Brachytx, non-str, ha, i-125 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$514.50
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.
$1,470.00
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.
$115.68 with KELSEY vs $1,470.00 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 |
|---|---|---|---|
| KELSEY | Medicare|All Plans | $115.68 | ↓ -78% |
| Renaissance | Commercial|All Plans | $117.43 | ↓ -77% |
| SELECTCARE | Medicare|All Plans | $163.10 | ↓ -68% |
| HUMANA | Medicare|All Other Plans | $163.10 | ↓ -68% |
| BCBS | Medicare|All Plans | $163.10 | ↓ -68% |
| HUMANA | Medicare|TRANSPLANT | $163.10 | ↓ -68% |
| CIGNA HEALTHSPRING | Medicare|HMO | $163.10 | ↓ -68% |
| CIGNA HEALTHSPRING | Medicare|PPO | $164.73 | ↓ -68% |
| AETNA | Medicare|All Plans | $166.36 | ↓ -68% |
| UHC-SecureHorizons | Medicare|All Plans | $166.36 | ↓ -68% |
| Amerivantage | Medicare|All Plans | $167.99 | ↓ -67% |
| DEVOTED | Medicare|All Plans | $174.52 | ↓ -66% |
| SCANHealth | Medicare|All Plans | $174.52 | ↓ -66% |
| KINDRED | Medicare|All Plans | $179.41 | ↓ -65% |
| KelseyCare | Commercial|Exchange | $220.19 | ↓ -57% |
| Wellpoint | Commercial|Exchange | $244.65 | ↓ -52% |
| Community Health Choice | Commercial|Exchange | $244.65 | ↓ -52% |
| Community Health Choice | Commercial|All Other Plans | $244.65 | ↓ -52% |
| Superior Health Plan | Commercial|All Plans | $244.65 | ↓ -52% |
| Bright Health | Commercial|All Plans | $247.58 | ↓ -52% |
| Aetna | Commercial|Exchange | $251.17 | ↓ -51% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $265.59 | ↓ -48% |
| BCBS-TX | Commercial|Exchange | $278.32 | ↓ -46% |
| United | Commercial|Exchange | $352.80 | ↓ -31% |
| Aetna-Kelsey Care | Commercial|HMO | $367.50 | ↓ -29% |
| BCBS-TX | Commercial|Blue Premier | $367.50 | ↓ -29% |
| OPTUM | Medicare|All Plans | $396.90 | ↓ -23% |
| United | Commercial|Charter | $411.60 | ↓ -20% |
| Aetna | Commercial|HMO | $426.30 | ↓ -17% |
| Aetna | Commercial|PPO | $426.30 | ↓ -17% |
| BCBS-TX | Commercial|HMO | $426.30 | ↓ -17% |
| Cigna | Commercial|Surefit | $441.00 | ↓ -14% |
| Cigna | Commercial|HMO | $441.00 | ↓ -14% |
| Cigna | Commercial|PPO | $441.00 | ↓ -14% |
| BCBS-TX | Commercial|PPO | $455.70 | ↓ -11% |
| United | Commercial|PPO | $455.70 | ↓ -11% |
| United | Commercial|HMO | $455.70 | ↓ -11% |
| TCHPCHIP | Medicaid|HMO | $514.50 | ↑ +0% |
| NX Health | Commercial|PPO | $530.08 | ↑ +3% |
| OPTUM | Medicaid|STAR | $531.85 | ↑ +3% |
| Aetna | Commercial|Transplant | $543.90 | ↑ +6% |
| KelseyCare | Commercial|All Other Plans | $602.70 | ↑ +17% |
| Humana | Commercial|HMO | $617.40 | ↑ +20% |
| Humana | Commercial|PPO | $617.40 | ↑ +20% |
| United | Commercial|Optum | $690.90 | ↑ +34% |
| CHC | Medicaid|CHIP | $808.50 | ↑ +57% |
| CHC | Medicaid|HMO | $808.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $808.50 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $882.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $882.00 | ↑ +71% |
| Interlink | Commercial|Transplant | $882.00 | ↑ +71% |
| PHCS | Commercial|All Plans | $955.50 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $955.50 | ↑ +86% |
| First Health | Commercial|All Plans | $955.50 | ↑ +86% |
| Coventry | Commercial|PPO | $955.50 | ↑ +86% |
| Humana | Commercial|Transplant | $955.50 | ↑ +86% |
| Healthsmart | Commercial|PPO | $1,029.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,029.00 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $1,058.40 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,102.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,214.52 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,249.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,470.00 | ↑ +186% |
Visitor-reported prices
Comments
Brachytx, non-str, ha, i-125 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $514.50 | $218.29 – $1,470.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $514.50 | $265.59 – $1,470.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $514.50 | $265.59 – $1,470.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $615.00 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $615.00 | $190.82 – $190.82 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $615.00 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $615.00 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $615.00 | not published |