Bx breast 1st lesion mr imag at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$3,262.70
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.
$9,322.00
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.
$486.45 with Wellpoint vs $9,322.00 with MHealth Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $486.45 | ↓ -85% |
| TCHP | Medicaid|STARKIDS | $486.45 | ↓ -85% |
| TCHP | Medicaid|All Other Plans | $486.45 | ↓ -85% |
| Wellpoint | Medicaid|STARKIDS | $486.45 | ↓ -85% |
| Wellpoint | Medicaid|CHIP | $486.45 | ↓ -85% |
| UHC | Medicaid|STARKIDS | $496.18 | ↓ -85% |
| UHC | Medicaid|CHIP | $496.18 | ↓ -85% |
| UNITED | Medicaid|All Other Plans | $496.18 | ↓ -85% |
| BCBS | Medicaid|All Plans | $510.77 | ↓ -84% |
| CHC | Medicaid|All Other Plans | $559.42 | ↓ -83% |
| TCHP | Medicaid|STAR | $651.84 | ↓ -80% |
| Wellpoint | Medicaid|STAR | $651.84 | ↓ -80% |
| UNITED | Medicaid|STAR | $666.44 | ↓ -80% |
| CHC | Medicaid|STAR | $749.13 | ↓ -77% |
| BCBS-TX | Commercial|Exchange | $1,029.45 | ↓ -68% |
| Renaissance | Commercial|All Plans | $1,168.46 | ↓ -64% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -62% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1,317.70 | ↓ -60% |
| KELSEY | Medicare|All Plans | $1,325.38 | ↓ -59% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -54% |
| UNITED | Medicaid|STARPLUS | $1,517.72 | ↓ -53% |
| UHC | Medicaid|STARPLUS | $1,517.72 | ↓ -53% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,622.86 | ↓ -50% |
| SELECTCARE | Medicare|All Plans | $1,622.86 | ↓ -50% |
| BCBS | Medicare|All Plans | $1,622.86 | ↓ -50% |
| HUMANA | Medicare|All Other Plans | $1,622.86 | ↓ -50% |
| HUMANA | Medicare|TRANSPLANT | $1,622.86 | ↓ -50% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,639.09 | ↓ -50% |
| AETNA | Medicare|All Plans | $1,655.32 | ↓ -49% |
| UHC-SecureHorizons | Medicare|All Plans | $1,655.32 | ↓ -49% |
| Amerivantage | Medicare|All Plans | $1,671.55 | ↓ -49% |
| SCANHealth | Medicare|All Plans | $1,736.46 | ↓ -47% |
| DEVOTED | Medicare|All Plans | $1,736.46 | ↓ -47% |
| KINDRED | Medicare|All Plans | $1,785.15 | ↓ -45% |
| BCBS-TX | Commercial|Blue Premier | $1,990.27 | ↓ -39% |
| KelseyCare | Commercial|Exchange | $2,190.86 | ↓ -33% |
| United | Commercial|Exchange | $2,303.00 | ↓ -29% |
| Bright Health | Commercial|All Plans | $2,352.97 | ↓ -28% |
| BCBS-TX | Commercial|HMO | $2,360.87 | ↓ -28% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -26% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -26% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -26% |
| Wellpoint | Commercial|Exchange | $2,434.29 | ↓ -25% |
| Community Health Choice | Commercial|All Other Plans | $2,434.29 | ↓ -25% |
| Superior Health Plan | Commercial|All Plans | $2,434.29 | ↓ -25% |
| Community Health Choice | Commercial|Exchange | $2,434.29 | ↓ -25% |
| Aetna | Commercial|Exchange | $2,499.20 | ↓ -23% |
| OPTUM | Medicare|All Plans | $2,516.94 | ↓ -23% |
| BCBS-TX | Commercial|PPO | $2,635.39 | ↓ -19% |
| Cigna | Commercial|Surefit | $3,262.00 | ↓ -0% |
| TCHPCHIP | Medicaid|HMO | $3,262.70 | ↑ +0% |
| OPTUM | Medicaid|STAR | $3,372.70 | ↑ +3% |
| United | Commercial|Charter | $3,400.00 | ↑ +4% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +10% |
| United | Commercial|PPO | $3,778.00 | ↑ +16% |
| United | Commercial|HMO | $3,778.00 | ↑ +16% |
| United | Commercial|Optum | $4,381.34 | ↑ +34% |
| CHC | Medicaid|CHIP | $5,127.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,127.10 | ↑ +57% |
| CHC | Medicaid|HMO | $5,127.10 | ↑ +57% |
| NX Health | Commercial|PPO | $5,274.30 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $5,593.20 | ↑ +71% |
| Humana | Commercial|Transplant | $6,059.30 | ↑ +86% |
| PHCS | Commercial|All Plans | $6,059.30 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $6,059.30 | ↑ +86% |
| First Health | Commercial|All Plans | $6,059.30 | ↑ +86% |
| Coventry | Commercial|PPO | $6,059.30 | ↑ +86% |
| Aetna | Commercial|PPO | $6,338.96 | ↑ +94% |
| Interlink | Commercial|Transplant | $6,525.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $6,525.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $6,525.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $6,991.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $7,084.72 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $7,701.84 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $7,923.70 | ↑ +143% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +177% |
| MHealth Network | Commercial|PPO | $9,322.00 | ↑ +186% |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,231.90 | $486.45 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,231.90 | $71.00 – $4,847.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,231.90 | $71.00 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,231.90 | $486.45 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,231.90 | $85.00 – $4,847.85 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,231.90 | $486.45 – $4,847.85 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,231.90 | $71.00 – $4,847.85 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,231.90 | $486.45 – $4,039.88 |