |
| USA Health Network | Commercial|All Plans | $946.05 | ↑ +8% |
| MHealth Network | Commercial|PPO | $1,113.00 | ↑ +27% |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,722.91 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $3,202.40 | $219.92 – $749.70 |
| Baylor St Luke's Medical Center | Houston | $877.10 | $194.72 – $1,113.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,645.35 | $158.33 – $3,575.70 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,028.25 | $179.09 – $6,169.50 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $877.10 | $226.10 – $1,113.00 |
| St. Joseph Health College Station Hospital | College Station | $1,645.35 | $158.33 – $6,581.40 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $877.10 | $226.10 – $1,113.00 |