Bundled special stain group 2 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$187.25
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.
$535.00
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.
$31.27 with KELSEY vs $535.00 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 | $31.27 | ↓ -83% |
| United | Commercial|Charter | $47.70 | ↓ -75% |
| United | Commercial|HMO | $47.70 | ↓ -75% |
| United | Commercial|Exchange | $47.70 | ↓ -75% |
| United | Commercial|PPO | $47.70 | ↓ -75% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $48.81 | ↓ -74% |
| Bright Health | Commercial|All Plans | $56.61 | ↓ -70% |
| BCBS-TX | Commercial|Exchange | $63.52 | ↓ -66% |
| Renaissance | Commercial|All Plans | $92.96 | ↓ -50% |
| BCBS-TX | Commercial|Blue Premier | $108.98 | ↓ -42% |
| HUMANA | Medicare|All Other Plans | $129.11 | ↓ -31% |
| SELECTCARE | Medicare|All Plans | $129.11 | ↓ -31% |
| BCBS | Medicare|All Plans | $129.11 | ↓ -31% |
| CIGNA HEALTHSPRING | Medicare|HMO | $129.11 | ↓ -31% |
| HUMANA | Medicare|TRANSPLANT | $129.11 | ↓ -31% |
| CIGNA HEALTHSPRING | Medicare|PPO | $130.40 | ↓ -30% |
| AETNA | Medicare|All Plans | $131.69 | ↓ -30% |
| UHC-SecureHorizons | Medicare|All Plans | $131.69 | ↓ -30% |
| Amerivantage | Medicare|All Plans | $132.98 | ↓ -29% |
| SCANHealth | Medicare|All Plans | $138.15 | ↓ -26% |
| DEVOTED | Medicare|All Plans | $138.15 | ↓ -26% |
| KINDRED | Medicare|All Plans | $142.02 | ↓ -24% |
| OPTUM | Medicare|All Plans | $144.45 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $146.42 | ↓ -22% |
| Cigna | Commercial|Surefit | $167.60 | ↓ -10% |
| BCBS-TX | Commercial|PPO | $171.50 | ↓ -8% |
| KelseyCare | Commercial|Exchange | $174.30 | ↓ -7% |
| Cigna | Commercial|HMO | $184.93 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $187.25 | ↑ +0% |
| OPTUM | Medicaid|STAR | $193.57 | ↑ +3% |
| Community Health Choice | Commercial|Exchange | $193.67 | ↑ +3% |
| Wellpoint | Commercial|Exchange | $193.67 | ↑ +3% |
| Superior Health Plan | Commercial|All Plans | $193.67 | ↑ +3% |
| Community Health Choice | Commercial|All Other Plans | $193.67 | ↑ +3% |
| Aetna | Commercial|Exchange | $198.83 | ↑ +6% |
| United | Commercial|Optum | $251.45 | ↑ +34% |
| Cigna | Commercial|PPO | $252.85 | ↑ +35% |
| TEXASTRUECHOICE | Medicaid|CHIP | $294.25 | ↑ +57% |
| CHC | Medicaid|CHIP | $294.25 | ↑ +57% |
| CHC | Medicaid|HMO | $294.25 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $315.65 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $321.00 | ↑ +71% |
| Humana | Commercial|Transplant | $347.75 | ↑ +86% |
| Coventry | Commercial|PPO | $347.75 | ↑ +86% |
| First Health | Commercial|All Plans | $347.75 | ↑ +86% |
| Aetna | Commercial|HMO | $363.80 | ↑ +94% |
| Interlink | Commercial|Transplant | $374.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $374.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $374.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $401.25 | ↑ +114% |
| NX Health | Commercial|PPO | $419.61 | ↑ +124% |
| OPTUM | Medicaid|STARPLUS | $442.02 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $454.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $535.00 | ↑ +186% |
Visitor-reported prices
Comments
Bundled special stain group 2 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $238.37 | $128.71 – $128.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $306.90 | $35.00 – $287.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $306.90 | $36.00 – $265.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $306.90 | $34.41 – $215.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $306.90 | $35.00 – $287.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $306.90 | $36.00 – $265.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $306.90 | $26.00 – $265.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $306.90 | $36.00 – $258.08 |