Bronchoscopy w/biopsy(s) 31625 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$2,998.45
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.
$8,567.00
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.
$525.71 with TCHP vs $8,567.00 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $525.71 | ↓ -82% |
| Wellpoint | Medicaid|All Other Plans | $525.71 | ↓ -82% |
| Wellpoint | Medicaid|CHIP | $525.71 | ↓ -82% |
| TCHP | Medicaid|All Other Plans | $525.71 | ↓ -82% |
| Wellpoint | Medicaid|STARKIDS | $525.71 | ↓ -82% |
| UHC | Medicaid|STARKIDS | $536.22 | ↓ -82% |
| UHC | Medicaid|CHIP | $536.22 | ↓ -82% |
| UNITED | Medicaid|All Other Plans | $536.22 | ↓ -82% |
| BCBS | Medicaid|All Plans | $552.00 | ↓ -82% |
| CHC | Medicaid|All Other Plans | $604.57 | ↓ -80% |
| TCHP | Medicaid|STAR | $704.45 | ↓ -77% |
| Wellpoint | Medicaid|STAR | $704.45 | ↓ -77% |
| UNITED | Medicaid|STAR | $720.22 | ↓ -76% |
| CHC | Medicaid|STAR | $809.59 | ↓ -73% |
| BCBS-TX | Commercial|Exchange | $1,072.96 | ↓ -64% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↓ -64% |
| Renaissance | Commercial|All Plans | $1,243.63 | ↓ -59% |
| Healthsmart | Commercial|AP3-PPO | $1,285.00 | ↓ -57% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -57% |
| KELSEY | Medicare|All Plans | $1,301.46 | ↓ -57% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↓ -55% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1,373.39 | ↓ -54% |
| UHC | Medicaid|STARPLUS | $1,640.22 | ↓ -45% |
| UNITED | Medicaid|STARPLUS | $1,640.22 | ↓ -45% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↓ -44% |
| HUMANA | Medicare|TRANSPLANT | $1,727.26 | ↓ -42% |
| BCBS | Medicare|All Plans | $1,727.26 | ↓ -42% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,727.26 | ↓ -42% |
| SELECTCARE | Medicare|All Plans | $1,727.26 | ↓ -42% |
| HUMANA | Medicare|All Other Plans | $1,727.26 | ↓ -42% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,744.53 | ↓ -42% |
| UHC-SecureHorizons | Medicare|All Plans | $1,761.81 | ↓ -41% |
| AETNA | Medicare|All Plans | $1,761.81 | ↓ -41% |
| Amerivantage | Medicare|All Plans | $1,779.08 | ↓ -41% |
| Humana | Commercial|PPO | $1,782.00 | ↓ -41% |
| Humana | Commercial|HMO | $1,782.00 | ↓ -41% |
| DEVOTED | Medicare|All Plans | $1,848.17 | ↓ -38% |
| SCANHealth | Medicare|All Plans | $1,848.17 | ↓ -38% |
| KINDRED | Medicare|All Plans | $1,899.99 | ↓ -37% |
| BCBS-TX | Commercial|Blue Premier | $2,074.38 | ↓ -31% |
| United | Commercial|Exchange | $2,303.00 | ↓ -23% |
| OPTUM | Medicare|All Plans | $2,313.09 | ↓ -23% |
| KelseyCare | Commercial|Exchange | $2,331.80 | ↓ -22% |
| BCBS-TX | Commercial|HMO | $2,460.65 | ↓ -18% |
| Bright Health | Commercial|All Plans | $2,501.99 | ↓ -17% |
| Wellpoint | Commercial|Exchange | $2,590.89 | ↓ -14% |
| Community Health Choice | Commercial|Exchange | $2,590.89 | ↓ -14% |
| Superior Health Plan | Commercial|All Plans | $2,590.89 | ↓ -14% |
| Community Health Choice | Commercial|All Other Plans | $2,590.89 | ↓ -14% |
| Cigna | Commercial|Surefit | $2,609.00 | ↓ -13% |
| Aetna | Commercial|Exchange | $2,659.98 | ↓ -11% |
| BCBS-TX | Commercial|PPO | $2,746.77 | ↓ -8% |
| Cigna | Commercial|HMO | $2,875.00 | ↓ -4% |
| TCHPCHIP | Medicaid|HMO | $2,998.45 | ↑ +0% |
| OPTUM | Medicaid|STAR | $3,099.55 | ↑ +3% |
| United | Commercial|Charter | $3,400.00 | ↑ +13% |
| United | Commercial|PPO | $3,778.00 | ↑ +26% |
| United | Commercial|HMO | $3,778.00 | ↑ +26% |
| United | Commercial|Optum | $4,026.49 | ↑ +34% |
| CHC | Medicaid|HMO | $4,711.85 | ↑ +57% |
| CHC | Medicaid|CHIP | $4,711.85 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,711.85 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $5,140.20 | ↑ +71% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +73% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +73% |
| Coventry | Commercial|PPO | $5,568.55 | ↑ +86% |
| First Health | Commercial|All Plans | $5,568.55 | ↑ +86% |
| Humana | Commercial|Transplant | $5,568.55 | ↑ +86% |
| NX Health | Commercial|PPO | $5,613.60 | ↑ +87% |
| Aetna | Commercial|PPO | $5,825.56 | ↑ +94% |
| Cigna | Commercial|Transplant | $5,996.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $5,996.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $5,996.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $6,425.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $6,510.92 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $7,078.06 | ↑ +136% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +141% |
| USA Health Network | Commercial|All Plans | $7,281.95 | ↑ +143% |
| MHealth Network | Commercial|PPO | $8,567.00 | ↑ +186% |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,916.46 | $3,285.36 – $4,106.70 |
| Baylor St Luke's Medical Center | Houston | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,028.48 | $748.73 – $5,877.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Joseph Health College Station Hospital | College Station | $1,028.48 | $3,232.35 – $5,877.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,998.45 | $2,313.09 – $8,567.00 |
| St. Joseph Health Grimes Hospital | Navasota | $1,028.48 | $2,131.01 – $6,523.47 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,998.45 | $1,285.00 – $8,567.00 |