Cath baloon occl urnry 34f 7x2x65 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$4,265.58
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.
$12,187.35
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 $50,356.00 with BCBS-TX — 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|Surefit | $100.00 | ↓ -98% |
| Cigna | Commercial|PPO | $100.00 | ↓ -98% |
| Cigna | Commercial|HMO | $100.00 | ↓ -98% |
| OPTUM | Medicare|All Plans | $147.42 | ↓ -97% |
| TCHPCHIP | Medicaid|HMO | $191.10 | ↓ -96% |
| OPTUM | Medicaid|STAR | $197.55 | ↓ -95% |
| United | Commercial|Optum | $256.62 | ↓ -94% |
| KelseyCare | Commercial|All Other Plans | $274.70 | ↓ -94% |
| CHC | Medicaid|CHIP | $300.30 | ↓ -93% |
| CHC | Medicaid|HMO | $300.30 | ↓ -93% |
| TEXASTRUECHOICE | Medicaid|CHIP | $300.30 | ↓ -93% |
| Cigna Lifesource | Commercial|Transplant | $327.60 | ↓ -92% |
| Coventry | Commercial|PPO | $354.90 | ↓ -92% |
| First Health | Commercial|All Plans | $354.90 | ↓ -92% |
| Humana | Commercial|Transplant | $354.90 | ↓ -92% |
| Healthsmart | Commercial|PPO | $382.20 | ↓ -91% |
| Interlink | Commercial|Transplant | $382.20 | ↓ -91% |
| Cigna | Commercial|Transplant | $382.20 | ↓ -91% |
| Independent Med System | Commercial|All Plans | $402.00 | ↓ -91% |
| MultiPlan | Commercial|All Plans | $409.50 | ↓ -90% |
| OPTUM | Medicaid|STARPLUS | $451.11 | ↓ -89% |
| USA Health Network | Commercial|All Plans | $464.10 | ↓ -89% |
| Healthsmart | Commercial|AP3-PPO | $482.40 | ↓ -89% |
| MHealth Network | Commercial|PPO | $546.00 | ↓ -87% |
| Bright Health | Commercial|All Plans | $670.00 | ↓ -84% |
| BCBS-TX | Commercial|Exchange | $40,285.00 | ↑ +844% |
| BCBS-TX | Commercial|Blue Premier | $42,032.00 | ↑ +885% |
| BCBS-TX | Commercial|HMO | $50,356.00 | ↑ +1081% |
| BCBS-TX | Commercial|PPO | $50,356.00 | ↑ +1081% |
Visitor-reported prices
Comments
Cath baloon occl urnry 34f 7x2x65 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $10,795.68 | not published |
| Baylor St Luke's Medical Center | Houston | $4,265.58 | $100.00 – $19,766.00 |
| St. Joseph Health Madison Hospital | Madisonville | $2,810.50 | $218.11 – $1,540.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $4,265.58 | $100.00 – $40,285.00 |
| St. Joseph Health College Station Hospital | College Station | $2,810.50 | $342.40 – $1,455.20 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $4,265.58 | $100.00 – $40,285.00 |
| St. Joseph Health Grimes Hospital | Navasota | $2,810.50 | $342.40 – $1,900.32 |
| St. Luke's Health - The Vintage Hospital | Houston | $4,265.58 | $100.00 – $40,285.00 |