Benign lesion paring 4+ at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$270.20
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.
?
What you pay up front if you don't use insurance.
$772.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$43.58 with BCBS-TX vs $2,749.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $43.58 | ↓ -84% |
| TCHP | Medicaid|STARKIDS | $55.65 | ↓ -79% |
| Wellpoint | Medicaid|STARKIDS | $55.65 | ↓ -79% |
| Wellpoint | Medicaid|CHIP | $55.65 | ↓ -79% |
| Wellpoint | Medicaid|All Other Plans | $55.65 | ↓ -79% |
| TCHP | Medicaid|All Other Plans | $55.65 | ↓ -79% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $55.78 | ↓ -79% |
| UHC | Medicaid|STARKIDS | $56.76 | ↓ -79% |
| UHC | Medicaid|CHIP | $56.76 | ↓ -79% |
| UNITED | Medicaid|All Other Plans | $56.76 | ↓ -79% |
| BCBS | Medicaid|All Plans | $58.43 | ↓ -78% |
| CHC | Medicaid|All Other Plans | $64.00 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $74.57 | ↓ -72% |
| TCHP | Medicaid|STAR | $74.57 | ↓ -72% |
| UNITED | Medicaid|STAR | $76.24 | ↓ -72% |
| BCBS-TX | Commercial|Blue Premier | $84.25 | ↓ -69% |
| CHC | Medicaid|STAR | $85.70 | ↓ -68% |
| BCBS-TX | Commercial|HMO | $99.93 | ↓ -63% |
| BCBS-TX | Commercial|PPO | $111.55 | ↓ -59% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -48% |
| Renaissance | Commercial|All Plans | $143.29 | ↓ -47% |
| Cigna | Commercial|HMO | $154.00 | ↓ -43% |
| KELSEY | Medicare|All Plans | $166.11 | ↓ -39% |
| UNITED | Medicaid|STARPLUS | $173.63 | ↓ -36% |
| UHC | Medicaid|STARPLUS | $173.63 | ↓ -36% |
| BCBS | Medicare|All Plans | $199.02 | ↓ -26% |
| CIGNA HEALTHSPRING | Medicare|HMO | $199.02 | ↓ -26% |
| HUMANA | Medicare|All Other Plans | $199.02 | ↓ -26% |
| HUMANA | Medicare|TRANSPLANT | $199.02 | ↓ -26% |
| SELECTCARE | Medicare|All Plans | $199.02 | ↓ -26% |
| CIGNA HEALTHSPRING | Medicare|PPO | $201.01 | ↓ -26% |
| AETNA | Medicare|All Plans | $203.00 | ↓ -25% |
| UHC-SecureHorizons | Medicare|All Plans | $203.00 | ↓ -25% |
| Amerivantage | Medicare|All Plans | $204.99 | ↓ -24% |
| OPTUM | Medicare|All Plans | $208.44 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $212.95 | ↓ -21% |
| DEVOTED | Medicare|All Plans | $212.95 | ↓ -21% |
| KINDRED | Medicare|All Plans | $218.92 | ↓ -19% |
| KelseyCare | Commercial|Exchange | $268.68 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $270.20 | ↑ +0% |
| OPTUM | Medicaid|STAR | $279.31 | ↑ +3% |
| Community Health Choice | Commercial|All Other Plans | $298.53 | ↑ +10% |
| Wellpoint | Commercial|Exchange | $298.53 | ↑ +10% |
| Community Health Choice | Commercial|Exchange | $298.53 | ↑ +10% |
| Superior Health Plan | Commercial|All Plans | $298.53 | ↑ +10% |
| Bright Health | Commercial|All Plans | $300.30 | ↑ +11% |
| Aetna | Commercial|Exchange | $306.49 | ↑ +13% |
| United | Commercial|Optum | $362.84 | ↑ +34% |
| Cigna | Commercial|PPO | $387.00 | ↑ +43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $424.60 | ↑ +57% |
| CHC | Medicaid|HMO | $424.60 | ↑ +57% |
| CHC | Medicaid|CHIP | $424.60 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $463.20 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $463.20 | ↑ +71% |
| PHCS Savility | Commercial|PPO | $501.80 | ↑ +86% |
| First Health | Commercial|All Plans | $501.80 | ↑ +86% |
| PHCS | Commercial|All Plans | $501.80 | ↑ +86% |
| Coventry | Commercial|PPO | $501.80 | ↑ +86% |
| Humana | Commercial|Transplant | $501.80 | ↑ +86% |
| Aetna | Commercial|PPO | $524.96 | ↑ +94% |
| Healthsmart | Commercial|PPO | $540.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $540.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $540.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $579.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $586.72 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $637.83 | ↑ +136% |
| NX Health | Commercial|PPO | $646.82 | ↑ +139% |
| USA Health Network | Commercial|All Plans | $656.20 | ↑ +143% |
| MHealth Network | Commercial|PPO | $772.00 | ↑ +186% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +199% |
| Aetna | Commercial|HMO | $972.00 | ↑ +260% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +404% |
| United | Commercial|Exchange | $1,676.00 | ↑ +520% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +799% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +799% |
| United | Commercial|Charter | $2,474.00 | ↑ +816% |
| United | Commercial|PPO | $2,749.00 | ↑ +917% |
| United | Commercial|HMO | $2,749.00 | ↑ +917% |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $258.65 | $55.65 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $345.36 | $59.55 – $518.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $320.23 | $55.65 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $258.65 | $55.65 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $345.36 | $59.55 – $518.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $345.36 | $55.65 – $518.04 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $320.23 | $55.65 – $495.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $258.65 | $55.65 – $495.95 |