Athrectomy tib/pero/unilat/ini ves 37229 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$7,073.15
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.
$20,209.00
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.
$1,528.00 with Aetna-Kelsey Care vs $58,453.88 with NX Health — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -78% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -74% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -66% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -66% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -66% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -53% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -48% |
| United | Commercial|Exchange | $4,969.00 | ↓ -30% |
| OPTUM | Medicare|All Plans | $5,456.43 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $7,073.15 | ↑ +0% |
| OPTUM | Medicaid|STAR | $7,311.62 | ↑ +3% |
| United | Commercial|Charter | $7,337.00 | ↑ +4% |
| United | Commercial|HMO | $8,150.00 | ↑ +15% |
| United | Commercial|PPO | $8,150.00 | ↑ +15% |
| Wellpoint | Medicaid|All Other Plans | $8,618.37 | ↑ +22% |
| Wellpoint | Medicaid|CHIP | $8,618.37 | ↑ +22% |
| TCHP | Medicaid|STARKIDS | $8,618.37 | ↑ +22% |
| TCHP | Medicaid|All Other Plans | $8,618.37 | ↑ +22% |
| Wellpoint | Medicaid|STARKIDS | $8,618.37 | ↑ +22% |
| UHC | Medicaid|CHIP | $8,790.74 | ↑ +24% |
| UNITED | Medicaid|All Other Plans | $8,790.74 | ↑ +24% |
| UHC | Medicaid|STARKIDS | $8,790.74 | ↑ +24% |
| BCBS | Medicaid|All Plans | $9,049.29 | ↑ +28% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +29% |
| United | Commercial|Optum | $9,498.23 | ↑ +34% |
| CHC | Medicaid|All Other Plans | $9,911.13 | ↑ +40% |
| CHC | Medicaid|HMO | $11,114.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $11,114.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $11,114.95 | ↑ +57% |
| TCHP | Medicaid|STAR | $11,548.62 | ↑ +63% |
| Wellpoint | Medicaid|STAR | $11,548.62 | ↑ +63% |
| UNITED | Medicaid|STAR | $11,807.17 | ↑ +67% |
| BCBS-TX | Commercial|Exchange | $11,954.98 | ↑ +69% |
| Independent Med System | Commercial|All Plans | $12,125.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $12,125.40 | ↑ +71% |
| Renaissance | Commercial|All Plans | $12,949.78 | ↑ +83% |
| Coventry | Commercial|PPO | $13,135.85 | ↑ +86% |
| PHCS | Commercial|All Plans | $13,135.85 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $13,135.85 | ↑ +86% |
| Humana | Commercial|Transplant | $13,135.85 | ↑ +86% |
| First Health | Commercial|All Plans | $13,135.85 | ↑ +86% |
| CHC | Medicaid|STAR | $13,272.29 | ↑ +88% |
| Aetna | Commercial|PPO | $13,742.12 | ↑ +94% |
| Cigna | Commercial|Transplant | $14,146.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $14,146.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $14,146.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $15,156.75 | ↑ +114% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $15,302.37 | ↑ +116% |
| Aetna | Commercial|Transplant | $15,358.84 | ↑ +117% |
| KELSEY | Medicare|All Plans | $15,751.25 | ↑ +123% |
| OPTUM | Medicaid|STARPLUS | $16,696.68 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $17,177.65 | ↑ +143% |
| SELECTCARE | Medicare|All Plans | $17,985.81 | ↑ +154% |
| HUMANA | Medicare|All Other Plans | $17,985.81 | ↑ +154% |
| BCBS | Medicare|All Plans | $17,985.81 | ↑ +154% |
| HUMANA | Medicare|TRANSPLANT | $17,985.81 | ↑ +154% |
| CIGNA HEALTHSPRING | Medicare|HMO | $17,985.81 | ↑ +154% |
| CIGNA HEALTHSPRING | Medicare|PPO | $18,165.67 | ↑ +157% |
| UHC-SecureHorizons | Medicare|All Plans | $18,345.53 | ↑ +159% |
| AETNA | Medicare|All Plans | $18,345.53 | ↑ +159% |
| Amerivantage | Medicare|All Plans | $18,525.38 | ↑ +162% |
| SCANHealth | Medicare|All Plans | $19,244.82 | ↑ +172% |
| DEVOTED | Medicare|All Plans | $19,244.82 | ↑ +172% |
| KINDRED | Medicare|All Plans | $19,784.39 | ↑ +180% |
| MHealth Network | Commercial|PPO | $20,209.00 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $23,112.96 | ↑ +227% |
| KelseyCare | Commercial|Exchange | $24,280.84 | ↑ +243% |
| Bright Health | Commercial|All Plans | $26,857.58 | ↑ +280% |
| UHC | Medicaid|STARPLUS | $26,889.31 | ↑ +280% |
| UNITED | Medicaid|STARPLUS | $26,889.31 | ↑ +280% |
| Community Health Choice | Commercial|Exchange | $26,978.72 | ↑ +281% |
| Wellpoint | Commercial|Exchange | $26,978.72 | ↑ +281% |
| Superior Health Plan | Commercial|All Plans | $26,978.72 | ↑ +281% |
| Community Health Choice | Commercial|All Other Plans | $26,978.72 | ↑ +281% |
| BCBS-TX | Commercial|HMO | $27,416.75 | ↑ +288% |
| Aetna | Commercial|Exchange | $27,698.15 | ↑ +292% |
| BCBS-TX | Commercial|PPO | $30,604.74 | ↑ +333% |
| NX Health | Commercial|PPO | $58,453.88 | ↑ +726% |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,924.41 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,582.58 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $19,960.27 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,924.41 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,582.58 | $85.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,582.58 | $14,096.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $19,960.27 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27,924.41 | $7,038.00 – $43,439.01 |