Bx breast add lesion mr imag at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,305.15
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.
$3,729.00
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.
$100.00 with Cigna vs $3,729.00 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 |
|---|---|---|---|
| Cigna | Commercial|HMO | $100.00 | ↓ -92% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -92% |
| Cigna | Commercial|PPO | $100.00 | ↓ -92% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -38% |
| Aetna | Commercial|HMO | $972.00 | ↓ -26% |
| OPTUM | Medicare|All Plans | $1,006.83 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $1,305.15 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,349.16 | ↑ +3% |
| United | Commercial|Exchange | $1,676.00 | ↑ +28% |
| United | Commercial|Optum | $1,752.63 | ↑ +34% |
| CHC | Medicaid|HMO | $2,050.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,050.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,050.95 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,237.40 | ↑ +71% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +84% |
| Coventry | Commercial|PPO | $2,423.85 | ↑ +86% |
| First Health | Commercial|All Plans | $2,423.85 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $2,423.85 | ↑ +86% |
| PHCS | Commercial|All Plans | $2,423.85 | ↑ +86% |
| Humana | Commercial|Transplant | $2,423.85 | ↑ +86% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +86% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +86% |
| United | Commercial|Charter | $2,474.00 | ↑ +90% |
| Aetna | Commercial|PPO | $2,535.72 | ↑ +94% |
| Healthsmart | Commercial|PPO | $2,610.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,610.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,610.30 | ↑ +100% |
| United | Commercial|HMO | $2,749.00 | ↑ +111% |
| United | Commercial|PPO | $2,749.00 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $2,796.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,834.04 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $3,080.90 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,169.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $3,729.00 | ↑ +186% |
Visitor-reported prices
Comments
Bx breast add lesion mr imag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,550.54 | $439.32 – $2,196.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,649.29 | $71.00 – $2,473.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,540.63 | $71.00 – $1,925.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,550.54 | $413.48 – $2,196.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,649.29 | $85.00 – $2,473.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,649.29 | $852.13 – $2,473.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,540.63 | $71.00 – $2,310.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,550.54 | $413.48 – $2,196.60 |