Amikacin 4 mg/ml intravitreal injection - cnr at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$35.42
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.
$101.20
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.
$0.77 with United vs $54.98 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 | $0.77 | ↓ -98% |
| United | Commercial|Charter | $1.16 | ↓ -97% |
| United | Commercial|PPO | $1.16 | ↓ -97% |
| United | Commercial|HMO | $1.16 | ↓ -97% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1.19 | ↓ -97% |
| BCBS-TX | Commercial|Exchange | $1.34 | ↓ -96% |
| Cigna | Commercial|PPO | $2.27 | ↓ -94% |
| BCBS-TX | Commercial|Blue Premier | $2.31 | ↓ -93% |
| Cigna | Commercial|Surefit | $2.39 | ↓ -93% |
| Cigna | Commercial|HMO | $2.39 | ↓ -93% |
| BCBS-TX | Commercial|HMO | $2.90 | ↓ -92% |
| BCBS-TX | Commercial|PPO | $3.54 | ↓ -90% |
| Aetna-Kelsey Care | Commercial|HMO | $12.10 | ↓ -66% |
| Aetna | Commercial|HMO | $14.30 | ↓ -60% |
| Aetna | Commercial|PPO | $14.30 | ↓ -60% |
| OPTUM | Medicare|All Plans | $14.85 | ↓ -58% |
| Aetna | Commercial|Transplant | $17.60 | ↓ -50% |
| Bright Health | Commercial|All Plans | $18.15 | ↓ -49% |
| TCHPCHIP | Medicaid|HMO | $19.25 | ↓ -46% |
| OPTUM | Medicaid|STAR | $19.90 | ↓ -44% |
| United | Commercial|Optum | $25.85 | ↓ -27% |
| Humana | Commercial|HMO | $26.40 | ↓ -25% |
| Humana | Commercial|PPO | $26.40 | ↓ -25% |
| KelseyCare | Commercial|All Other Plans | $26.95 | ↓ -24% |
| TEXASTRUECHOICE | Medicaid|CHIP | $30.24 | ↓ -15% |
| CHC | Medicaid|HMO | $30.24 | ↓ -15% |
| CHC | Medicaid|CHIP | $30.24 | ↓ -15% |
| Cigna Lifesource | Commercial|Transplant | $32.99 | ↓ -7% |
| Independent Med System | Commercial|All Plans | $32.99 | ↓ -7% |
| First Health | Commercial|All Plans | $35.74 | ↑ +1% |
| Coventry | Commercial|PPO | $35.74 | ↑ +1% |
| Humana | Commercial|Transplant | $35.74 | ↑ +1% |
| Cigna | Commercial|Transplant | $38.49 | ↑ +9% |
| Healthsmart | Commercial|PPO | $38.49 | ↑ +9% |
| PHCS Savility | Commercial|PPO | $38.49 | ↑ +9% |
| PHCS | Commercial|All Plans | $38.49 | ↑ +9% |
| Interlink | Commercial|Transplant | $38.49 | ↑ +9% |
| Healthsmart | Commercial|AP3-PPO | $39.59 | ↑ +12% |
| MultiPlan | Commercial|All Plans | $41.24 | ↑ +16% |
| OPTUM | Medicaid|STARPLUS | $45.43 | ↑ +28% |
| USA Health Network | Commercial|All Plans | $46.74 | ↑ +32% |
| MHealth Network | Commercial|PPO | $54.98 | ↑ +55% |
Visitor-reported prices
Comments
Amikacin 4 mg/ml intravitreal injection - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $35.42 | $0.95 – $54.98 |
| St. Luke's Health Memorial Lufkin | Lufkin | $116.26 | $0.87 – $35.06 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $35.42 | $0.77 – $54.98 |
| HCA HOUSTON SOUTHEAST | PASADENA | $17.31 | $0.60 – $10.91 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $35.42 | $0.77 – $54.98 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $23.16 | $0.89 – $43.00 |
| HCA HOUSTON WEST | HOUSTON | $191.00 | $0.62 – $10.91 |
| St. Luke's Health - The Vintage Hospital | Houston | $35.42 | $0.77 – $54.98 |