Battery elec/combo vad, rep at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$3,475.85
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.
$9,931.00
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.
$2,085.51 with BCBS-TX vs $9,931.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $2,085.51 | ↓ -40% |
| BCBS-TX | Commercial|Blue Premier | $2,184.82 | ↓ -37% |
| United | Commercial|Exchange | $2,383.44 | ↓ -31% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,582.06 | ↓ -26% |
| OPTUM | Medicare|All Plans | $2,681.37 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $2,681.37 | ↓ -23% |
| United | Commercial|Charter | $2,780.68 | ↓ -20% |
| Cigna | Commercial|PPO | $2,979.30 | ↓ -14% |
| Cigna | Commercial|Surefit | $2,979.30 | ↓ -14% |
| Cigna | Commercial|HMO | $2,979.30 | ↓ -14% |
| BCBS-TX | Commercial|PPO | $2,979.30 | ↓ -14% |
| United | Commercial|HMO | $3,078.61 | ↓ -11% |
| United | Commercial|PPO | $3,078.61 | ↓ -11% |
| TCHPCHIP | Medicaid|HMO | $3,475.85 | ↑ +0% |
| OPTUM | Medicaid|STAR | $3,593.04 | ↑ +3% |
| KelseyCare | Commercial|All Other Plans | $4,071.71 | ↑ +17% |
| Humana | Commercial|PPO | $4,171.02 | ↑ +20% |
| Humana | Commercial|HMO | $4,171.02 | ↑ +20% |
| United | Commercial|Optum | $4,667.57 | ↑ +34% |
| CHC | Medicaid|CHIP | $5,462.05 | ↑ +57% |
| CHC | Medicaid|HMO | $5,462.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,462.05 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $5,958.60 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $5,958.60 | ↑ +71% |
| PHCS | Commercial|All Plans | $6,455.15 | ↑ +86% |
| First Health | Commercial|All Plans | $6,455.15 | ↑ +86% |
| Coventry | Commercial|PPO | $6,455.15 | ↑ +86% |
| Humana | Commercial|Transplant | $6,455.15 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $6,455.15 | ↑ +86% |
| Cigna | Commercial|Transplant | $6,951.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $6,951.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $6,951.70 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $7,150.32 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $7,448.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $8,205.00 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $8,441.35 | ↑ +143% |
| MHealth Network | Commercial|PPO | $9,931.00 | ↑ +186% |
Visitor-reported prices
Comments
Battery elec/combo vad, rep at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Sugar Land Hospital | Sugar Land | $299.00 | $1,855.88 – $3,618.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $333.18 | $63.75 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,736.40 | $68.58 – $499.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,736.40 | $66.64 – $444.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $333.18 | $60.00 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,736.40 | $106.95 – $499.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,736.40 | $172.14 – $499.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,736.40 | $111.06 – $499.77 |