Bilicheck at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$3.50
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.
$10.00
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.
$2.70 with OPTUM vs $18.70 with Cigna — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $2.70 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $3.50 | ↑ +0% |
| Renaissance | Commercial|All Plans | $3.61 | ↑ +3% |
| OPTUM | Medicaid|STAR | $3.62 | ↑ +3% |
| Wellpoint | Medicaid|All Other Plans | $4.22 | ↑ +21% |
| TCHP | Medicaid|STARKIDS | $4.22 | ↑ +21% |
| TCHP | Medicaid|All Other Plans | $4.22 | ↑ +21% |
| Wellpoint | Medicaid|STARKIDS | $4.22 | ↑ +21% |
| Wellpoint | Medicaid|CHIP | $4.22 | ↑ +21% |
| UNITED | Medicaid|All Other Plans | $4.30 | ↑ +23% |
| UHC | Medicaid|CHIP | $4.30 | ↑ +23% |
| UHC | Medicaid|STARKIDS | $4.30 | ↑ +23% |
| BCBS | Medicaid|All Plans | $4.43 | ↑ +27% |
| United | Commercial|Optum | $4.70 | ↑ +34% |
| CHC | Medicaid|All Other Plans | $4.85 | ↑ +39% |
| BCBS | Medicare|All Plans | $5.02 | ↑ +43% |
| HUMANA | Medicare|All Other Plans | $5.02 | ↑ +43% |
| SELECTCARE | Medicare|All Plans | $5.02 | ↑ +43% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5.02 | ↑ +43% |
| HUMANA | Medicare|TRANSPLANT | $5.02 | ↑ +43% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5.07 | ↑ +45% |
| AETNA | Medicare|All Plans | $5.12 | ↑ +46% |
| UHC-SecureHorizons | Medicare|All Plans | $5.12 | ↑ +46% |
| Amerivantage | Medicare|All Plans | $5.17 | ↑ +48% |
| SCANHealth | Medicare|All Plans | $5.37 | ↑ +53% |
| DEVOTED | Medicare|All Plans | $5.37 | ↑ +53% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $5.50 | ↑ +57% |
| CHC | Medicaid|HMO | $5.50 | ↑ +57% |
| KINDRED | Medicare|All Plans | $5.52 | ↑ +58% |
| TCHP | Medicaid|STAR | $5.65 | ↑ +61% |
| Wellpoint | Medicaid|STAR | $5.65 | ↑ +61% |
| UNITED | Medicaid|STAR | $5.78 | ↑ +65% |
| Aetna-Kelsey Care | Commercial|HMO | $5.90 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $6.00 | ↑ +71% |
| KELSEY | Medicare|All Plans | $6.19 | ↑ +77% |
| First Health | Commercial|All Plans | $6.50 | ↑ +86% |
| Humana | Commercial|Transplant | $6.50 | ↑ +86% |
| Coventry | Commercial|PPO | $6.50 | ↑ +86% |
| CHC | Medicaid|STAR | $6.50 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $6.78 | ↑ +94% |
| Aetna | Commercial|HMO | $6.80 | ↑ +94% |
| Interlink | Commercial|Transplant | $7.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $7.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $7.00 | ↑ +100% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $7.33 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $7.50 | ↑ +114% |
| Superior Health Plan | Commercial|All Plans | $7.53 | ↑ +115% |
| Community Health Choice | Commercial|All Other Plans | $7.53 | ↑ +115% |
| Community Health Choice | Commercial|Exchange | $7.53 | ↑ +115% |
| Wellpoint | Commercial|Exchange | $7.53 | ↑ +115% |
| Aetna | Commercial|Exchange | $7.73 | ↑ +121% |
| OPTUM | Medicaid|STARPLUS | $8.27 | ↑ +136% |
| Bright Health | Commercial|All Plans | $8.28 | ↑ +137% |
| USA Health Network | Commercial|All Plans | $8.50 | ↑ +143% |
| United | Commercial|PPO | $9.29 | ↑ +165% |
| United | Commercial|Exchange | $9.29 | ↑ +165% |
| United | Commercial|HMO | $9.29 | ↑ +165% |
| United | Commercial|Charter | $9.29 | ↑ +165% |
| BCBS-TX | Commercial|Exchange | $9.54 | ↑ +173% |
| BCBS-TX | Commercial|Blue Premier | $10.00 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $10.00 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $10.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $10.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $12.39 | ↑ +254% |
| UNITED | Medicaid|STARPLUS | $13.17 | ↑ +276% |
| UHC | Medicaid|STARPLUS | $13.17 | ↑ +276% |
| Cigna | Commercial|HMO | $13.67 | ↑ +291% |
| NX Health | Commercial|PPO | $16.31 | ↑ +366% |
| Cigna | Commercial|PPO | $18.70 | ↑ +434% |
Visitor-reported prices
Comments
Bilicheck at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.15 | $7.36 – $63.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.15 | $4.52 – $63.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.15 | $4.22 – $63.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $42.15 | $4.22 – $63.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $42.15 | $4.22 – $52.69 |