Blind interatrial shunt ide at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$8,268.75
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.
$23,625.00
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.
$1,890.00 with TCHP vs $56,968.76 with NX Health — 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $1,890.00 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $1,890.00 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $1,927.80 | ↓ -77% |
| TCHP | Medicaid|STAR | $2,532.60 | ↓ -69% |
| UNITED | Medicaid|STAR | $2,589.30 | ↓ -69% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -60% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -56% |
| United | Commercial|Exchange | $5,560.00 | ↓ -33% |
| UHC | Medicaid|STARPLUS | $5,896.80 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $5,896.80 | ↓ -29% |
| OPTUM | Medicare|All Plans | $6,378.75 | ↓ -23% |
| United | Commercial|Charter | $8,210.00 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $8,268.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $8,547.53 | ↑ +3% |
| United | Commercial|PPO | $9,121.00 | ↑ +10% |
| United | Commercial|HMO | $9,121.00 | ↑ +10% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +11% |
| BCBS-TX | Commercial|Exchange | $9,375.38 | ↑ +13% |
| United | Commercial|Optum | $11,103.75 | ↑ +34% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $12,000.48 | ↑ +45% |
| Renaissance | Commercial|All Plans | $12,620.77 | ↑ +53% |
| TEXASTRUECHOICE | Medicaid|CHIP | $12,993.75 | ↑ +57% |
| CHC | Medicaid|HMO | $12,993.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $12,993.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $14,175.00 | ↑ +71% |
| Coventry | Commercial|PPO | $15,356.25 | ↑ +86% |
| Humana | Commercial|Transplant | $15,356.25 | ↑ +86% |
| First Health | Commercial|All Plans | $15,356.25 | ↑ +86% |
| Aetna | Commercial|PPO | $16,065.00 | ↑ +94% |
| Cigna | Commercial|Transplant | $16,537.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $16,537.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $16,537.50 | ↑ +100% |
| CIGNA HEALTHSPRING | Medicare|HMO | $17,528.85 | ↑ +112% |
| HUMANA | Medicare|All Other Plans | $17,528.85 | ↑ +112% |
| HUMANA | Medicare|TRANSPLANT | $17,528.85 | ↑ +112% |
| BCBS | Medicare|All Plans | $17,528.85 | ↑ +112% |
| SELECTCARE | Medicare|All Plans | $17,528.85 | ↑ +112% |
| CIGNA HEALTHSPRING | Medicare|PPO | $17,704.14 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $17,718.75 | ↑ +114% |
| AETNA | Medicare|All Plans | $17,879.43 | ↑ +116% |
| UHC-SecureHorizons | Medicare|All Plans | $17,879.43 | ↑ +116% |
| Amerivantage | Medicare|All Plans | $18,054.72 | ↑ +118% |
| BCBS-TX | Commercial|Blue Premier | $18,125.73 | ↑ +119% |
| SCANHealth | Medicare|All Plans | $18,755.87 | ↑ +127% |
| DEVOTED | Medicare|All Plans | $18,755.87 | ↑ +127% |
| KINDRED | Medicare|All Plans | $19,281.73 | ↑ +133% |
| OPTUM | Medicaid|STARPLUS | $19,518.98 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $20,081.25 | ↑ +143% |
| BCBS-TX | Commercial|HMO | $21,500.86 | ↑ +160% |
| MHealth Network | Commercial|PPO | $23,625.00 | ↑ +186% |
| KelseyCare | Commercial|Exchange | $23,663.95 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $24,000.96 | ↑ +190% |
| Community Health Choice | Commercial|Exchange | $26,293.28 | ↑ +218% |
| Community Health Choice | Commercial|All Other Plans | $26,293.28 | ↑ +218% |
| Superior Health Plan | Commercial|All Plans | $26,293.28 | ↑ +218% |
| Wellpoint | Commercial|Exchange | $26,293.28 | ↑ +218% |
| Aetna | Commercial|Exchange | $26,994.43 | ↑ +226% |
| Bright Health | Commercial|All Plans | $28,655.80 | ↑ +247% |
| NX Health | Commercial|PPO | $56,968.76 | ↑ +589% |
Visitor-reported prices
Comments
Blind interatrial shunt ide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $8,268.75 | $2,598.75 – $23,625.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,268.75 | $2,362.50 – $23,625.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $8,268.75 | $1,890.00 – $23,625.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $8,268.75 | $1,890.00 – $23,625.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $15,625.63 – $15,625.63 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $20,000.80 – $20,000.80 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $25,626.02 – $25,626.02 |
| Covenant Children's Hospital | Lubbock | not published | $26,626.07 – $26,626.07 |